Evidence map›Paper›PMID 38332591›Full record

ArticleThe International journal of eating disorders2024

Changes in affect longitudinally mediate associations between emotion regulation strategy use and disordered eating.

Megan E Mikhail, S Alexandra Burt, Michael C Neale, Pamela K Keel, Debra K Katzman, Kelly L Klump

Abstract readTwin Study
In one paragraph

Article in The International journal of eating disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

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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

6 authors.

Megan E MikhailDepartment of Psychology, Michigan State University, East Lansing, Michigan, USA.ORCID 0000-0001-9262-3683
S Alexandra BurtDepartment of Psychology, Michigan State University, East Lansing, Michigan, USA.ORCID 0000-0001-5538-7431
Michael C NealeDepartment of Psychiatry, Human Genetics, and Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID 0000-0003-4887-659X
Pamela K KeelDepartment of Psychology, Florida State University, Tallahassee, Florida, USA.ORCID 0000-0001-6542-5147
Debra K KatzmanDepartment of Pediatrics, University of Toronto, Toronto, Canada.ORCID 0000-0002-2604-930X
Kelly L KlumpDepartment of Psychology, Michigan State University, East Lansing, Michigan, USA.ORCID 0000-0003-1790-9264

Funding

A Twin Study of exogenous hormone exposure and risk for binge eatingR01MH111715 · NIMH · MICHIGAN STATE UNIVERSITY · PI KLUMP, KELLY L · 2017 to 2021
$4.0M
National Institute of Mental Health (NIMH) MH111715National Science Foundation (NSF)NIMH NIH HHS R01 MH111715
6 · The paper itself

Abstract

backgroundTrait-level emotion regulation (ER) difficulties are associated with eating disorders (EDs) transdiagnostically. However, little research has examined whether within-person fluctuations in ER longitudinally predict ED behaviors in daily life or the mechanisms of ER effects. Investigating daily ER could help us better understand why people experience ED behaviors at a given time. We examined whether day-to-day changes in adaptive (e.g., cognitive reappraisal) and maladaptive (e.g., rumination) ER longitudinally predicted core ED behaviors (binge eating, purging, dieting) and whether changes in affect mediated effects.

methodFemale participants (N = 688) ages 15-30 from the Michigan State University Twin Registry reported their adaptive and maladaptive ER use, negative affect (NA), positive affect (PA), binge eating, purging, and dieting on 49 consecutive days. Using structural equation modeling, we examined whether within-person fluctuations in ER predicted same- and next-day ED behaviors and whether changes in affect mediated longitudinal ER effects.

resultsGreater maladaptive ER predicted increased likelihood of same-day binge eating and next-day binge eating and purging. The association between maladaptive ER and next-day binge eating and purging was mediated by increased next-day NA. In contrast, dieting was more closely related to changes in PA. Adaptive ER did not predict reduced likelihood of any ED behavior.

conclusionsMaladaptive ER may longitudinally increase risk for binge eating and purging by amplifying NA. Interventions focused on decreasing maladaptive ER and subsequent NA might help disrupt binge eating-purging cycles. Conversely, results add to evidence that PA fluctuations may play a unique role in maintaining restrictive behaviors. PUBLIC SIGNIFICANCE: Little is known about how daily changes in emotion regulation may impact disordered eating. We found that maladaptive emotion regulation (e.g., rumination) was associated with a higher likelihood of binge eating and purging on the next day because it predicted increased next-day negative affect. In contrast, dieting was more closely tied to fluctuations in positive affect. Targeting daily emotion regulation and affective processes may help disrupt cycles of disordered eating.

Indexed as

Emotional RegulationFeeding and Eating DisordersAdolescentAdultAffectFemaleHumansLongitudinal StudiesMichiganYoung Adultbinge eatingdaily diarydietingemotion regulationlongitudinalnegative affectpositive affectpurging

Identifiers

PMID38332591
PMCPMC11093708

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Registered trials

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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.