Evidence map›Paper›PMID 34468973›Full record

Observational studyEating and weight disorders : EWD2022

Mindful acceptance, not awareness, associated with lower food susceptibility.

Natalie G Keirns, Madison E Stout, Caitlin E Smith, Harley M Layman, Ki L Cole, Lucia Ciciolla, Misty A W Hawkins

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Eating and weight disorders : EWD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02786238 (Cognitive and Self-regulatory Mechanisms Of Obesity Study), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT02786238 nacompletednot on this map

Cognitive and Self-regulatory Mechanisms Of Obesity Study

TypeinterventionalSponsorOklahoma State UniversityRan2016 to 2020Enrolled156ConditionsObesityArmsStandard Behavioral Treatment (SBT), Acceptance-Based Treatment (ABT)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

7 authors.

Natalie G KeirnsDepartment of Psychology, Oklahoma State University, 116 Psychology Building, Stillwater, OK, 74078, USA.
Madison E StoutDepartment of Psychology, Oklahoma State University, 116 Psychology Building, Stillwater, OK, 74078, USA.
Caitlin E SmithDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Harley M LaymanDepartment of Psychology, Oklahoma State University, 116 Psychology Building, Stillwater, OK, 74078, USA.
Ki L ColeDepartment of Research, Evaluation, Measurement, and Statistics, Oklahoma State University, Stillwater, OK, USA.
Lucia CiciollaDepartment of Psychology, Oklahoma State University, 116 Psychology Building, Stillwater, OK, 74078, USA.
Misty A W HawkinsDepartment of Psychology, Oklahoma State University, 116 Psychology Building, Stillwater, OK, 74078, USA. misty.hawkins@okstate.edu.ORCID http://orcid.org/0000-0002-3825-639X

Funding

Tracking and Evaluation CoreU54GM104938 · NIGMS · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Robert Hal Scofield · 2013 to 2026
$68.2M
The Impact of Maternal Adversity and Attachment Security on Infant Stress Reactivity: Prenatal Epigenetic PathwaysP20GM109097 · NIGMS · OSU CENTER FOR HEALTH SCIENCES · PI Jason A. Avery · 2016 to 2026
$22.8M
Cognitive and Self-Regulatory Mechanisms of Obesity Study (COSMOS)K23DK103941 · NIDDK · OKLAHOMA STATE UNIVERSITY STILLWATER · PI HAWKINS, MISTY · 2015 to 2019
$736k
Acute Inflammatory Effects of Weight Stigma in Overweight/ObesityF31HL152620 · NHLBI · OKLAHOMA STATE UNIVERSITY STILLWATER · PI KEIRNS, NATALIE · 2020 to 2021
$62k
NHLBI NIH HHS F31 HL152620NHLBI NIH HHS F31HL152620NIDDK NIH HHS K23 DK103941NIDDK NIH HHS K23DK103941NIGMS NIH HHS P20 GM109097NIGMS NIH HHS P20GM109097NIGMS NIH HHS U54 GM104938
6 · The paper itself

Abstract

purposeFood susceptibility refers to an individual's thoughts, feelings, and motivations when highly palatable foods are available. Mindfulness, or the practice of paying attention, non-judgmentally, in the present moment, is a key element in acceptance-based programs, which have been shown to benefit those with high food susceptibility. This study examined the relationship between food susceptibility and (1) trait mindfulness and (2) mindfulness facets (i.e., awareness, acceptance) in daily life.

methodsParticipants were 108 adults with overweight/obesity (45.56 ± 11.41 years old, 75.9% white, 72.2% female) enrolled in a weight loss trial (Clinical Trials.gov Identifier: NCT02786238). Food susceptibility was measured with the Power of Food Scale (PFS). Mindfulness was assessed using the Philadelphia Mindfulness Scale (PHMS) and its two subscales: PHMS-Awareness and PHMS-Acceptance. Two regressions examined the associations of (1) total PHMS on PFS, and (2) simultaneous PHMS subscales on PFS. Covariates were age, sex, race, and education.

resultsRegression results revealed, after adjustment for covariates, that Total PHMS was significantly negatively associated with PFS scores (β = - 0.258, p = 0.001), but only one of the PHMS subscales, Acceptance, was significantly associated with PFS scores (β = - 0.328, p < 0.001). PHMS-Awareness was not related to PFS scores.

conclusionGreater levels of mindfulness were associated with lower food susceptibility in treatment-seeking adults with overweight/obesity. Mindful acceptance may be the driving factor in this relationship, suggesting that awareness alone is not sufficient for promoting healthier appetite regulation. Interventions aimed to reduce food susceptibility and improve coping with cravings may benefit from an enhanced focus on teaching mindful-acceptance skills. LEVEL OF EVIDENCE: Level III, observational cohort study.

Indexed as

MindfulnessAdultAwarenessFemaleFoodHumansMaleMiddle AgedObesityOverweightWeight LossAcceptanceAwarenessFood susceptibilityHedonic hungerMindfulnessObesity

Identifiers

PMID34468973
PMCPMC8885898

What OpenQuestion holds

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Registered trials

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.