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Initial test of an emotional avoidance model of restriction in anorexia nervosa using ecological momentary assessment

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  • Additional Information
    • Affiliation:
      a Department of Psychology, University of Nevada, Reno, Reno, NV, USA
      b Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences and Neuropsychiatric Research Institute, Fargo, ND, USA
      c Department of Psychiatry, University of Minnesota School of Medicine and the Emily Program, Minneapolis, MN, USA
      d Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA
    • Keywords:
      Anorexia nervosa
      Restrictive eating
      Emotion regulation
      Avoidance
    • Abstract:
      It has been hypothesized that restrictive eating allows individuals with anorexia nervosa (AN) to avoid contact with negative emotions; however, this presumption has not been directly tested. In this study, we conducted an initial investigation examining whether restrictive eating serves an emotional avoidance function among individuals with AN. Females with AN (n = 118) reported on negative and positive affect, anxiety/tension, and eating behaviors at multiple time points daily over a 2-week period using ecological momentary assessment methodology. Affective patterns were compared using generalized estimating equation models between days in which participants reported either: (1) relatively high restriction (without binge eating); (2) relatively low restriction (without binge eating); (3) binge eating; or (4) no restriction or binge eating. We hypothesized that, if restriction were functioning to avoid negative affect, average negative affect and anxiety/tension, as well as average negative and positive affect lability, would be lower and average positive affect would be higher on days characterized by high levels of restriction compared to other eating patterns. Contrary to hypotheses: (1) average negative affect, anxiety/tension, and positive affect were not significantly different between days characterized by high restriction and those characterized by low or no restriction; (2) Negative affect and anxiety/tension lability were higher on days characterized by high restriction compared to no restriction or binge eating days; (3) Anxiety/tension lability was higher on days characterized by high versus low levels of restriction. This patterns of findings does not support an avoidance model of restrictive eating for individuals with AN.
    • ISSN:
      0022-3956
    • Accession Number:
      10.1016/j.jpsychires.2015.06.016
    • Accession Number:
      S0022395615001879
    • Copyright:
      Copyright © 2015 Elsevier Ltd All rights reserved.
  • Citations
    • ABNT:
      HAYNOS, A. F. et al. Initial test of an emotional avoidance model of restriction in anorexia nervosa using ecological momentary assessment. Journal of Psychiatric Research, [s. l.], v. 68, p. 134–139, 2015. DOI 10.1016/j.jpsychires.2015.06.016. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0022395615001879. Acesso em: 20 set. 2020.
    • AMA:
      Haynos AF, Crosby RD, Engel SG, et al. Initial test of an emotional avoidance model of restriction in anorexia nervosa using ecological momentary assessment. Journal of Psychiatric Research. 2015;68:134-139. doi:10.1016/j.jpsychires.2015.06.016
    • APA:
      Haynos, A. F., Crosby, R. D., Engel, S. G., Lavender, J. M., Wonderlich, S. A., Mitchell, J. E., Peterson, C. B., Crow, S. J., & Le Grange, D. (2015). Initial test of an emotional avoidance model of restriction in anorexia nervosa using ecological momentary assessment. Journal of Psychiatric Research, 68, 134–139. https://doi.org/10.1016/j.jpsychires.2015.06.016
    • Chicago/Turabian: Author-Date:
      Haynos, Ann F., Ross D. Crosby, Scott G. Engel, Jason M. Lavender, Stephen A. Wonderlich, James E. Mitchell, Carol B. Peterson, Scott J. Crow, and Daniel Le Grange. 2015. “Initial Test of an Emotional Avoidance Model of Restriction in Anorexia Nervosa Using Ecological Momentary Assessment.” Journal of Psychiatric Research 68 (September): 134–39. doi:10.1016/j.jpsychires.2015.06.016.
    • Harvard:
      Haynos, A. F. et al. (2015) ‘Initial test of an emotional avoidance model of restriction in anorexia nervosa using ecological momentary assessment’, Journal of Psychiatric Research, 68, pp. 134–139. doi: 10.1016/j.jpsychires.2015.06.016.
    • Harvard: Australian:
      Haynos, AF, Crosby, RD, Engel, SG, Lavender, JM, Wonderlich, SA, Mitchell, JE, Peterson, CB, Crow, SJ & Le Grange, D 2015, ‘Initial test of an emotional avoidance model of restriction in anorexia nervosa using ecological momentary assessment’, Journal of Psychiatric Research, vol. 68, pp. 134–139, viewed 20 September 2020, .
    • MLA:
      Haynos, Ann F., et al. “Initial Test of an Emotional Avoidance Model of Restriction in Anorexia Nervosa Using Ecological Momentary Assessment.” Journal of Psychiatric Research, vol. 68, Sept. 2015, pp. 134–139. EBSCOhost, doi:10.1016/j.jpsychires.2015.06.016.
    • Chicago/Turabian: Humanities:
      Haynos, Ann F., Ross D. Crosby, Scott G. Engel, Jason M. Lavender, Stephen A. Wonderlich, James E. Mitchell, Carol B. Peterson, Scott J. Crow, and Daniel Le Grange. “Initial Test of an Emotional Avoidance Model of Restriction in Anorexia Nervosa Using Ecological Momentary Assessment.” Journal of Psychiatric Research 68 (September 1, 2015): 134–39. doi:10.1016/j.jpsychires.2015.06.016.
    • Vancouver/ICMJE:
      Haynos AF, Crosby RD, Engel SG, Lavender JM, Wonderlich SA, Mitchell JE, et al. Initial test of an emotional avoidance model of restriction in anorexia nervosa using ecological momentary assessment. Journal of Psychiatric Research [Internet]. 2015 Sep 1 [cited 2020 Sep 20];68:134–9. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0022395615001879