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Emotional Eating among Individuals with Concurrent Eating and Substance Use Disorders

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Abstract

Emotional eating occurs frequently in individuals with eating disorders and is an overlooked factor within addictions research. The present study identified the relationship between emotional eating, substance use, and eating disorders, and assessed the usefulness of the Emotional Eating Scale (EES) for individuals with concurrent eating disorders (ED) and substance use disorders (SUD). One hundred and ninety three individuals seeking specialized substance use and eating disorder treatment were administered substance use, mental health, and eating disorders measures. Results suggested that emotional eating predicted the ability to resist using drugs in high risk situations and the tendency to be over-absorbed in face of stressful situations. The EES is useful for assessing emotional eating among individuals with concurrent ED and SUD, although it would be improved by the inclusion of more items of positive affect. Emotional eating within populations with concurrent ED and SUD is worthy of further investigation.

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References

  • Arnow, B., Kenardy, J., & Agras, W. S. (1992). Binge eating among the obese: A descriptive study. Journal of Behavioral Medicine, 15, 155–170.

    Article  PubMed  CAS  Google Scholar 

  • Arnow, B., Kenardy, J., & Agras, W. S. (1995). The emotional eating scale: The development of a measure to assess coping with negative affect by eating. The International Journal of Eating Disorders, 18, 79–90.

    Article  PubMed  CAS  Google Scholar 

  • Bruch, H. (1973). Psychiatric aspects of obesity. Psychiatric Annals, 3, 6–10.

    Google Scholar 

  • Carlson, A. J. (1916). The control of hunger in health and disease. Chicago, IL: University of Chicago Press.

    Google Scholar 

  • Chaney, E. F., Roszell, D. K., & Cummings, C. (1982). Relapse in opiate addicts: A behavioral analysis. Addictive Behaviors, 7, 291–297.

    Article  PubMed  CAS  Google Scholar 

  • Coniglio, C. (1990). Making connections: Eating disorders and addictions. Toronto, ON: Second Story Press.

    Google Scholar 

  • Courbasson, C. M. A. (2006). Reflective activity and its measurement. International Journal of Mental Health and Addiction, 4(2), 133–149.

    Google Scholar 

  • Dubé, L., LeBel, J. L., & Lu, J. (2005). Affect asymmetry and comfort food consumption. Physiology and Behavior, 86, 559–567.

    Article  PubMed  CAS  Google Scholar 

  • Espelage, L. D., Mazzeo, E. S., Aggen, H. S., Quittner, L. A., Sherman, R., et al. (2003). Examining the construct validity of the eating disorder inventory. Psychological Assessment, 15, 71–81.

    Article  PubMed  Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1995). Structured clinical interview for DSM-IV Axis I Disorders (SCID-IP). Washington, DC: American Psychiatry Press.

    Google Scholar 

  • Ganley, R. M. (1988). Emotional eating and how it relates to dietary restraint, disinhibition, and perceived hunger. The International Journal of Eating Disorders, 7, 635–647.

    Article  Google Scholar 

  • Garner, D. M., & Gerborg, A. (2004). Understanding and diagnosing eating disorders. In R. H. Coombs (Ed.) Handbook of addictive disorders: A practical guide to diagnosis and treatment. Hoboken, NJ: Wiley.

    Google Scholar 

  • Garner, D. M., Olmsted, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorders inventory for anorexia nervosa and bulimia. The International Journal of Eating Disorders, 2, 15–34.

    Article  Google Scholar 

  • Garvey, A. J., Heinold, J. W., & Rosner, B. (1989). Self-help approaches to smoking cessation: A report from the normative aging study. Addictive Behaviors, 14, 23–33.

    Article  PubMed  CAS  Google Scholar 

  • Geliebter, A., & Aversa, A. (2003). Emotional eating in overweight, normal weight, and underweight individuals. Eating Behaviors, 3, 341–347.

    Article  PubMed  Google Scholar 

  • Granner, M., Black, D. & Abood, D. A. (2002). Levels of cigarette and alcohol use related to eating disorder attitudes. American Journal of Health Behaviors, 26, 43–55.

    Google Scholar 

  • Hodgkins, C. C., Jacobs, W. S., & Gold, M. S. (2003). Weight gain after adolescent drug addiction treatment and supervised abstinence. Psychiatric Annals, 33, 112–116.

    Google Scholar 

  • Jasper, K. (1989). Are eating disorders addictions? The National Eating Disorders Information Center Bulletin, 4.

  • Kristeller, J. L., & Hallett, C. B. (1999). An exploratory study of a meditation-based intervention for binge eating disorder. Journal of Health Psychology, 4, 357–363.

    Article  Google Scholar 

  • Lindeman, M., & Stark, K. (2001). Emotional eating and eating disorder psychopathology. Eating Disorders: The Journal of Treatment and Prevention, 9, 251–259.

    CAS  Google Scholar 

  • Macht, M. (2005). Emotion-induced changes of eating: The role of emotions. Zeitschrift für Psychologie, 21, 9–22.

    Article  Google Scholar 

  • Marlatt, G. A., & Gordon, J. R. (1980). Determinants of relapse: Implications for the maintenance of behavior change. In P. Davidson & S. Davidson (Eds.), Behavioral medicine: Changing health lifestyles (pp. 410–452). New York: Brunner.

  • Marlatt, G. A., Witkiewitz, K., Dillworth, T., Bowen, S. W., Parks, G., Macpherson, L. M., et al. (2004). Vipassana meditation as a treatment for alcohol and drug use disorders. In S. C. Hayes, V. M. Follette, & M. M. Linehan (Eds.) Mindfulness and acceptance: Expanding the cognitive–behavioral tradition (pp. 261–287). New York: Guilford.

    Google Scholar 

  • McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, I., et al. (1992). The fifth edition of the addiction severity index. The Journal of Substance Abuse Treatment, 9, 199–213.

    Article  CAS  Google Scholar 

  • McLellan, A. T., Luborsky, L., O’Brien, C. P., & Woody, G. E. (1980). An improved diagnostic instrument for substance abuse clients: The addiction severity index. The Journal of Nervous and Mental Disease, 168, 26–33.

    Article  PubMed  CAS  Google Scholar 

  • McMain, S., Korman, L., Courbasson, C. M. A., & Smith, P. D. (2001). Traitements spécialisés des personnes ayant des problèmes concomitants de santé mentale ET toxicomanie: UN modèle intégrant la thérapie dialectique comportementale. Santé Mentale au Québec, 26(2), 132–156.

    PubMed  Google Scholar 

  • Mehrabian, A. (1980). Basic dimensions for a general psychological theory. Cambridge, UK: Oel-schlager, Gunn & Hain.

    Google Scholar 

  • Pinaquy, S., Chabrol, H., Simon, C., Louvet, J.-P., & Barbe, P. (2003). Emotional eating, alexithymia and binge eating disorder in obese women. Obesity Research, 11(2), 195–201.

    Article  PubMed  Google Scholar 

  • Pitts, C., & Waller, G. (1993). Self-denigratory beliefs following sexual abuse: Association with the symptomatology of bulimic disorder. The International Journal of Eating Disorders, 13, 407–410.

    Article  PubMed  CAS  Google Scholar 

  • Polivy, J., Herman, P. C., & McFarlane, T. (1994). Effects of anxiety on eating: Does palatability moderate stress-induced overeating in dieters? Journal of Abnormal Psychology, 10, 505–510.

    Article  Google Scholar 

  • Popkess-Vawter, S., Wendel, S., Schmoll, S., & O’Connell, K. (1998). Overeating, reversal theory, and weight cycling. Western Journal of Nursing Research, 20, 67–83.

    Article  PubMed  CAS  Google Scholar 

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: Guilford.

    Google Scholar 

  • Shipman, K., Schneider, R., & Brown, A. (2004). Emotion dysregulation and psychopathology. In M. Beauregard (Ed.) Consciousness, emotional self-regulation and the brain. Advances in consciousness research (pp. 61–85). Netherlands, Amsterdam: Benjamins.

    Google Scholar 

  • Sklar, S. M., Annis, H. M., & Turner, N. E. (1997). Development and validation of the Drug-Taking Confidence Questionnaire: A measure of coping self-efficacy. Addictive Behaviors, 22, 655–670.

    Article  PubMed  CAS  Google Scholar 

  • Stock, S. L., Goldberg, E., Corbett, S., & Katzman, D. K. (2002). Substance abuse in female adolescents with eating disorders. The Journal of Adolescent Health, 31, 176–182.

    Article  PubMed  Google Scholar 

  • Taylor, G. J., Parker, J. D. A., Bagby, M. R., & Bourke, M. P. (1996). The relationship between alexithymia and psychological characteristics associated with eating disorders. Journal of Psychosomatic Research, 41, 561–568.

    Article  PubMed  CAS  Google Scholar 

  • Tingzhong, Y., & Dingwan, C. (2004). Study on situation leading to smoking and quitting relapse. Chinese Mental Health Journal, 18, 188–195.

    Google Scholar 

  • Van Strien, T. (2000). Ice-cream consumption, tendency toward overeating, and personality. International Journal of Eating Disorders, 28, 460–464.

    Article  PubMed  Google Scholar 

  • Van Strien, T., & Ouwens, M. A. (2003). Counterregulation in female obese emotional eaters: Schacter, Goldman, and Gordon’s (1968) test of psychosomatic theory revisited. Eating Behaviors, 3, 329–340.

    Article  PubMed  Google Scholar 

  • Vervaet, M., Audenaert, K., & Van Heeringen, C. (2003). Cognitive and behavioural characteristics are associated with personality dimensions in clients with eating disorders. European Eating Disorder Review, 11, 363–378.

    Article  Google Scholar 

  • Waller, G., & Matoba, M. (1999). Emotional eating and eating psychopathology in nonclinical groups: A cross-cultural comparison of women in Japan and the United Kingdom. The International Journal of Eating Disorders, 26, 333–340.

    Article  PubMed  CAS  Google Scholar 

  • Waller, G., & Osman, S. (1998). Emotional eating and eating psychopathology among non-eating-disordered women. International Journal of Eating Disorders, 23, 419–424.

    Article  PubMed  CAS  Google Scholar 

  • Zywiak, W., Connors, G. J., Maisto, S., & Westerberg, V. S. (1996). Section IIA. Replication and extension of Marlatt’s taxonomy: Relapse research and the reasons for drinking questionnaire: A factor analysis of Marlatt’s relapse taxonomy. Addiction, 91, S121–S130.

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors fully acknowledge and thank the contribution of Tony Toneatto for his invaluable suggestions and directions that enhanced significantly this manuscript.

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Correspondence to Christine Marie Courbasson.

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Courbasson, C.M., Rizea, C. & Weiskopf, N. Emotional Eating among Individuals with Concurrent Eating and Substance Use Disorders. Int J Ment Health Addiction 6, 378–388 (2008). https://doi.org/10.1007/s11469-007-9135-z

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  • DOI: https://doi.org/10.1007/s11469-007-9135-z

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