Open AccessMicro-level de-coupling of negative affect and binge eating in relationship to macro-level outcomes in binge eating disorder treatment
Author(s) -
Kathryn E. Smith,
Tyler B. Mason,
Lauren M. Schaefer,
Lisa M. Anderson,
Vivienne M. Hazzard,
Ross D. Crosby,
Scott G. Engel,
Scott J. Crow,
Stephen A. Wonderlich,
Carol B. Peterson
Publication year - 2020
Publication title -
psychological medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.857
H-Index - 209
eISSN - 1469-8978
pISSN - 0033-2917
DOI - 10.1017/s0033291720001804
Subject(s) - binge eating , affect (linguistics) , psychology , binge eating disorder , cognitive behavioral therapy , eating disorders , clinical psychology , cognition , psychiatry , bulimia nervosa , communication
While negative affect reliably predicts binge eating, it is unknown how this association may decrease or 'de-couple' during treatment for binge eating disorder (BED), whether such change is greater in treatments targeting emotion regulation, or how such change predicts outcome. This study utilized multi-wave ecological momentary assessment (EMA) to assess changes in the momentary association between negative affect and subsequent binge-eating symptoms during Integrative Cognitive Affective Therapy (ICAT-BED) and Cognitive Behavior Therapy Guided Self-Help (CBTgsh). It was predicted that there would be stronger de-coupling effects in ICAT-BED compared to CBTgsh given the focus on emotion regulation skills in ICAT-BED and that greater de-coupling would predict outcomes.