The urge to purge: An ecological momentary assessment of purging disorder and bulimia nervosa.

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  • Author(s): Smith, Kathryn E.. Kent State U., US
  • Source:
    Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 76(6-B)(E), 2015.
  • Publisher:
    US : ProQuest Information & Learning
  • Language:
    English
  • Document Type:
    Dissertation
  • Publication Type:
    Dissertation Abstract
  • Additional Information
    • Other Journal Titles:
      Dissertation Abstracts International
    • ISSN:
      0419-4217 (Print)
    • ISBN:
      978-1-321-50086-8
    • Keywords:
      binge episodes, negative affect, maintaining mechanisms, bulimic spectrum disorders, objective binge episodes, bulimia nervosa, affective changes
    • Abstract:
      Although a considerable body of research has assessed the antecedents and consequences of binge episodes among individuals with Bulimia Nervosa (BN), the maintaining mechanisms of bulimic symptomatology have yet to be fully understood. Furthermore, it is unclear how the daily symptoms of individuals with Purging Disorder (PD) compare to BN. The present study examined the cognitions, emotions, and eating behaviors of individuals with bulimic spectrum disorders and controls using Ecological Momentary Assessment methodology. A sample of 42 women with Bulimic Spectrum disorders (BN: n=33; PD: n=9) and controls (n=31) completed daily diary assessments on mobile devices for 10 days. Results indicated that individuals with BN reported more objective binge episodes (OBEs) than those with PD and controls, yet those with BN and PD did not differ in the frequency of subjective binge episodes (SBEs). Negative affect was predictive of cognitive, yet not behavioral, aspects of dietary restriction, and increases in negative affect and guilt were predictive of OBEs, but not SBEs. Contrary to the affect regulation model, binge episodes did not effectively regulate affect. Furthermore, affect lability was associated with higher levels of eating psychopathology and OBE frequencies. Whereas OBEs predicted subsequent cognitive restraint, neither OBEs nor SBEs predicted post-eating body dissatisfaction, increased negative affect or guilt, or thoughts of exercise or purging. Findings highlight the differential relationships between eating psychopathology, cognitive and behavioral aspects of dietary restriction, and affective changes among individuals with BN and PD, as well as the similarities and differences in BN and PD symptomatology. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
    • Dissertation Details:
      UMI Order Number: AAI3672636
      OpenURL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqm&rft_dat=xri:pqdiss:3672636
    • Subject Terms:
    • PsycINFO Classification:
      Health Psychology & Medicine (3360)
      General Psychology (2100)
    • Population:
      Human
    • Methodology:
      Empirical Study; Quantitative Study
    • Physical Description:
      Electronic
    • Publication Date:
      20160222
    • Publication Date:
      20190211
    • Accession Number:
      2015-99240-390
  • Citations
    • ABNT:
      SMITH, K. E. The urge to purge: An ecological momentary assessment of purging disorder and bulimia nervosa. 2015. ProQuest Information & Learning, [s. l.], 2015. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2015-99240-390. Acesso em: 20 fev. 2020.
    • AMA:
      Smith KE. The urge to purge: An ecological momentary assessment of purging disorder and bulimia nervosa. Dissertation Abstracts International: Section B: The Sciences and Engineering. 2015;76(6-B(E)). http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2015-99240-390. Accessed February 20, 2020.
    • APA:
      Smith, K. E. (2015). The urge to purge: An ecological momentary assessment of purging disorder and bulimia nervosa [ProQuest Information & Learning]. In Dissertation Abstracts International: Section B: The Sciences and Engineering (Vol. 76, Issue 6–B(E)).
    • Chicago/Turabian: Author-Date:
      Smith, Kathryn E. 2015. “The Urge to Purge: An Ecological Momentary Assessment of Purging Disorder and Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2015-99240-390.
    • Harvard:
      Smith, K. E. (2015) The urge to purge: An ecological momentary assessment of purging disorder and bulimia nervosa, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2015-99240-390 (Accessed: 20 February 2020).
    • Harvard: Australian:
      Smith, KE 2015, ‘The urge to purge: An ecological momentary assessment of purging disorder and bulimia nervosa’, ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 76, no. 6–B(E), viewed 20 February 2020, .
    • MLA:
      Smith, Kathryn E. “The Urge to Purge: An Ecological Momentary Assessment of Purging Disorder and Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 76, no. 6–B(E), ProQuest Information & Learning, 2015. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2015-99240-390.
    • Chicago/Turabian: Humanities:
      Smith, Kathryn E. “The Urge to Purge: An Ecological Momentary Assessment of Purging Disorder and Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning, 2015. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2015-99240-390.
    • Vancouver/ICMJE:
      Smith KE. The urge to purge: An ecological momentary assessment of purging disorder and bulimia nervosa [Internet]. Vol. 76, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning; 2015 [cited 2020 Feb 20]. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2015-99240-390