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Mindfulness

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13-01-2024 | ORIGINAL PAPER

A Body Scan Meditation Reduces Negative Affect and Food Cravings in Emotional Eaters: A Randomized Controlled Study of the Effects, Mediators, and Moderators

Auteurs: Huma Shireen, Julia Milad, Yair Dor-Ziderman, Bärbel Knäuper

Gepubliceerd in: Mindfulness | Uitgave 1/2024

Abstract

Objectives

The primary objective was to explore the effects of a body scan meditation, a form of mindfulness practice, on reducing negative affect and food cravings in emotional eaters. We also examined if rumination, perceived body boundaries, and spatial frames of reference mediated this effect. Additionally, we investigated whether trait measures of mindfulness, equanimity, interoceptive awareness, and cognitive defusion could moderate these effects.

Method

Emotional eaters were randomly assigned to either a body scan meditation or an active control (listening) task. All participants completed moderator measures before coming into the lab. At the in-person visit, participants engaged in a negative emotion induction, completed measures of mediator and outcome variables, participated in the intervention, and then completed the mediator measures again.

Results

Emotional eaters in the body scan meditation group experienced a significantly greater decrease in negative affect and food cravings post-intervention compared to those in the control group. However, the hypothesized mediation effects of rumination, perceived body boundaries, and spatial frames of reference and moderation effects of trait measures were not found to be significant.

Conclusions

This preliminary study suggests that the body scan meditation effectively reduces negative affect and food cravings in individuals with emotional eating. However, further research is needed to delve deeper into potential mediators and moderators influencing this effect.

Preregistration

The study was registered on http://clinicaltrials.gov (ID: NCT05223348).

vorige artikel Promotion of Psychological Well-Being and Life Satisfaction in Pre-Adolescents Through Mindfulness Amidst COVID-19

volgende artikel Coping with Past Social Stress: Comparing Brief Self-Compassion, Cognitive Reappraisal and Control Writing Exercises

Alberts, H. J., Mulkens, S., Smeets, M., & Thewissen, R. (2010). Coping with food cravings. Investigating the potential of a mindfulness-based intervention. Appetite, 55(1), 160–163. https://doi.org/10.1016/j.appet.2010.05.044CrossRefPubMed

Alberts, H. J., Thewissen, R., & Raes, L. (2012). Dealing with problematic eating behaviour. The effects of a mindfulness-based intervention on eating behaviour, food cravings, dichotomous thinking and body image concern. Appetite, 58(3), 847–851. https://doi.org/10.1016/j.appet.2012.01.009CrossRefPubMed

Annesi, J. J., Johnson, P. H., Tennant, G. A., Porter, K. J., & Mcewen, K. L. (2016). Weight loss and the prevention of weight regain: Evaluation of a treatment model of exercise self-regulation generalizing to controlled eating. The Permanente Journal, 20(3), 15–146. https://doi.org/10.7812/TPP/15-146CrossRefPubMedPubMedCentral

Austin, J. H. (2013). Our ordinary sense of self: Different aspects of ‘no-self’ during states of absorption and kensho. In D. Mathers, M. E. Miller, & O. Ando (Eds.), Self and no-self (pp. 59–65). Routledge.

Baer, R. A., Fischer, S., & Huss, D. B. (2005). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 23(4), 281–300. https://doi.org/10.1007/s10942-005-0015-9CrossRef

Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., & Williams, J. M. G. (2008). Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. https://doi.org/10.1177/1073191107313003CrossRefPubMed

Baquedano, C., Vergara, R., Lopez, V., Fabar, C., Cosmelli, D., & Lutz, A. (2017). Compared to self-immersion, mindful attention reduces salivation and automatic food bias. Scientific Reports, 7(1), 13839. https://doi.org/10.1038/s41598-017-13662-zCrossRefPubMedPubMedCentral

Bardone-Cone, A. M., Thompson, K. A., & Miller, A. J. (2020). The self and eating disorders. Journal of Personality, 88(1), 59–75. https://doi.org/10.1111/jopy.12448CrossRefPubMed

Boswell, R. G., & Kober, H. (2016). Food cue reactivity and craving predict eating and weight gain: A meta-analytic review. Obesity Reviews, 17(2), 159–177. https://doi.org/10.1111/obr.12354CrossRefPubMed

Bruch, H. (1974). Perils of behavior modification in treatment of anorexia nervosa. JAMA, 230(10), 1419–1422. https://doi.org/10.1001/jama.230.10.1419

Bullock, A. J., & Goldbacher, E. M. (2023). Interoceptive awareness and emotional eating in college women: The role of appetite and emotional awareness. Journal of American College Health, 71(8), 2445–2450. https://doi.org/10.1080/07448481.2021.1970566

Cepeda-Benito, A., Gleaves, D. H., Williams, T. L., & Erath, S. A. (2000). The development and validation of the state and trait food-cravings questionnaires. Behavior Therapy, 31(1), 151–173. https://doi.org/10.1016/S0005-7894(00)80009-XCrossRef

Christoff, K., Cosmelli, D., Legrand, D., & Thompson, E. (2011). Specifying the self for cognitive neuroscience. Trends in Cognitive Sciences, 15(3), 104–112. https://doi.org/10.1016/j.tics.2011.01.001CrossRefPubMed

Dambrun, M. (2016). When the dissolution of perceived body boundaries elicits happiness: The effect of selflessness induced by a body scan meditation. Consciousness and Cognition, 46, 89–98. https://doi.org/10.1016/j.concog.2016.09.013CrossRefPubMed

Dambrun, M., Berniard, A., Didelot, T., Chaulet, M., Droit-Volet, S., Corman, M., Juneau, C., & Martinon, L. M. (2019). Unified consciousness and the effect of body scan meditation on happiness: alteration of inner-body experience and feeling of harmony as central processes. Mindfulness, 10(8), 1530–1544. https://doi.org/10.1007/s12671-019-01104-yCrossRef

De Jong, M., Lazar, S. W., Hug, K., Mehling, W. E., Hölzel, B. K., Sack, A. T., Peeters, F., Ashish, H., Mischoulon, D., & Gard, T. (2016). Effects of mindfulness-based cognitive therapy on body awareness in patients with chronic pain and comorbid depression. Frontiers in Psychology, 7, 967. https://doi.org/10.3389/fpsyg.2016.00967CrossRefPubMedPubMedCentral

Desbordes, G., Gard, T., Hoge, E. A., Hölzel, B. K., Kerr, C., Lazar, S. W., Olendzki, A., & Vago, D. R. (2015). Moving beyond mindfulness: Defining equanimity as an outcome measure in meditation and contemplative research. Mindfulness, 6(2), 356–372. https://doi.org/10.1007/s12671-013-0269-8CrossRef

Ding, X., Du, J., Zhou, Y., An, Y., Xu, W., & Zhang, N. (2019). State mindfulness, rumination, and emotions in daily life: An ambulatory assessment study. Asian Journal of Social Psychology, 22(4), 369–377. https://doi.org/10.1111/ajsp.12383CrossRef

Farb, N. A., Segal, Z. V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z., & Anderson, A. K. (2007). Attending to the present: Mindfulness meditation reveals distinct neural modes of self-reference. Social Cognitive and Affective Neuroscience, 2(4), 313–322. https://doi.org/10.1093/scan/nsm030CrossRefPubMedPubMedCentral

Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/BF03193146CrossRefPubMed

Fissler, M., Winnebeck, E., Schroeter, T., Gummersbach, M., Huntenburg, J. M., Gaertner, M., & Barnhofer, T. (2016). An investigation of the effects of brief mindfulness training on self-reported interoceptive awareness, the ability to decenter, and their role in the reduction of depressive symptoms. Mindfulness, 7(5), 1170–1181. https://doi.org/10.1007/s12671-016-0559-zCrossRef

Forman, E. M., Herbert, J. D., Juarascio, A. S., Yeomans, P. D., Zebell, J. A., Goetter, E. M., & Moitra, E. (2012). The Drexel defusion scale: A new measure of experiential distancing. Journal of Contextual Behavioral Science, 1(1–2), 55–65. https://doi.org/10.1016/j/jcbs/2012/09/001CrossRef

Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior Modification, 31(6), 772–799. https://doi.org/10.1177/0145445507302202CrossRefPubMed

Frayn, M., & Knäuper, B. (2018). Emotional eating and weight in adults: A review. Current Psychology, 37(4), 924–933. https://doi.org/10.1007/s12144-017-9577-9

Gallagher, S., & Shear, J. (1999). Models of the self. Thorverton, UK: Imprint Academic.

Gendall, K. A., Joyce, P. R., & Sullivan, P. F. (1997). Impact of definition on prevalence of food cravings in a random sample of young women. Appetite, 28(1), 63–72. https://doi.org/10.1006/appe.1996.0060CrossRefPubMed

Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006CrossRefPubMed

Hanley, A. W., & Garland, E. L. (2019). Spatial frame of reference as a phenomenological feature of self-transcendence: Measurement and manipulation through mindfulness meditation. Psychology of Consciousness: Theory, Research, and Practice, 6(4), 329–345. https://doi.org/10.1007/s12671-020-01330-9CrossRef

Hawley, L. L., Schwartz, D., Bieling, P. J., Irving, J., Corcoran, K., Farb, N. A. S., Anderson, A. K., & Segal, Z. V. (2014). Mindfulness practice, rumination and clinical outcome in mindfulness-based treatment. Cognitive Therapy and Research, 38(1), 1–9. https://doi.org/10.1007/s10608-013-9586-4CrossRef

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Publications.

Heatherton, T. F., & Baumeister, R. F. (1991). Binge eating as escape from self awareness. Psychological Bulletin, 110(1), 86–108. https://doi.org/10.1037/0033-2909.110.1.86CrossRefPubMed

Hinman, N. G. (2018). The impact of trait cognitive defusion and cue elaboration on chocolate craving and cognitive resources (Doctoral dissertation, Bowling Green State University).

Hsu, T., & Forestell, C. A. (2021). Mindfulness, mood, and food: The mediating role of positive affect. Appetite, 158, 105001. https://doi.org/10.1016/j.appet.2020.105001CrossRefPubMed

James, W. (1892). The stream of consciousness. Psychology, Chapter XI. Cleveland & New York, World.

Jhangiani, R., & Tarry, H. (2014). Principles of social psychology – 1^st international H5P edition. Bccampus https://opentextbc.ca/socialpsychology

Juneau, C., Pellerin, N., Trives, E., Ricard, M., Shankland, R., & Dambrun, M. (2020). Reliability and validity of an equanimity questionnaire: The two-factor equanimity scale (EQUA-S). PeerJ, 8, e9405. https://doi.org/10.1007/s12671-020-01330-9CrossRefPubMedPubMedCentral

Juneau, C., Shankland, R., Knäuper, B., & Dambrun, M. (2021). Mindfulness and equanimity moderate approach/avoidance motor responses. Cognition and Emotion, 35(6), 1085–1098. https://doi.org/10.1080/02699931.2021.1927674CrossRefPubMed

Kabat-Zinn, J. (1984). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. Revision, 7(1), 71–72.

Kabat-Zinn, J. (1994). Mindfulness meditation for everyday life. Hyperion.

Katterman, S. N., Kleinman, B. M., Hood, M. M., Nackers, L. M., & Corsica, J. A. (2014). Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: A systematic review. Eating Behaviors, 15(2), 197–204. https://doi.org/10.1016/j.eatbeh.2014.01.005CrossRefPubMed

Keng, S. L., & Ang, Q. (2019). Effects of mindfulness on negative affect, body dissatisfaction, and disordered eating urges. Mindfulness, 10(9), 1779–1791. https://doi.org/10.1007/s12671-019-01146-2CrossRef

Kirkegaard Thomsen, D. (2006). The association between rumination and negative affect: A review. Cognition & Emotion, 20(8), 1216–1235. https://doi.org/10.1080/02699930500473533CrossRef

Kristeller, J. L., Baer, R. A., & Quillian-Wolever, R. (2006). Mindfulness-based approaches to eating disorders. In R. A. Baer (Ed.), Mindfulness-based treatment approaches (pp. 75–91). Academic Press. https://doi.org/10.1016/B978-012088519-0/50005-8CrossRef

Kristeller, J. L., & Wolever, R. Q. (2011). Mindfulness-based eating awareness training for treating binge eating disorder: The conceptual foundation. Eating Disorders, 19(1), 49–61. https://doi.org/10.1080/10640266.2011.533605CrossRefPubMed

López-Guimerà, G., Dashti, H. S., Smith, C. E., Sánchez-Carracedo, D., Ordovas, J. M., & Garaulet, M. (2014). CLOCK 3111 T/C SNP interacts with emotional eating behavior for weight-loss in a Mediterranean population. PLoS ONE, 9(6), e99152. https://doi.org/10.1371/journal.pone.0099152

Marchetti, I., Mor, N., Chiorri, C., & Koster, H. W. E. (2018). The brief state rumination inventory (BSRI): Validation and psychometric evaluation. Cognitive Therapy and Research, 42, 447–460. https://doi.org/10.1007/s10608-018-9901-1CrossRef

Mehling, W. E., Acree, M., Stewart, A., Silas, J., & Jones, A. (2018). The multidimensional assessment of interoceptive awareness, version 2 (MAIA-2). PLoS ONE, 13(12), e0208034. https://doi.org/10.1371/journal.pone.0208034

Melanson, K. J. (2007). Nutrition review: Diet and nutrients in the prevention and treatment of type 2 diabetes. American Journal of Lifestyle Medicine, 1(5), 339–343. https://doi.org/10.1177/15598276073045CrossRef

Meule, A., Teran, C. B., Berker, J., Gründel, T., Mayerhofer, M., & Platte, P. (2014). On the differentiation between trait and state food craving: Half-year retest-reliability of the Food Cravings Questionnaire-Trait-reduced (FCQ-Tr) and the Food Cravings Questionnaire-State (FCQ-S). Journal of Eating Disorders, 2, 25. https://doi.org/10.1186/s40337-014-0025-z

Ng, H.-Y. H., Wu, C. W., Huang, F.-Y., Cheng, Y.-T., Guu, S.-F., Huang, C.-M., Hsu, C.-F., Chao, Y.-P., Jung, T.-P., & Chuang, C.-H. (2021). Mindfulness training associated with resting-state electroencephalograms dynamics in novice practitioners via mindful breathing and body-scan. Frontiers in Psychology, 12, 748584. https://doi.org/10.3389/fpsyg.2021.748584CrossRefPubMedPubMedCentral

O’Reilly, G. A., Cook, L., Spruijt-Metz, D., & Black, D. S. (2014). Mindfulness-based interventions for obesity-related eating behaviours: A literature review. Obesity Reviews, 15(6), 453–461. https://doi.org/10.1111/obr.12156

Park, T., Reilly-Spong, M., & Gross, C. R. (2013). Mindfulness: A systematic review of instruments to measure an emergent patient-reported outcome (PRO). Quality of Life Research, 22(10), 2639–2659. https://doi.org/10.1007/s11136-013-0395-8

Parsons, E. M., Dreyer-Oren, S. E., Magee, J. C., & Clerkin, E. M. (2019). Evaluating the indirect effects of trait mindfulness facets on state tripartite components through state rumination and state experiential avoidance. The Journal of Nervous and Mental Disease, 207(6), 440–450. https://doi.org/10.1097/NMD.0000000000000993CrossRefPubMed

Petitmengin, C. (2006). Describing one’s subjective experience in the second person: An interview method for the science of consciousness. Phenomenology and the Cognitive Science, 5, 229–269. https://doi.org/10.1007/s11097-006-9022-2CrossRef

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717–731. https://doi.org/10.3758/BF03206553CrossRef

Price, C. J., & Hooven, C. (2018). Interoceptive awareness skills for emotion regulation: Theory and approach of mindful awareness in body-oriented therapy (MABT). Frontiers in Psychology, 9, 798. https://doi.org/10.3389/fpsyg.2018.00798CrossRefPubMedPubMedCentral

Ricca, V., Castellini, G., Fioravanti, G., Lo Sauro, C., Rotella, F., Ravaldi, C., Lazzeretti, L., & Faravelli, C. (2012). Emotional eating in anorexia nervosa and bulimia nervosa. Comprehensive Psychiatry, 53(3), 245–251. https://doi.org/10.1016/j.comppsych.2011.04.062CrossRefPubMed

Schnepper, R., Georgii, C., Eichin, K., Arend, A. K., Wilhelm, F. H., Vögele, C., Lutz, A., van Dyck, Z., & Blechert, J. (2020). Fight, flight, –or grab a bite! Trait emotional and restrained eating style predicts food cue responding under negative emotions. Frontiers in Behavioral Neuroscience, 14, 91. https://doi.org/10.3389/fnbeh.2020.00091CrossRefPubMedPubMedCentral

Shapiro, S. L., Brown, K. W., Thoresen, C., & Plante, T. G. (2011). The moderation of mindfulness-based stress reduction effects by trait mindfulness: Results from a randomized controlled trial. Journal of Clinical Psychology, 67(3), 267–277. https://doi.org/10.1002/jclp.20761CrossRefPubMed

Shireen, H., Castelli, S., Legault, M., Dor-Ziderman, Y., Milad, J., & Knäuper, B. (2022). Phenomenological support for escape theory: A qualitative study using explicitation interviews with emotional eaters. Journal of Eating Disorders, 10(1), 1–18. https://doi.org/10.1186/s40337-022-00690-yCrossRef

Simons, J. S., & Gaher, R. M. (2005). The distress tolerance scale: Development and validation of a self-report measure. Motivation and Emotion, 29(2), 83–102. https://doi.org/10.1007/s11031-005-7955-3CrossRef

Smith, K. E., Mason, T. B., & Lavender, J. M. (2018). Rumination and eating disorder psychopathology: A meta-analysis. Clinical Psychology Review, 61, 9–23. https://doi.org/10.1016/j.cpr.2018.03.004CrossRefPubMedPubMedCentral

Spoor, S. T., Bekker, M. H., Van Strien, T., & van Heck, G. L. (2007). Relations between negative affect, coping, and emotional eating. Appetite, 48(3), 368–376. https://doi.org/10.1016/j.appet.2006.10.005CrossRefPubMed

Van Strien, T. (2018). Causes of emotional eating and matched treatment of obesity. Current Diabetes Reports, 18(6), 1–8. https://doi.org/10.1007/s11892-018-1000-xCrossRef

Van Strien, T., Frijters, J. E., Bergers, G. P., & Defares, P. B. (1986). The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 5(2), 295–315. https://doi.org/10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-TCrossRef

Van Strien, T., & Ouwens, M. A. (2007). Effects of distress, alexithymia and impulsivity on eating. Eating Behaviors, 8(2), 251–257. https://doi.org/10.1016/j.eatbeh.2006.06.004CrossRefPubMed

Vermersch, P. (1994). The explicitation interview. French Original ESF.

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. https://doi.org/10.1037//0022-3514.54.6.1063CrossRefPubMed

Wiser, S., & Telch, C. F. (1999). Dialectical behavior therapy for binge-eating disorder. Journal of Clinical Osychology, 55(6), 755–768. https://doi.org/10.1002/(SICI)1097-4679(199906)55:6<755::AID-JCLP8>3.0.CO;2-R

Wolever, R. Q., & Best, J. L. (2009). Mindfulness-based approaches to eating disorders. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 259–288). Springer. https://doi.org/10.1192/j.eurpsy.2021.2242CrossRef

Titel: A Body Scan Meditation Reduces Negative Affect and Food Cravings in Emotional Eaters: A Randomized Controlled Study of the Effects, Mediators, and Moderators
Auteurs: Huma Shireen
Julia Milad
Yair Dor-Ziderman
Bärbel Knäuper
Publicatiedatum: 13-01-2024
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 1/2024
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-023-02267-5

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Abstract

Objectives

Method

Results

Conclusions

Preregistration

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