Binge eating: Cause or consequence of negative affects? Toward a problem-oriented model of affect regulation for binge eating episodes in bulimia nervosa

Autor(en): Eversmann, Julia
Schoetke, Henning
Wiedl, Karl H.
Stichwörter: affective states; ALEXITHYMIA; BEHAVIOR; binge eating; bulimia nervosa; DISORDER; GUILT; MOODS; problem analysis; Psychiatry; Psychology; Psychology, Clinical; SHAME; WOMEN
Erscheinungsdatum: 2007
Herausgeber: KARGER
Volumen: 17
Ausgabe: 3
Startseite: 151
Seitenende: 157
Background: According to empirical literature an increase in shame, guilt, and disgust seems to play an important role in the maintenance of binge eating episodes in bulimic patients. Yet, the extent of these negative affective states compared to those experienced by a control group without eating disorder has not yet been studied. Patients and Methods: 66 female bulimic inpatients and 50 healthy women participated in the study and rated the extent of 10 affective states before and after a `typical' binge eating episode using the German version of the differential emotional scale. Results: Before a typical binge eating episode bulimic patients reported markedly higher levels of negative affects than the healthy controls. Both groups experienced increased feelings of guilt after binge eating, additionally, bulimics reported an increase in disgust and contempt. Discussion: Increased feelings of disgust and contempt after a typical binge eating episode seem to be specific for patients with bulimia nervosa. Results concerning the extent of negative affective states suggest them to be both cause and consequence of binge eating. The results are discussed with regard to current cognitive models of bulimia nervosa.
ISSN: 10166262
DOI: 10.1159/000107596

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