Skip to main content
Top
Gepubliceerd in: Cognitive Therapy and Research 3/2022

16-11-2021 | Original Article

Self-discrepancy as a Predictor of Eating Disorder Symptoms: Findings from Two Ecological Momentary Assessment Studies of Adults with Binge Eating

Auteurs: Tyler B. Mason, Kathryn E. Smith, Ross D. Crosby, Robert Dvorak, Scott G. Engel, Scott Crow, Stephen A. Wonderlich, Carol B. Peterson

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2022

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Background

Self-discrepancy theory suggests that discrepancies between one’s actual, ideal, and ought self can generate negative affective states and are associated with psychopathology, including eating disorders (EDs). However, research thus far has only examined self-discrepancy as a trait factor and has not investigated how state self-discrepancies may precipitate ED symptoms in everyday life. To study such state-based phenomena, this paper reports on two ecological momentary assessment (EMA) studies, which elucidated momentary relations between self-discrepancy, negative affect, and their interaction as predictors of subsequent ED symptoms.

Method

Study 1 included forty women with binge-eating symptoms (Mage = 34.70 ± 15.59 years; range 19–64) who completed 10 days of EMA recordings, and Study 2 included 112 adults seeking treatment for binge-eating disorder (Mage = 39.9 ± 13.20 years; range 18–64) who completed 7 days of EMA recordings.

Results

In Study 1, greater within-subjects self-discrepancy predicted more eating-related rumination at the next EMA signal. In Study 2, there was an interaction of within-subjects self-discrepancy and negative affect predicting binge eating. When self-discrepancy was higher than one’s average, there was a stronger association with binge eating if momentary negative affect was also higher than one’s average. Higher between-subjects self-discrepancy was associated with less body satisfaction over the course of EMA in both studies and more binge eating over the course of EMA in Study 2.

Conclusions

These results underscore the role of within- and between-subjects self-discrepancy in predicting elevated behavioral and cognitive ED symptoms.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://​doi.​org/​10.​1176/​appi.​books.​9780890425596.​
go back to reference Berg, K. C., Crosby, R. D., Cao, L., Crow, S. J., Engel, S. G., Wonderlich, S. A., & Peterson, C. B. (2015). Negative affect prior to and following overeating-only, loss of control eating-only, and binge eating episodes in obese adults. International Journal of Eating Disorders, 48(6), 641–653. https://doi.org/10.1002/eat.22401CrossRefPubMed Berg, K. C., Crosby, R. D., Cao, L., Crow, S. J., Engel, S. G., Wonderlich, S. A., & Peterson, C. B. (2015). Negative affect prior to and following overeating-only, loss of control eating-only, and binge eating episodes in obese adults. International Journal of Eating Disorders, 48(6), 641–653. https://​doi.​org/​10.​1002/​eat.​22401CrossRefPubMed
go back to reference Dvorak, R. D. (2018). Momentary Assessment Tool (MAT): An integrated mobile platform for ecological assessment and intervention [computer software]. The University of Central Florida. Dvorak, R. D. (2018). Momentary Assessment Tool (MAT): An integrated mobile platform for ecological assessment and intervention [computer software]. The University of Central Florida.
go back to reference Fairburn, C. (2008). Cognitive-behavior therapy and eating disorders. Guilford. Fairburn, C. (2008). Cognitive-behavior therapy and eating disorders. Guilford.
go back to reference Garner, D. M. (2002). Measurement of eating disorder psychopathology. In C. G. Fairburn & K. D. Brownell (Eds.), Eating disorders and obesity: A comprehensive handbook (pp. 141–146). Guilford. Garner, D. M. (2002). Measurement of eating disorder psychopathology. In C. G. Fairburn & K. D. Brownell (Eds.), Eating disorders and obesity: A comprehensive handbook (pp. 141–146). Guilford.
go back to reference Lesser, E. L., Smith, K. E., Strauman, T. J., Crosby, R. D., Engel, S. G., Crow, S. J., Peterson, C. B., & Wonderlich, S. A. (2021). Relationships between nonappearance self-discrepancy, weight discrepancy, and binge eating disorder symptoms. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26, 1571–1580. https://doi.org/10.1007/s40519-020-00975-8CrossRef Lesser, E. L., Smith, K. E., Strauman, T. J., Crosby, R. D., Engel, S. G., Crow, S. J., Peterson, C. B., & Wonderlich, S. A. (2021). Relationships between nonappearance self-discrepancy, weight discrepancy, and binge eating disorder symptoms. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26, 1571–1580. https://​doi.​org/​10.​1007/​s40519-020-00975-8CrossRef
go back to reference Martin, L. L., & Tesser, A. (1989). Toward a motivational and structural theory of ruminative thought. In J. S. Uleman & J. A. Bargh (Eds.), Unintended thought (pp. 306–326). The Guilford Press. Martin, L. L., & Tesser, A. (1989). Toward a motivational and structural theory of ruminative thought. In J. S. Uleman & J. A. Bargh (Eds.), Unintended thought (pp. 306–326). The Guilford Press.
go back to reference Martin, L. L., & Tesser, A. (1996). Some ruminative thoughts. In R. S. J. Wyer (Ed.), Ruminative thoughts (pp. 1–47). Lawrence Erlbaum Associates. Martin, L. L., & Tesser, A. (1996). Some ruminative thoughts. In R. S. J. Wyer (Ed.), Ruminative thoughts (pp. 1–47). Lawrence Erlbaum Associates.
go back to reference Mason, T. B., Lavender, J. M., Wonderlich, S. A., Crosby, R. D., Engel, S. G., Strauman, T. J., Mitchell, J. E., Crow, S. J., Le Grange, D., Klein, M. H., & Smith, T. L. (2016a). Self-discrepancy and eating disorder symptoms across eating disorder diagnostic groups. European Eating Disorders Review, 24(6), 541–545. https://doi.org/10.1002/erv.2483CrossRefPubMedPubMedCentral Mason, T. B., Lavender, J. M., Wonderlich, S. A., Crosby, R. D., Engel, S. G., Strauman, T. J., Mitchell, J. E., Crow, S. J., Le Grange, D., Klein, M. H., & Smith, T. L. (2016a). Self-discrepancy and eating disorder symptoms across eating disorder diagnostic groups. European Eating Disorders Review, 24(6), 541–545. https://​doi.​org/​10.​1002/​erv.​2483CrossRefPubMedPubMedCentral
go back to reference Mason, T. B., Smith, K. E., Crosby, R. D., Wonderlich, S. A., Crow, S. J., Engel, S. G., & Peterson, C. B. (2018). Does the eating disorder examination questionnaire global subscale adequately predict eating disorder psychopathology in the daily life of obese adults? Eating and Weight Disorders, 23(4), 521–526. https://doi.org/10.1007/s40519-017-0410-0CrossRefPubMed Mason, T. B., Smith, K. E., Crosby, R. D., Wonderlich, S. A., Crow, S. J., Engel, S. G., & Peterson, C. B. (2018). Does the eating disorder examination questionnaire global subscale adequately predict eating disorder psychopathology in the daily life of obese adults? Eating and Weight Disorders, 23(4), 521–526. https://​doi.​org/​10.​1007/​s40519-017-0410-0CrossRefPubMed
go back to reference Mason, T. B., Smith, K. E., Engwall, A., Lass, A., Mead, M., Sorby, M., Bjorlie, K., Strauman, T. J., & Wonderlich, S. (2019). Self-discrepancy theory as a transdiagnostic framework: A meta-analysis of self-discrepancy and psychopathology. Psychological Bulletin, 145(4), 372–389. https://doi.org/10.1037/bul0000186CrossRefPubMed Mason, T. B., Smith, K. E., Engwall, A., Lass, A., Mead, M., Sorby, M., Bjorlie, K., Strauman, T. J., & Wonderlich, S. (2019). Self-discrepancy theory as a transdiagnostic framework: A meta-analysis of self-discrepancy and psychopathology. Psychological Bulletin, 145(4), 372–389. https://​doi.​org/​10.​1037/​bul0000186CrossRefPubMed
go back to reference Peterson, C. B., Engel, S. G., Crosby, R. D., Strauman, T., Smith, T. L., Klein, M., Crow, S. J., Mitchell, J. E., Erickson, A., Cao, L., Bjorlie, K., & Wonderlich, S. A. (2020). Comparing integrative cognitive-affective therapy and guided self-help cognitive-behavioral therapy to treat binge-eating disorder using standard and naturalistic momentary outcome measures: A randomized controlled trial. International Journal of Eating Disorders, 53(9), 1418–1427. https://doi.org/10.1002/eat.23324CrossRefPubMed Peterson, C. B., Engel, S. G., Crosby, R. D., Strauman, T., Smith, T. L., Klein, M., Crow, S. J., Mitchell, J. E., Erickson, A., Cao, L., Bjorlie, K., & Wonderlich, S. A. (2020). Comparing integrative cognitive-affective therapy and guided self-help cognitive-behavioral therapy to treat binge-eating disorder using standard and naturalistic momentary outcome measures: A randomized controlled trial. International Journal of Eating Disorders, 53(9), 1418–1427. https://​doi.​org/​10.​1002/​eat.​23324CrossRefPubMed
go back to reference Wonderlich, S. A., Engel, S. G., Peterson, C. B., Robinson, M. D., Crosby, R. D., Mitchell, J. E., Smith, T. L., Klein, M. H., Lysne, C. M., Crow, S. J., & Strauman, T. J. (2008). Examining the conceptual model of integrative cognitive-affective therapy for BN: Two assessment studies. International Journal of Eating Disorders, 41(8), 748–754. https://doi.org/10.1002/eat.2055CrossRefPubMed Wonderlich, S. A., Engel, S. G., Peterson, C. B., Robinson, M. D., Crosby, R. D., Mitchell, J. E., Smith, T. L., Klein, M. H., Lysne, C. M., Crow, S. J., & Strauman, T. J. (2008). Examining the conceptual model of integrative cognitive-affective therapy for BN: Two assessment studies. International Journal of Eating Disorders, 41(8), 748–754. https://​doi.​org/​10.​1002/​eat.​2055CrossRefPubMed
go back to reference Wonderlich, S. A., Peterson, C. B., & Smith, T. L. (2015). Integrative cognitive-affective therapy for bulimia nervosa: A treatment manual. Guilford Publications. Wonderlich, S. A., Peterson, C. B., & Smith, T. L. (2015). Integrative cognitive-affective therapy for bulimia nervosa: A treatment manual. Guilford Publications.
go back to reference Wyssen, A., Leins, J., Reichenberger, J., Blechert, J., Munsch, S., & Steins-Loeber, S. (2020). Body-related cognitive distortions (thought-shape fusion body) associated with thin-Ideal exposure in female students–An ecological momentary assessment study. Clinical Psychology & Psychotherapy, 27(2), 220–227. https://doi.org/10.1002/cpp.2421CrossRef Wyssen, A., Leins, J., Reichenberger, J., Blechert, J., Munsch, S., & Steins-Loeber, S. (2020). Body-related cognitive distortions (thought-shape fusion body) associated with thin-Ideal exposure in female students–An ecological momentary assessment study. Clinical Psychology & Psychotherapy, 27(2), 220–227. https://​doi.​org/​10.​1002/​cpp.​2421CrossRef
Metagegevens
Titel
Self-discrepancy as a Predictor of Eating Disorder Symptoms: Findings from Two Ecological Momentary Assessment Studies of Adults with Binge Eating
Auteurs
Tyler B. Mason
Kathryn E. Smith
Ross D. Crosby
Robert Dvorak
Scott G. Engel
Scott Crow
Stephen A. Wonderlich
Carol B. Peterson
Publicatiedatum
16-11-2021
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2022
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-021-10279-5

Andere artikelen Uitgave 3/2022

Cognitive Therapy and Research 3/2022 Naar de uitgave