Paul Lattimore

A cross-sectional investigation of trait disinhibition and its association with mindfulness and impulsivity.

Two online surveys were conducted to assess the relationship between trait disinhibition, impulsivity, mindfulness and adverse psychological symptoms. In study 1 adult females (n=196; mean age=21 yrs) completed the Three-Factor Eating Questionnaire (TEFQ-R21), the Hospital Anxiety and Depression Scale and a measure of dispositional mindfulness. In study 2 adult females (n=190; mean age=26 yrs) completed the same measures as in study 1 with the addition of the Barratt Impulsivity Scale. In both studies it was predicted that mindfulness would be negatively related to trait disinhibition controlling for adverse psychological symptoms. The second study addressed the additional hypothesis that the relationship between mindfulness and trait disinhibition would be mediated by impulsivity. Regression analyses indicated that mindfulness was negatively related to and explained 11% of variation in trait disinhibition (study 1). This relationship was replicated and extended in study 2 whereby impulsivity mediated the relationship between mindfulness and trait disinhibition. The findings warrant experimental and in vivo investigations of the potential causal relationships between mindfulness, impulsivity and eating behaviours.

Differential effects of active and passive stress on food intake in restrained and unrestrained eaters.

This study examined the effects of active (AC) and passive coping (PC) stress tasks on food intake in female restrained (n = 20) and unrestrained eaters (n = 20) Participants completed a reaction time task (AC), a cold-pressor test (PC), and a relaxation control condition separated by 1-week intervals. Food intake was assessed after each task. Self-reported anxiety, heart rate and blood pressure (BP) were measured before and after each task. Restraint was measured using the Dutch Eating Behaviour Questionnaire. Significant increases in BP were evident in the AC task only. Stress tasks produced significant increases in self-rated anxiety. Restrained eaters consumed more than unrestrained following the reaction time task, while the opposite was observed following relaxation. The findings of this study show that disinhibited eating of restrained eaters can be triggered by the distracting effects of a cognitively demanding task and may be independent of anxiety experienced.

Stress-induced eating: an alternative method for inducing ego-threatening stress.

This study was designed to assess the effectiveness of a modified Stroop test as a method of inducing ego-threatening stress in dieters. Twenty females completed a Stroop task and watched a fearful film, and then consumed ice cream, ad libitum, under the guise of a tasting-test. It was predicted that the Stroop task would trigger greater consumption of ice cream than a fearful film, and that this effect would be more pronounced for binge-eaters than non-binge-eaters. More ice cream was consumed following the Stroop task, however both binge-eaters and non-binge-eaters consumed more ice cream after the Stroop task than the film-task. This data suggests that the ego-threatening Stroop test has potential as a standardized method for use in studies of stress-induced eating.

Food cue exposure and body image satisfaction: The moderating role of BMI and dietary restraint

Effects of cue exposure to high and low-caloric food on body image satisfaction and the moderating role of body mass index (BMI) and restraint were investigated in 77 lean unrestrained, lean restrained and overweight restrained females. Body (BS) and weight satisfaction (WS) were assessed before and after the cue exposure. Lean restrained participants were significantly less satisfied with their weight after cue exposure to high-caloric foods in comparison to cue exposure to low-caloric foods, whereas no such effect was present in overweight restrained and lean unrestrained participants. Low-caloric food cues did not influence WS. Food cues had a nonsignificant trend effect on BS. Yet, only lean unrestrained participants experienced significantly more BS in response to food cue exposure.

Conflict avoidance in anorexia nervosa: an observational study of mothers and daughters

Adolescents with anorexia nervosa ( = 20) and emotional and developmental disorders ( = 14) were observed, during low- and high-conflict family problem solving tasks with their mothers. An observational coding scheme designed for the study was used to identify verbal (e.g., criticism or support) and nonverbal behaviour indicative of constructive and destructive communication. The frequency and sequential context of observed behaviour was compared between and within groups using -tests. It was predicted that during the high conflict task: (1) anorexia dyads would be conflict avoiding compared to controls; (2) that in both groups one family member would show more destructive communication than the other; and (3) that the rate of, and reciprocation of destructive communication would be greater than constructive communication in mother – daughter pairs in the anorexia group only. Results indicated that anorexia dyads showed more destructive communication than comparison dyads. Within anorexia dyads, daughters showed more destructive communication than their mothers, and the mean frequency of destructive communication was greater than constructive communication in the anorexia group only. Furthermore, mothers and their daughters in the anorexia dyads reciprocated each others destructive communication to a greater extent than constructive communication. The results do not support the notion that conflict avoidance characterizes the interactions of ‘anorexic families’. By examining the behaviour of both the patient and a key relative, this study demonstrates that deficiencies in communication skills may underpin disrupted family functioning associated with anorexia nervosa. Family counselling techniques may provide an opportunity to support constructive approaches to resolving family problems associated with symptoms. Copyright

A test of the structural model of initiation of dieting among adolescent girls

This article reports alternative findings from a pilot study to those presented recently (Strong GF, Huon KG. J. Psychosom. Res., 1998; 44:315-326) in regard to the proposed model of sociopsychological processes involved in the initiation of dieting among young adolescent girls. One hundred thirteen female high school pupils completed a battery of questionnaires that assessed dieting status, dietary restraint, autonomous functioning, skill-related functioning, social influence, and family functioning. The results indicate that family functioning predicts dietary restraint but that this effect is mediated by peer influence to diet. Furthermore, family functioning was associated with autonomous functioning, suggesting that this relationship should be pursued in a future test of the model. This pattern of results is different from an earlier test of the model, which indicated only a parental influence on dieting status. The results confirm that peer influences should be retained as a causal factor in a reformulated structural model.

Perceived calorie intake and state body-image satisfaction in women attempting weight loss: A preliminary investigation

State body-image satisfaction levels (BIS) can be predicted by appearance concerns, eating attitudes and body mass index (BMI). Determinants of state BIS and its variability were examined in women attempting weight loss. Little is known about contextual cues that influence state BIS; therefore the effect of eating on BIS was examined. Forty-six females attending a commercial weight loss group completed measures of shape and weight concerns, appearance beliefs and dietary restraint, followed by completion of a diary that assessed state BIS, mood and perceived calorie intake immediately following evening meals. Regression analysis indicated that after controlling for mood, state BIS was associated with higher BMI and dietary restraint. Greater variability in state BIS was associated with greater variability in perceived calorie intake. This relationship was fully mediated by greater variability in mood. The findings imply that state BIS warrants investigation as a process that may influence weight loss management.

Dietary restraint moderates the effects of food exposure on women's body and weight satisfaction

The influence of dietary restraint and food exposure on body satisfaction was tested. Body and weight satisfaction were measured before and after exposure to either high- or low-caloric food, without actual eating. Independent of caloric condition, higher dietary restraint was associated with a decrease in body satisfaction after food exposure. With regard to weight satisfaction, however, the association between higher dietary restraint and decreased weight satisfaction was specific for the high-caloric condition. Thus, the actual eating of food is not necessary for decreased body and weight satisfaction to occur, suggesting an exposure-induced activation of dysfunctional cognitions in restrained eaters.

Developmental onset of eating-related color-naming interference: The role of restraint and eating psychopathology

OBJECTIVE This study investigated the developmental onset of the Stroop interference effect for food and body shape words in 12- and 14-year-old females to determine whether dietary restraint and eating psychopathology influenced Stroop performance times. METHOD A Stroop task containing neutral, food, and body shape-related words was administered to 152 schoolgirls. Participants completed the restraint scale of the Dutch Eating Behavior Questionnaire and the Drive for Thinness (DFT) subscale of the Eating Disorders Inventory. RESULTS Significant color-naming impairments were observed for food-related words in 12- and 14-year-olds, in 14-year-old restrained eaters, and in 12-year-old unrestrained eaters. There were no significant differences between restrained and unrestrained eaters in either age group. Participants scoring high on the DFT subscale showed significant impairments for food-related words, but did not differ significantly from those scoring low on the DFT. There were no significant impairments in color-naming body shape-related words in any subgroups. DISCUSSION This study did not confirm a different developmental onset for the food and body shape Stroop interference effect. Consideration of dietary restraint did add clarity to previously observed food-related interference effects in both age groups. The results for high- and low-DFT participants do not support the use of the eating-related Stroop tests as an early objective indicator of eating psychopathology.

‘I can’t accept that feeling’: Relationships between interoceptive awareness, mindfulness and eating disorder symptoms in females with, and at-risk of an eating disorder

Mindfulness based therapies (MBTs) for eating disorders show potential benefit for outcomes yet evidence is scarce regarding the mechanisms by which they influence remission from symptoms. One way that mindfulness approaches create positive outcomes is through enhancement of emotion regulation skills. Maladaptive emotion regulation is a key psychological feature of all eating disorders. The aim of the current study was to identify facets of emotion regulation involved in the relationship between mindfulness and maladaptive eating behaviours. In three cross-sectional studies, clinical (n=39) and non-clinical (n=137 and 119) female participants completed: 1) the Eating Disorder Inventory (EDI) eating specific scales (drive-for-thinness and bulimia) and the EDI psychological symptom scales (emotion dysregulation and interoceptive deficits); and 2) mindfulness, impulsivity, and emotion regulation questionnaires. In all samples mindfulness was significantly and inversely associated with EDI eating and psychological symptom scales, and impulsivity. In non-clinical samples interoceptive deficits mediated the relationship between mindfulness and EDI eating specific scales. Non-acceptance of emotional experience, a facet of interoceptive awareness, mediated the relationship between mindfulness and eating specific EDI scores. Further investigations could verify relationships identified so that mindfulness based approaches can be optimised to enhance emotion regulation skills in sufferers, and those at-risk, of eating disorders.