Evidence map›Paper›PMID 26228412›Full record

ArticleJournal of psychiatric research2015

Initial test of an emotional avoidance model of restriction in anorexia nervosa using ecological momentary assessment.

Ann F Haynos, Ross D Crosby, Scott G Engel, Jason M Lavender, Stephen A Wonderlich, James E Mitchell, Carol B Peterson, Scott J Crow, Daniel Le Grange

Open access · greenAbstract read
In one paragraph

Article in Journal of psychiatric research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Does Evidence Support an Emotion Regulation Model of Anorexia Nervosa? A Systematic Review of Over a Decade of Research.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Associations between mealtime anxiety and food intake in anorexia nervosa.The International journal of eating disorders · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Momentary Analysis of Tinnitus: Considering the Patient.Current topics in behavioral neurosciences · 2021
    Article
  14. Review
  15. Body shape in inpatients with severe anorexia nervosa.European psychiatry : the journal of the Association of European Psychiatrists · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Ann F HaynosDepartment of Psychology, University of Nevada, Reno, Reno, NV, USA. Electronic address: ahaynos@unr.edu.
Ross D CrosbyDepartment of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences and Neuropsychiatric Research Institute, Fargo, ND, USA.
Scott G EngelDepartment of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences and Neuropsychiatric Research Institute, Fargo, ND, USA.
Jason M LavenderDepartment of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences and Neuropsychiatric Research Institute, Fargo, ND, USA.
Stephen A WonderlichDepartment of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences and Neuropsychiatric Research Institute, Fargo, ND, USA.
James E MitchellDepartment of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences and Neuropsychiatric Research Institute, Fargo, ND, USA.
Carol B PetersonDepartment of Psychiatry, University of Minnesota School of Medicine and the Emily Program, Minneapolis, MN, USA.
Scott J CrowDepartment of Psychiatry, University of Minnesota School of Medicine and the Emily Program, Minneapolis, MN, USA.
Daniel Le GrangeDepartment of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
University of North Dakota · USUniversity of Minnesota · USUniversity of California, San Francisco · USUniversity of Nevada, Reno · US

Funding

Ecological Momentary Assessment of Anorexia NervosaR01MH059674 · NIMH · SANFORD RESEARCH NORTH · PI WONDERLICH, STEPHEN ARTHUR · 2000 to 2009
$2.1M
Evaluating the effect of brief interventions on effort to restrict dietary intakeF31MH097450 · NIMH · UNIVERSITY OF NEVADA RENO · PI HAYNOS, ANN FRANCES · 2013 to 2014
$35k
NIMH NIH HHS F31 MH097450NIMH NIH HHS F31MH097450NIMH NIH HHS R01 MH059674
6 · The paper itself

Abstract

It has been hypothesized that restrictive eating allows individuals with anorexia nervosa (AN) to avoid contact with negative emotions; however, this presumption has not been directly tested. In this study, we conducted an initial investigation examining whether restrictive eating serves an emotional avoidance function among individuals with AN. Females with AN (n = 118) reported on negative and positive affect, anxiety/tension, and eating behaviors at multiple time points daily over a 2-week period using ecological momentary assessment methodology. Affective patterns were compared using generalized estimating equation models between days in which participants reported either: (1) relatively high restriction (without binge eating); (2) relatively low restriction (without binge eating); (3) binge eating; or (4) no restriction or binge eating. We hypothesized that, if restriction were functioning to avoid negative affect, average negative affect and anxiety/tension, as well as average negative and positive affect lability, would be lower and average positive affect would be higher on days characterized by high levels of restriction compared to other eating patterns. Contrary to hypotheses: (1) average negative affect, anxiety/tension, and positive affect were not significantly different between days characterized by high restriction and those characterized by low or no restriction; (2) Negative affect and anxiety/tension lability were higher on days characterized by high restriction compared to no restriction or binge eating days; (3) Anxiety/tension lability was higher on days characterized by high versus low levels of restriction. This patterns of findings does not support an avoidance model of restrictive eating for individuals with AN.

Indexed as

EnvironmentFood DeprivationAdolescentAdultAnorexia NervosaDiagnostic and Statistical Manual of Mental DisordersFeeding BehaviorFemaleHumansMiddle AgedModels, PsychologicalMood DisordersPsychiatric Status Rating ScalesYoung AdultAnorexia nervosaAvoidanceEmotion regulationRestrictive eating

Identifiers

PMID26228412
PMCPMC4522040
OpenAlexW2148546662

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.