ArticleEating and weight disorders : EWD2023
Temporal associations between experiential avoidance and disordered eating behaviors in adolescents and young adults: findings from an epidemiological cohort study with ecological momentary assessment.
Article in Eating and weight disorders : EWD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 13 citations in OpenAlex.
- Relationship between obsessive personality traits and eating disorders.Eating and weight disorders : EWD · 2026Article
- Article
- Health Behaviors in the Context of Optimism and Self-Efficacy-The Role of Gender Differences: A Cross-Sectional Study in Polish Health Sciences Students.Behavioral sciences (Basel, Switzerland) · 2025Article
- What is the role of family meals and social eating behaviour in relation to experiential avoidance in adolescents among Spanish adolescents? the EHDLA study.BMJ nutrition, prevention & health · 2025Article
- Subclinical patterns of disordered eating behaviors in the daily life of adolescents and young adults from the general population.Child and adolescent psychiatry and mental health · 2024Article
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
purposePrevious studies linking experiential avoidance (EA) and eating pathology have largely relied on single measurements based on traditional retrospective questionnaires. Taking advantage of available repeated assessments of EA and disordered eating behaviors (DEBs) in the everyday lives of young people from an epidemiological cohort, we aimed to investigate ecologically valid temporal associations between these constructs.
methodsA random population sample of N = 1180 14-21-year-olds from Dresden, Germany, participated at baseline (2015/2016). As part of smartphone-based ecological momentary assessment (EMA), participants reported on engagement in EA and four DEBs (skipping eating, eating large amounts of food, loss-of-control eating, and restrained eating) up to eight times per day for four days. Multilevel modeling of concurrent and time-lagged associations between EA and DEBs, was conducted among those with at least 50% EMA-compliance (n = 1069).
resultsEA was associated with higher concurrent levels of all four types of concurrent DEBs. In addition, EA significantly predicted subsequent levels of restrained eating. Only loss-of-control eating significantly predicted subsequent EA, and this effect depended on the timespan between consecutive assessments. When this timespan was short, higher Loss-of-control eating predicted lower subsequent EA, while it predicted higher subsequent EA when the timespan was longer.
conclusionThe present findings suggest that EA is temporally closely linked to greater engagement in DEBs, supporting theoretical assumptions that DEBs may serve an attempted avoidance function in the context of unpleasant inner experiences. Future studies may benefit from examining samples with more pronounced eating pathology. LEVEL OF EVIDENCE: Level IV: Evidence obtained from multiple time series with or without the intervention, such as case studies.
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