How Negative Affect Does and Does Not Lead to Binge Eating — The Importance of Craving and Negative Urgency in Bulimia Nervosa

Nicolas Leenaerts*, Thomas Vaessen, Stefan Sunaert, Jenny Ceccarini, Elske Vrieze

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Scopus)
81 Downloads (Pure)

Abstract

Studies suggest that negative affect (NA) can trigger binge eating (BE) in patients with bulimia nervosa (BN). Important factors in this relation between NA and BE could be craving (an intense desire for a BE episode) and negative urgency (the tendency to act rashly when NA is high). Therefore, this study wants to firstly explore the relations between NA, craving, rash action, and BE in daily life and secondly whether craving and rash action mediate the relationship between NA and BE. A sample of 70 female patients with BN and 76 female healthy controls (HC) took part in an experience sampling study where they reported on momentary NA, craving, rash action, and eating behaviors in daily life in a burst-measurement design over a period of 12 months. Assessments occurred eight times a day on Thursdays, Fridays, and Saturdays in seven bursts of 3 weeks, all separated by 5-week periods of no assessment. First, NA predicted subsequent rash action in the whole sample but this was more pronounced in patients with BN. Second, NA predicted subsequent craving in patients with BN, but not in HC. Third, rash action and craving predicted subsequent BE in patients with BN. Fourth, NA had competing effects on eating in patients with BN, predicting subsequent BE through rash action and craving, but also predicting subsequent not eating. These results suggest that NA can lead to BE in daily life through rash action and craving, but that NA can also lead to dietary restriction.

Original languageEnglish
Pages (from-to)621-633
Number of pages13
JournalJournal of Psychopathology and Clinical Science
Volume132
Issue number5
DOIs
Publication statusPublished - Jul 2023

Keywords

  • binge eating
  • craving
  • ecological momentary assessment
  • negative affect
  • negative urgency
  • 2024 OA procedure

Fingerprint

Dive into the research topics of 'How Negative Affect Does and Does Not Lead to Binge Eating — The Importance of Craving and Negative Urgency in Bulimia Nervosa'. Together they form a unique fingerprint.

Cite this