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Meal and snack-time eating disorder cognitions predict eating disorder behaviors and vice versa in a treatment seeking sample: A mobile technology based ecological momentary assessment study

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  • Additional Information
    • Affiliation:
      a University of Louisville, Department of Psychological & Brain Sciences, USA
      b Southern Methodist University, Department of Psychology, USA
      c Washington University in St. Louis, Department of Psychological & Brain Sciences, USA
      d Washington University in St. Louis, Department of Psychiatry, USA
    • Keywords:
      Eating disorders
      Anorexia nervosa
      Mealtime
      Exposure
      Cognitions
    • Abstract:
      Individuals with eating disorders experience high anxiety when eating, which may contribute to the high relapse rates seen in the eating disorders. However, it is unknown if specific cognitions associated with such anxiety (e.g., fears of gaining weight) may lead to engagement in eating disorder behaviors (e.g., weighing oneself). Participants (N = 66) recently treated at a residential eating disorder facility and diagnosed with an eating disorder (primarily anorexia nervosa; n = 40; 60.6%) utilized a mobile application to answer questions about mealtime cognitions, anxiety, and eating disorder behaviors four times a day for one week. Hierarchical linear models using cross-lag analyses identified that there were quasi-causal (and sometimes reciprocal) within-person relationships between specific eating disorder cognitions and subsequent eating disorder behaviors. These cognitions predicted higher anxiety during the next meal and eating disorder pathology at one-month follow-up. Interventions personalized to target these specific cognitions in real time might reduce eating disorder relapse.
    • ISSN:
      0005-7967
    • Accession Number:
      10.1016/j.brat.2018.03.008
    • Accession Number:
      S0005796718300445
    • Copyright:
      © 2018 Elsevier Ltd. All rights reserved.
  • Citations
    • ABNT:
      LEVINSON, C. A. et al. Meal and snack-time eating disorder cognitions predict eating disorder behaviors and vice versa in a treatment seeking sample: A mobile technology based ecological momentary assessment study. Behaviour Research and Therapy, [s. l.], v. 105, p. 36–42, 2018. DOI 10.1016/j.brat.2018.03.008. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0005796718300445. Acesso em: 1 out. 2020.
    • AMA:
      Levinson CA, Sala M, Fewell L, Brosof LC, Fournier L, Lenze EJ. Meal and snack-time eating disorder cognitions predict eating disorder behaviors and vice versa in a treatment seeking sample: A mobile technology based ecological momentary assessment study. Behaviour Research and Therapy. 2018;105:36-42. doi:10.1016/j.brat.2018.03.008
    • APA:
      Levinson, C. A., Sala, M., Fewell, L., Brosof, L. C., Fournier, L., & Lenze, E. J. (2018). Meal and snack-time eating disorder cognitions predict eating disorder behaviors and vice versa in a treatment seeking sample: A mobile technology based ecological momentary assessment study. Behaviour Research and Therapy, 105, 36–42. https://doi.org/10.1016/j.brat.2018.03.008
    • Chicago/Turabian: Author-Date:
      Levinson, Cheri A., Margarita Sala, Laura Fewell, Leigh C. Brosof, Lauren Fournier, and Eric J. Lenze. 2018. “Meal and Snack-Time Eating Disorder Cognitions Predict Eating Disorder Behaviors and Vice Versa in a Treatment Seeking Sample: A Mobile Technology Based Ecological Momentary Assessment Study.” Behaviour Research and Therapy 105 (June): 36–42. doi:10.1016/j.brat.2018.03.008.
    • Harvard:
      Levinson, C. A. et al. (2018) ‘Meal and snack-time eating disorder cognitions predict eating disorder behaviors and vice versa in a treatment seeking sample: A mobile technology based ecological momentary assessment study’, Behaviour Research and Therapy, 105, pp. 36–42. doi: 10.1016/j.brat.2018.03.008.
    • Harvard: Australian:
      Levinson, CA, Sala, M, Fewell, L, Brosof, LC, Fournier, L & Lenze, EJ 2018, ‘Meal and snack-time eating disorder cognitions predict eating disorder behaviors and vice versa in a treatment seeking sample: A mobile technology based ecological momentary assessment study’, Behaviour Research and Therapy, vol. 105, pp. 36–42, viewed 1 October 2020, .
    • MLA:
      Levinson, Cheri A., et al. “Meal and Snack-Time Eating Disorder Cognitions Predict Eating Disorder Behaviors and Vice Versa in a Treatment Seeking Sample: A Mobile Technology Based Ecological Momentary Assessment Study.” Behaviour Research and Therapy, vol. 105, June 2018, pp. 36–42. EBSCOhost, doi:10.1016/j.brat.2018.03.008.
    • Chicago/Turabian: Humanities:
      Levinson, Cheri A., Margarita Sala, Laura Fewell, Leigh C. Brosof, Lauren Fournier, and Eric J. Lenze. “Meal and Snack-Time Eating Disorder Cognitions Predict Eating Disorder Behaviors and Vice Versa in a Treatment Seeking Sample: A Mobile Technology Based Ecological Momentary Assessment Study.” Behaviour Research and Therapy 105 (June 1, 2018): 36–42. doi:10.1016/j.brat.2018.03.008.
    • Vancouver/ICMJE:
      Levinson CA, Sala M, Fewell L, Brosof LC, Fournier L, Lenze EJ. Meal and snack-time eating disorder cognitions predict eating disorder behaviors and vice versa in a treatment seeking sample: A mobile technology based ecological momentary assessment study. Behaviour Research and Therapy [Internet]. 2018 Jun 1 [cited 2020 Oct 1];105:36–42. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0005796718300445