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07-07-2020 | ORIGINAL PAPER

Mindful Attention and Eating Expectancies among College Students with Obesity and a History of Trauma Exposure

Gepubliceerd in: Mindfulness | Uitgave 9/2020

Abstract

Objectives

Trauma exposure and obesity are highly prevalent among college students and both are associated with disordered eating. There is a need to understand psychological factors that may be related to maladaptive eating behavior among college students with obesity and a history of trauma exposure.

Methods

Participants included 139 college students with obesity (defined as a BMI ≥ 30) and a history of trauma exposure (76.3% females; M_age = 25.4 years, SD = 8.07). The current study conducted three separate two-step hierarchical regressions examining mindful attention and its relation to eating expectancies (expectancies of eating to help manage negative affect, expectancies of eating to alleviate boredom, and expectancies of eating to lead to feeling out of control).

Results

Results indicated that lower levels of mindful attention were related to greater levels of expectancies of eating to help manage negative affect (b = − 4.16, SE = 1.08, p = .023, CI_95% = − 7.72, − 0.60, sr² = .04), expectancies of eating to alleviate boredom (b = − 1.09, SE = 0.39, p = .006, CI_95% = − 1.86, − 0.32, sr² = .06), and expectancies of eating to lead to feeling out of control (b = − 1.62, SE = 0.40, p < .001, CI_95% = − 2.41, − 0.83, sr² = .11). Results were observed over, and above variance accounted for by sex (assigned at birth), body mass index (BMI), and posttraumatic stress disorder (PTSD) symptom severity.

Conclusions

Overall, the results from the present investigation suggest the potential importance and need for future research in the role of mindful attention in relation to several distinct eating expectancies associated with maladaptive eating.

vorige artikel Meditation Maps, Attainment Claims, and the Adversities of Mindfulness

volgende artikel Self-compassion and Body Checking Among Women: the Mediating Role of Stigmatizing Self-perceptions

American College Health Association. (2013). National college health assessment II: Reference group executive summary fall 2012. Author.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR.

Arditte Hall, K. A., Bartlett, B. A., Iverson, K. M., & Mitchell, K. S. (2018). Eating disorder symptoms in female veterans: the role of childhood, adult, and military trauma exposure. Psychological Trauma Theory Research Practice and Policy, 10(3), 345-351. doi.org/https://doi.org/10.1037/tra0000301

Avila, C., Holloway, A. C., Hahn, M. K., Morrison, K. M., Restivo, M., Anglin, R., & Taylor, V. H. (2015). An overview of links between obesity and mental health. Current Obesity Reports, 4(3), 303–310. https://doi.org/10.1007/s13679-015-0164-9.CrossRefPubMed

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/s10942-005-0015-9.CrossRef

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27-45. doi.org/https://doi.org/10.1177/1073191105283504

Bahl, S., Milne, G., Ross, S., & Chan, K. (2013). Mindfulness a long-term solution for mindless eating by college students. Journal of Public Policy & Marketing, 32(2), 173-184. doi.org/https://doi.org/10.1509/jppm.11.008

Bennett, J., Greene, G., & Schwartz-Barcott, D. (2013). Perceptions of emotional eating behavior. A qualitative study of college students. Appetite, 60, 187–192. https://doi.org/10.1016/j.appet.2012.09.023.CrossRefPubMed

Boggiano, M. M., Burgess, E. E., Turan, B., Soleymani, T., Daniel, S., Vinson, L. D., Lokken, K. L., Wingo, B. C., & Morse, A. (2014). Motives for eating tasty foods associated with binge-eating. Results from a student and a weight-loss seeking population. Appetite, 83,160-166. doi.org/https://doi.org/10.1016/j.appet.2014.08.026

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822-848. doi.org/https://doi.org/10.1037/0022-3514.84.4.822

Butler, S. M., Black, D. R., Blue, C. L., & Gretebeck, R. J. (2004). Change in diet, physical activity, and body weight in female college freshman. American Journal of Health Behavior, 28(1), 24–32.CrossRef

Chwastiak, L. A., Rosenheck, R. A., & Kazis, L. E. (2011). Association of psychiatric illness and obesity, physical inactivity, and smoking among a national sample of veterans. Psychosomatics, 52(3), 230-236. doi.org/https://doi.org/10.1016/j.psym.2010.12.009

Coffey, K. A., & Hartman, M. (2008). Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complementary Health Practice Review, 13(2), 79-91. doi.org/https://doi.org/10.1177/1533210108316307

da Luz, F. Q., Hay, P., Touyz, S., & Sainsbury, A. (2018). Obesity with comorbid eating disorders: associated health risks and treatment approaches. Nutrients, 10(7), 829. doi.org/https://doi.org/10.3390/nu10070829

Daubenmier, J., Kristeller, J., Hecht, F. M., Maninger, N., Kuwata, M., Jhaveri, K., Lustig, R. H., Kemeny, M., Karan, L., & Epel, E. (2011). Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: an exploratory randomized controlled study. Journal of Obesity, 2011, 651936. doi.org/https://doi.org/10.1155/2011/651936

Dietz, W. H. (2017). Obesity and excessive weight gain in young adults: new targets for prevention. Journal of the American Medical Association, 318(3), 241-242. doi.org/https://doi.org/10.1001/jama.2017.6119

Dubosc, A., Capitaine, M., Franko, D. L., Bui, E., Brunet, A., Chabrol, H. F., & Rodgers, R. (2012). Early adult sexual assault and disordered eating: the mediating role of posttraumatic stress symptoms. Journal of Traumatic Stress, 25(1), 50–56. https://doi.org/10.1002/jts.21664.CrossRefPubMed

Edman, J. L., Watson, S. B., & Patron, D. J. (2016). Trauma and psychological distress among ethnically diverse community college students. Community College Journal of Research and Practice, 40(4), 335-342. doi.org/https://doi.org/10.1080/10668926.2015.1065211

Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. L. (2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. The American Journal of Orthopsychiatry, 77(4), 534-542. doi.org/https://doi.org/10.1037/0002-9432.77.4.534

Eisenberg, D., Nicklett, E. J., Roeder, K., & Kirz, N. E. (2011). Eating disorder symptoms among college students: prevalence, persistence, correlates, and treatment-seeking. Journal of American College Health, 59(8), 700-707. doi.org/https://doi.org/10.1080/07448481.2010.546461

Fischer, S., Smith, G. T., Anderson, K. G., & Flory, K. (2003). Expectancy influences the operation of personality on behavior. Psychology of Addictive Behaviors, 17(2), 108–114.CrossRef

Foa, E. B. (1995). Posttraumatic stress diagnostic scale (PDS). Minneapolis: National Computer Systems.

Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: the Posttraumatic Diagnostic Scale. Psychological Assessment, 9(4), 445–451.CrossRef

Frazier, P., Anders, S., Perera, S., Tennen, H., Tashiro, T., Park, C., & Tomich, P. (2009). Traumatic events among undergraduate students: prevalence and associated symptoms. Journal of Counseling Psychology, 56(3), 450-460. doi.org/https://doi.org/10.1037/a0016412

Godsey, J. (2013). The role of mindfulness based interventions in the treatment of obesity and eating disorders: an integrative review. Complementary Therapies in Medicine, 21(4), 430-439. doi.org/https://doi.org/10.1016/j.ctim.2013.06.003

Goossens, L., Braet, C., Van Vlierberghe, L., & Mels, S. (2009). Loss of control over eating in overweight youngsters: the role of anxiety, depression and emotional eating. European Eating Disorders Review, 17(1), 68-78. doi.org/https://doi.org/10.1002/erv.892

Gunstad, J., Paul, R. H., Spitznagel, M. B., Cohen, R. A., Williams, L. M., Kohn, M., & Gordon, E. (2006). Exposure to early life trauma is associated with adult obesity. Psychiatry Research, 142(1), 31-37. doi.org/https://doi.org/10.1016/j.psychres.2005.11.007

Hayaki, J., & Free, S. (2016). Positive and negative eating expectancies in disordered eating among women and men. Eating Behaviors, 22, 22-26. doi.org/https://doi.org/10.1016/j.eatbeh.2016.03.025

Hennegan, J. M., Loxton, N. J., & Mattar, A. (2013). Great expectations. Eating expectancies as mediators of reinforcement sensitivity and eating. Appetite, 71, 81-88. doi.org/https://doi.org/10.1016/j.appet.2013.07.013

Hicks White, A. A., Pratt, K. J., & Cottrill, C. (2018). The relationship between trauma and weight status among adolescents in eating disorder treatment. Appetite, 129, 62-69. doi.org/https://doi.org/10.1016/j.appet.2018.06.034

Hoerster, K. D., Jakupcak, M., Hanson, R., McFall, M., Reiber, G., Hall, K. S., & Nelson, K. M. (2015). PTSD and depression symptoms are associated with binge eating among US Iraq and Afghanistan veterans. Eating Behaviors, 17, 115-118. doi.org/https://doi.org/10.1016/j.eatbeh.2015.01.005

Hohlstein, L. A., Smith, G. T., & Atlas, J. G. (1998). An application of expectancy theory to eating disorders: development and validation of measures of eating and dieting expectancies. Psychological Assessment, 10(1), 49-58. doi.org/https://doi.org/10.1037/1040-3590.10.1.49

Hunt, T. K., Forbush, K. T., Hagan, K. E., & Chapa, D. A. N. (2017). Do emotion regulation difficulties when upset influence the association between dietary restraint and weight gain among college students? Appetite, 114, 101-109. doi.org/https://doi.org/10.1016/j.appet.2017.03.029

Johannessen, K. B., & Berntsen, D. (2013). Losing the symptoms: weight loss and decrease in posttraumatic stress disorder symptoms Journal of Clinical Psychology, 69(6), 655-660. doi.org/https://doi.org/10.1002/jclp.21962

Jordan, C. H., Wang, W., Donatoni, L., & Meier, B. P. (2014). Mindful eating: Trait and state mindfulness predict healthier eating behavior. Personality and Individual Differences, 68, 107-111. doi.org/https://doi.org/10.1016/j.paid.2014.04.013

Kelly-Weeder, S. (2011). Binge drinking and disordered eating in college students. Journal of the American Academy of Nurse Practitioners, 23(1), 33-41. doi.org/https://doi.org/10.1111/j.1745-7599.2010.00568.x

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. doi.org/https://doi.org/10.1080/10640266.2011.533605

Morris, M. C., & Rao, U. (2013). Psychobiology of PTSD in the acute aftermath of trauma: Integrating research on coping, HPA function and sympathetic nervous system activity. Asian Journal of Psychiatry, 6(1), 3-21. doi.org/https://doi.org/10.1016/j.ajp.2012.07.012

Nevell, L., Zhang, K., Aiello, A. E., Koenen, K., Galea, S., Soliven, R., Zhang, C., Wildman, D. E., & Uddin, M. (2014). Elevated systemic expression of ER stress related genes is associated with stress-related mental disorders in the Detroit neighborhood health study. Psychoneuroendocrinology, 43, 62-70. doi.org/https://doi.org/10.1016/j.psyneuen.2014.01.013

Nightingale, B. A., & Cassin, S. E. (2019). Disordered eating among individuals with excess weight: a review of recent research. Current Obesity Reports, 8(2), 112-127. doi.org/https://doi.org/10.1007/s13679-019-00333-5

Ouwens, M. A., Schiffer, A. A., Visser, L. I., Raeijmaekers, N. J. C., & Nyklíček, I. (2015). Mindfulness and eating behaviour styles in morbidly obese males and females. Appetite, 87, 62-67. doi.org/https://doi.org/10.1016/j.appet.2014.11.030

Pelletier, J. E., Lytle, L. A., & Laska, M. N. (2015). Stress, health risk behaviors, and weight status among community college students. Health Education & Behavior, 43(2), 139-144. doi.org/https://doi.org/10.1177/1090198115598983

Sah, R., & Geracioti, T. D. (2013). Neuropeptide Y and posttraumatic stress disorder. Molecular Psychiatry, 18(6), 646-655. doi.org/https://doi.org/10.1038/mp.2012.101

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). The Guilford Press.

Shapiro, D. N., Chandler, J., & Mueller, P. A. (2013). Using Mechanical Turk to study clinical populations. Clinical Psychological Science, 1(2), 213-220. doi.org/https://doi.org/10.1177/2167702612469015

Simmons, J. R., Smith, G. T., & Hill, K. K. (2002). Validation of eating and dieting expectancy measures in two adolescent samples. International Journal of Eating Disorders, 31(4), 461-473. doi.org/https://doi.org/10.1002/eat.10034

Smith, G. T., Simmons, J. R., Flory, K., Annus, A. M., & Hill, K. K. (2007). Thinness and eating expectancies predict subsequent binge-eating and purging behavior among adolescent girls. Journal of Abnormal Psychology, 116(1), 188-197. doi.org/https://doi.org/10.1037/0021-843x.116.1.188

Smith-Jackson, T., & Reel, J. (2012). Freshmen women and the “Freshman 15”: perspectives on prevalence and causes of college weight gain. Journal of American College Health, 60(1), 14–20.CrossRef

Striegel-Moore, R. H., Rosselli, F., Perrin, N., DeBar, L., Wilson, G. T., May, A., & Kraemer, H. C. (2009). Gender difference in the prevalence of eating disorder symptoms. International Journal of Eating Disorders, 42(5), 471-474. doi.org/https://doi.org/10.1002/eat.20625

Sung, H., Siegel, R. L., Rosenberg, P. S., & Jemal, A. (2019). Emerging cancer trends among young adults in the USA: analysis of a population-based cancer registry. The Lancet Public Health, 4(3), e137-e147. doi.org/https://doi.org/10.1016/s2468-2667(18)30267-6

Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53-55. doi.org/https://doi.org/10.5116/ijme.4dfb.8dfd

Trottier, K., & MacDonald, D. E. (2017). Update on psychological trauma, other severe adverse experiences and eating disorders: state of the research and future research directions. Current Psychiatry Reports, 19(8), 45. doi.org/https://doi.org/10.1007/s11920-017-0806-6

Ufuk, B., Zekiye, Ç., & Sedat, B. (2018). Association of mindfulness and impulsivity with obesity. Archives of Clinical. Psychiatry, 45(5), 130–134. https://doi.org/10.1590/0101-60830000000173.CrossRef

United States Department of Health and Human Services. (2020). What are overweight and obesity? https://www.nhlbi.nih.gov/health-topics/overweight-and-obesity

Viana, A. G., Paulus, D. J., Garza, M., Lemaire, C., Bakhshaie, J., Cardoso, J. B., Ochoa-Perez, M., Valdivieso, J., & Zvolensky, M. J. (2017). Rumination and PTSD symptoms among trauma-exposed Latinos in primary care: is mindful attention helpful? Psychiatry Research, 258, 244-249. doi.org/https://doi.org/10.1016/j.psychres.2017.08.042

Williamson, D. F., Thompson, T. J., Anda, R. F., Dietz, W. H., & Felitti, V. (2002). Body weight and obesity in adults and self-reported abuse in childhood. International Journal of Obesity and Related Metabolic Disorders, 26(8), 1075-1082. doi.org/https://doi.org/10.1038/sj.ijo.0802038

World Health Organization. (2020 16). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Zhang, L., Hu, X. Z., Benedek, D. M., Fullerton, C. S., Forsten, R. D., Naifeh, J. A., Li, X., Li, H., Benevides, K. N., Smerin, S., Le, T., Choi, K., & Ursano, R. J. (2014). The interaction between stressful life events and leukocyte telomere length is associated with PTSD. Molecular Psychiatry, 19(8), 855-856. doi.org/https://doi.org/10.1038/mp.2013.141

Titel: Mindful Attention and Eating Expectancies among College Students with Obesity and a History of Trauma Exposure
Publicatiedatum: 07-07-2020
Gepubliceerd in: Mindfulness / Uitgave 9/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-020-01419-1

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Abstract

Objectives

Methods

Results

Conclusions

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