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The Effects of Induced Anxiety on Selective Attentional Bias and Binge-Eating Behavior in Bulimia Nervosa

Abstract

This study examined the effects of induced anxiety on cognitive bias and binge-eating behavior in BN through controlled experiments. Participants included 30 individuals who had been diagnosed as BN through the BULIT-R and DSM-IV and 30 individuals who were normal eaters free from eating problems. Subjects from both groups were randomly assigned into two affect conditions: anxiety or neutral affect. Each subjects completed dot probe detection tasks after the affect induction. That is, food-related word and neutral word pairs were presented on the screen, and soon after, participants were to recognize the location of dot probe and press the key that corresponded. After finishing the task, the participants were to enter a room with refreshments and while eating rice cake, complete the sweetness estimation questionnaire. The results showed that the binge-eating group exhibited statistically significant attentional bias to the food-related stimulus and ate more food than thenormal control group. Furthermore, there were some significant differences in attentional bias and food consumption according to the affect conditions between the two groups. The binge-eating group showed more attentional bias and food consumption when experiencing the anxiety affect as opposed to the neutral affect. The normal group showed opposite results. This study revealed that the binge-eating group had different cognitive and eating patterns than the normal eating group under the negative affect condition. These findings suggested the importance of the role of affect in binge-eating and potential implications for the intervention of BN.

keywords
신경성 폭식증, 불안, 주의편향, 탐침 과제, 폭식행동, bulimia nervosa, anxiety, selective attentional bias, dot probe task, binge-eating behavior

Reference

1.

김지화 (2008). 사회지향성과 자율지향성에 따른 대인관계 및 성취사건 자극에 대한 주의편향. 전남대학교 석사학위 논문.

2.

노혜련 (1995). 한국 고등학생 집단의 폭식장애 및 대식증에 관한 연구. 정신보건과 사회사업, 2, 4-91.

3.

소원현 (2000). 부정적인 정서가 폭식행동에 미치는 영향. 고려대학교 석사학위 논문.

4.

신미연, 현명호 (2007). 사회불안 경향자의 위협자극에 대한 주의편향의 시간과정. 한국심리학회지: 일반, 26(2), 207-223.

5.

신현균, 김정호, 최영미 (2010). 아동 청소년 심리치료: 인지행동적 접근. 학지사.

6.

윤화영 (1996). 여대생의 폭식행동, 우울 및 귀인 양식간의 관계. 가톨릭대학교 석사학위논문.

7.

한덕웅, 이창호, 탁진국 (1993). Spielberger 상태-특성불안검사의 표준화. 한국 심리학회 ‘93연차대회 학술발표 논문집, 505-512.

8.

한오수, 유희정, 김창윤, 이철, 민병근, 박인호 (1990). 한국인의 식이장애의 역학 및 특성. 정신 의학, 15, 270-287.

9.

Bulik, C. M. (1995). Anxiety disorders and eating disorders: a review of their relationship. New Zealand Journal of Psychology, 24, 51-62.

10.

Carter, F. A., Bulik, C. M., McIntosh, V. V., & Joyce, P. R. (2000). Changes on the stroop test following treatment: relation to word type, treatment condition, and treatment outcome among women with bulimia nervosa. International Journal of Eating Disorders, 28, 349-355.

11.

Chris T. F., & Glenn, J. (2002). Chronic dieting and eating disorders: A spiral model. In J. H. Crowther, D. L. Tennenbaum, S. E. H Pfold, & M.A. Parris-Stephens (Eds.) The Etiology of Bulimia Nervosa: the individual and Familial Context(pp.133-155). Hemisphere: Washington D. C.

12.

Cooper, M. J., & Fairburn, C. G. (1993). Demographic and clinical correlates of selective information processing in patients with bulimia nervosa. International Journal of Eating Disorders, 13, 109-116.

13.

Dana, L. R., Kevin, J. C., & Giao, Q. T. (2004). Bulimic symptoms and mood predict food relevant stroop interference in women with trouble eating patterns. Eating Behaviors, 5, 35-45.

14.

Dobson, K. S., & Dozois, D. J. A. (2004). Attentional biases in eating disorders: A meta-analytic review of stoop performance. Clinical Psychology Review, 23, 1001-1022.

15.

Fairburn, C. G., Cooper, P. J., Cooper, M. J., McKenna, F. P., & Anastasiades, P. (1991). Selective information processing in bulimia nervosa. International Journal of Eating Disorders, 10, 415–422.

16.

Faunce, G. J. (2002). Eating disorders and attentional bias: a review. Eating Disorders: The Journal of Treatment and Prevention, 10, 125-139.

17.

Godart, N. T., Flament, M. F., Lecrubier, Y., & Jeammet, P. (2000). Anxiety disorders in anorexia and bulimia nervosa: co-morbidity and chronology of appearance. European Psychiatry, 15, 38-45.

18.

Gotlib, I. H., & McCann, C. D. (1984). Construct accessibility and depression: An examination of cognitive and affective and affective factor. Journal of Personality and Social Psychology, 47, 427-439.

19.

Heatherton, T. F., & Baumeister, R. F. (1991). Binge-eating7 as escape from self-awareness. Psychological Bulletin, 110, 86-108.

20.

Heatherton, T. F., Herman, C. P., & Polivy, J. (1991). Effects of physical threat and ego threat on eating behavior. Journal of Personality and Social Psychology, 60(1), 138-143.

21.

Jansen, A., Nederkoorn, C., & Mulkens, S. (2005). Selective visual attention for ugly and beautiful body parts in eating disorders. Behavior Research and Therapy, 43, 183-196.

22.

Johnson, C., Steinberg, S., & Lewis, C. (1988). Bulimia. in K. Clark, R. Parr, & W. Castelli(Eds.), Evaluation and management of eating disorder. Champaign IL: Life Enhancement Publications.

23.

Jones, B. P., Duncan, C. C., Brouwers, P., & Mirsky, A. F. (1991). Cognition in eating disorders. Journal of Clinical Experimental Neuropsychology, 13, 711-728.

24.

Kjell, C. T., & Oivind, S. (2004). Selective visual attention for ugly and beautiful body part in eating disorders. Behaviour Research and Therapy, 43, 183-196.

25.

Kowler, E. (1995). Eye movements. In S. M. Kosslyn & D. N. Osheron(Eds.), Visual cognition. Cambridge, MA: MIT.

26.

Linda, J., Ata G., & Gerhard, A. (2005). Stroop interference for food- and body related words: a meta-analysis. Eating Behaviors, 6, 271-281.

27.

Macht, M. (2007). How emotions affect eating: A five-way model. Department of Psychology, University of Wu¨ rzburg, Marcusstr, 9-11.

28.

MacLeod, C., & Mathews, A. (1988). Anxiety and the allocation of attention to threat. Quarterly Journal of Experimental Psychology, 40, 653-670.

29.

Masheb, R. M., & Grilio, C. M. (2006) Emotional overeating and its association with eating disorder psychopathology among overweight patients with being eating disorder. International Journal of Eating Disorders, 39, 141-146.

30.

Mitchell, J. E., & Wilson, T. (2001). The treatment of bulimia nervosa: an upgrade. Biological Psychiatry, 42, 56-60.

31.

Olivia, M., Martial, L., Mathieu, D., & Alain, P. (2008) Cognitive deficits and biases for food and body in bulimia- Investigation using an affective shifting task. Eating Behaviors, 9, 455-461.

32.

Polivy, J., & Herman, C. P. (1993). Binge eating: Psychological Mechanism. Nature, assessment, and treatment. New York: Guilford.

33.

Posner, M. L., & McKenna, F. P. (1996). The colour naming of socially threatening words. Personality and Individual Difference, 20, 801-803.

34.

Schotte, D. E., Cools, J., & MaNally, R. J. (1990). Induced anxiety triggers overeating in restrained eaters. Journal of Abnormal Psychology, 99, 317-320.

35.

Smith, M. C., & Thelen, M. H. (1984). Developement and Validation of a test for bulimia nervosa. Journal of Consulting and Clinical Psychology, 52, 863-872.

36.

Stice, E., & Agras, W. S. (1999). Subtyping bulimic women along dietary restraint and negative affect dimensions. Journal of Counselling and Clinical Psychology, 67(4), 460-469.

37.

Thelen, M. H., Farmer, J., Wonderlich, J., & Smith, M. C. (1991). A revision of the Bulimia Test: BULIT-R. Psychological Assessment, 31, 119-124.

38.

Wiser, L., & Telch, C. F. (1999). Dialectical behavior therapy for binge-eating disorder. psychotherapy in practice, 55(6), 755-768.

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