Abstract
Purpose
The current study aimed to examine the relationships between impulsivity, dietary restraint, and binge eating frequency in individuals with binge-spectrum eating disorders.
Methods
Secondary data analysis was conducted on baseline data from three ongoing or recently completed clinical trials. 148 participants diagnosed with a DSM-5 eating disorder characterized by binge eating were administered a clinical interview to assess dietary restraint and binge eating frequency and completed a self-report measure of trait impulsivity.
Results
Mediation analyses found that increased dietary restraint mediated the relationship between higher impulsivity, particularly greater positive urgency and sensation-seeking, and more frequent binge eating episodes.
Conclusion
While more research using momentary assessment methods is necessary to confirm our findings, results from the current study call attention to the potential role of dietary restraint in the impulsivity-binge eating relationship for individuals with binge-spectrum eating disorders.
Level of evidence
Level V descriptive study.
References
Association AP (2013) Feeding and eating disorders. Diagnostic and statistical manual of mental disorders, 5 edn. Washington, D.C.
Farstad SM, McGeown LM, von Ranson KM (2016) Eating disorders and personality, 2004–2016: a systematic review and meta-analysis. Clin Psychol Rev 46:91–105. https://doi.org/10.1016/j.cpr.2016.04.005
Stice E, Nemeroff C, Shaw HE (1996) Test of the dual pathway model of bulimia nervosa: Evidence for dietary restraint and affect regulation mechanisms. J Soc Clin Psychol 15(3):340–363. https://doi.org/10.1521/jscp.1996.15.3.340
Carrard I, Crépin C, Ceschi G, Golay A, Van der Linden MJEB (2012) Relations between pure dietary and dietary-negative affect subtypes and impulsivity and reinforcement sensitivity in binge eating individuals. Eat Behav 13(1):13–19. https://doi.org/10.1016/j.eatbeh.2011.10.004
Jansen A, Klaver J, Merckelbach H, van den Hout M (1989) Restrained eaters are rapidly habituating sensation seekers. Behav Res Ther 27(3):247–252. https://doi.org/10.1016/0005-7967(89)90043-0
Stice E, Agras WS (1999) Subtyping bulimic women along dietary restraint and negative affect dimensions. J Consult Clin Psychol 67(4):460. https://doi.org/10.1037//0022-006x.67.4.460
Emery RL, King KM, Fischer SF, Davis KR (2013) The moderating role of negative urgency on the prospective association between dietary restraint and binge eating. Appetite 71:113–119. https://doi.org/10.1016/j.appet.2013.08.001
Mason TB, Smith KE, Lavender JM, Lewis RJ (2018) Independent and interactive associations of negative affect, restraint, and impulsivity in relation to binge eating among women. Appetite 121:147–153. https://doi.org/10.1016/j.appet.2017.11.099
Racine SE, Martin SJ (2016) Exploring divergent trajectories: Disorder-specific moderators of the association between negative urgency and dysregulated eating. Appetite 103:45–53. https://doi.org/10.1016/j.appet.2016.03.021
Coffino JA, Orloff NC, Hormes JMssJFIP (2016) Dietary restraint partially mediates the relationship between impulsivity and binge eating only in lean individuals: the importance of accounting for body mass in studies of restraint. Front Psychol 7:1499
Lynam DR, Smith GT, Whiteside SP, Cyders MA (2006) The UPPS-P: Assessing five personality pathways to impulsive behavior. Purdue University, West Lafayette
Cyders MA, Smith GT (2007) Mood-based rash action and its components: positive and negative urgency. Pers Indiv Differ 43(4):839–850. https://doi.org/10.1016/j.paid.2007.02.008
Cooper Z, Fairburn C (1987) The eating disorder examination: a semi-structured interview for the assessment of the specific psychopathology of eating disorders. Int J Eat Disord 6(1):1–8. https://doi.org/10.1002/1098-108X(198701)6:1%3C1::AID-EAT2260060102%3E3.0.CO;2-9
Palavras MA, Hay P, Claudino A (2018) An investigation of the clinical utility of the proposed ICD-11 and DSM-5 diagnostic schemes for eating disorders characterized by recurrent binge eating in people with a high BMI. Nutrients. https://doi.org/10.3390/nu10111751
Cooper Z, Cooper PJ, Fairburn CG (1989) The validity of the eating disorder examination and its subscales. Br J Psychiatry 154:807–812. https://doi.org/10.1192/bjp.154.6.807
Rizvi S, Peterson C, Crow S, Agras W (2000) Test-retest reliability of the eating disorder examination. Int J Eat Disord 28:311–316. https://doi.org/10.1002/1098-108X(200011)28:3%3C311::AID-EAT8%3E3.0.CO;2-K
Hayes AF (2018) Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford Press, New York
Lavender JM, Mitchell JE (2015) Eating disorders and their relationship to impulsivity. Curr Treat Opt Psychiatry 2(4):394–401. https://doi.org/10.1007/s40501-015-0061-6
Waxman SE (2009) A systematic review of impulsivity in eating disorders. Eur Eat Disord Rev 17(6):408–425
Christian C, Martel MM, Levinson CA (2020) Emotion regulation difficulties, but not negative urgency, are associated with attention-deficit/hyperactivity disorder and eating disorder symptoms in undergraduate students. Eat Behav 36:101344. https://doi.org/10.1016/j.eatbeh.2019.101344
Peterson CM, Mara CA, Conard LAE, Grossoehme D (2020) The relationship of the UPPS model of impulsivity on bulimic symptoms and non-suicidal self-injury in transgender youth. Eat Behav 39:101416. https://doi.org/10.1016/j.eatbeh.2020.101416
Schaumberg K, Wonderlich S, Crosby R, Peterson C, Le Grange D, Mitchell JE, Crow S, Joiner T, Bardone-Cone AM (2020) Impulsivity and anxiety-related dimensions in adults with bulimic-spectrum disorders differentially relate to eating disordered behaviors. Eat Behav 37:101382. https://doi.org/10.1016/j.eatbeh.2020.101382
Stice E, Fisher M, Lower MRJPA (2004) Are dietary restraint scales valid measures of acute dietary restriction? Unobtrusive observational data suggest not 16(1):51
Funding
Not applicable.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Not applicable.
Ethical approval
The three ongoing or recently completed clinical trials used for secondary data analysis in the current study were approved by the Drexel University Institutional Review Board.
Consent to participate/publication
Participants provided informed consent to participate in the clinical trial and for their data to be used for research.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Michael, M.L., Juarascio, A. Elevated cognitive dietary restraint mediates the relationship between greater impulsivity and more frequent binge eating in individuals with binge-spectrum eating disorders. Eat Weight Disord 26, 2795–2800 (2021). https://doi.org/10.1007/s40519-021-01153-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40519-021-01153-0