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Emotional eating interoceptive awareness

Cristina Herraiz-Serrrano, Teresa Rodríguez-Cano, Luis Beato-Fernández, José Miguel Latorre-Postigo, Luis Rojo-Moreno, Francisco J Vaz-Leal
INTRODUCTION: The aim of the study was to identify the relationship between perceived rearing styles and the clinical expression of Eating Disorders (ED). METHODS: One hundred and ninety-six patients diagnosed of an ED and 127 healthy student as controls selected from the Nursing College were evaluated for general psychopathology (STAI, BDI II, RSE), and for abnormal eating attitudes (EAT, EDI-II, BITE). The EMBU (‘my memories of upbringing’) was administered for the assessment of perceived parental rearing styles and was used a questionnaire to assess familial variables...
May 2015: Actas Españolas de Psiquiatría
Ashley M Wood, Judith A Dygdon, Anthony J Conger
The learning theory view of sense of self is that problems in one's knowledge about the self arise when: (1) caregivers fail to recognize indicators of a child's private emotional and visceral experiences and (2) subsequently fail to offer appropriate labels that discriminate among those experiences. The purpose of this study was to evaluate the relationship of the process believed to build a sense of self to level of interoceptive awareness (IA) and to risk for eating disorders. One hundred twenty seven undergraduate and graduate students (112 women) completed the Eating Disorders Inventory-3 (EDI-3)...
April 2015: Eating Behaviors
Piergiuseppe Vinai, Annalisa Da Ros, Maurizio Speciale, Nicola Gentile, Anna Tagliabue, Paolo Vinai, Cecilia Bruno, Luisa Vinai, Stacia Studt, Silvia Cardetti
UNLABELLED: We evaluate whether there are any significant differences in psychopathology between severe obese patients affected by Binge Eating Disorder diagnosed following both the DSM IV TR and the DSM5 criteria, and severe obese patients not having an eating disorder. METHOD: 118 severe obese patients seeking treatment at a center for bariatric surgery in northern Italy were asked to take part in the current study for a period of six months. Average participant age was 44...
January 2015: Eating Behaviors
Annaig Courty, Nathalie Godart, Christophe Lalanne, Sylvie Berthoz
Socio-affective difficulties, in particular difficulties in representing, communicating and feeling emotions, may play a critical role in anorexia nervosa (AN). The aim of this longitudinal study was to explore the links between alexithymia and two types of difficulties in AN: eating symptoms and social avoidance. Sixty adolescent girls with AN were recruited following hospitalisation in a specialised department. They completed self-administered questionnaires of alexithymia (TAS-20), of central symptoms of the eating disorders (EDI), and of anxious and depressive affects (SCL-90)...
January 2015: Comprehensive Psychiatry
Vincenzo Zanardo, Gianluca Straface, Barbara Benevento, Irene Gambina, Francesco Cavallin, Daniele Trevisanuto
BACKGROUND: The potential that obesity in pregnancy has to affect symptoms associated with eating disorders and breastfeeding is unclear. AIM: This study analyzed symptoms of eating disorders and breastfeeding practices in obese mothers. STUDY DESIGN: Prospective, case-control study. SUBJECTS: Participants included 25 obese (BMI > 30 kg/m(2)) and 25 normal-weight puerperae, matched for parity and delivery route. OUTCOME MEASURES: The participants completed the Eating Disorders Inventory (EDI-2), investigating cognitive, emotional, and behavioral symptoms of eating disorders before they were discharged from the maternity hospital and later participated in telephone interviews concerning breastfeeding practices which were classified according to WHO definitions...
February 2014: Early Human Development
Angela S Klein, Jeremy B Skinner, Kristin M Hawley
The current study examined two condensed adaptations of dialectical behavior therapy (DBT) for binge eating. Women with full- or sub-threshold variants of either binge eating disorder or bulimia nervosa were randomly assigned to individually supported self-monitoring using adapted DBT diary cards (DC) or group-based DBT, each 15 sessions over 16 weeks. DC sessions focused on problem-solving diary card completion issues, praising diary card completion, and supporting nonjudgmental awareness of eating-related habits and urges, but not formally teaching DBT skills...
December 2013: Psychotherapy
Jennifer Daubenmier, Robert H Lustig, Frederick M Hecht, Jean Kristeller, Josh Woolley, Tanja Adam, Mary Dallman, Elissa Epel
Overweight and obese individuals differ in their degree of hedonic eating. This may reflect adaptations in reward-related neural circuits, regulated in part by opioidergic activity. We examined an indirect, functional measure of central opioidergic activity by assessing cortisol and nausea responses to acute opioid blockade using the opioid antagonist naltrexone in overweight/obese women (mean BMI=31.1±4.8) prior to the start of a mindfulness-based intervention to reduce stress eating. In addition, we assessed indices of hedonic-related eating, including eating behaviors (binge eating, emotional eating, external eating, restraint) and intake of sweets/desserts and carbohydrates (Block Food Frequency); interoceptive awareness (which is associated with dysregulated eating behavior); and level of adiposity at baseline...
March 2014: Appetite
Sabine Frank, Stephanie Kullmann, Ralf Veit
The insular cortex is a multimodal brain region with regional cytoarchitectonic differences indicating various functional specializations. As a multisensory neural node, the insular cortex integrates perception, emotion, interoceptive awareness, cognition, and gustation. Regarding the latter, predominantly the anterior part of the insular cortex is regarded as the primary taste cortex. In this review, we will specifically focus on the involvement of the insula in food processing and on multimodal integration of food-related items...
2013: Frontiers in Human Neuroscience
Katherine E Alexander, Harold I Siegel
Eating is an inherently emotional activity and the attachment system is an emotion regulation system. Individuals with attachment insecurity have less interoceptive awareness and difficulty regulating emotion. Insecurely attached individuals may eat emotionally because they misinterpret internal hunger cues, (i.e. think they are hungry when they are experiencing some other internal, attachment-related state). The current study found a positive association between attachment anxiety and emotional eating. This relationship was mediated by perceived hunger...
August 2013: Eating Behaviors
Karen S Mitchell, Stephanie Y Wells, Adell Mendes, Patricia A Resick
Eating disorders and posttraumatic stress disorder (PTSD) are debilitating conditions that frequently co-occur. Although the two disorders have different clinical presentations, they share associated features, including cognitive disturbances, emotion dysregulation, dissociation, and impulsivity. We hypothesized that reductions in PTSD symptoms following cognitive processing therapy (CPT) and its treatment components (CPT without the written account or the written account only) would be associated with improvements in symptoms common to PTSD and eating disorders...
October 2012: Journal of Traumatic Stress
Beate M Herbert, Olga Pollatos
The processing, representation, and perception of bodily signals (interoception) plays an important role for human behavior. Theories of embodied cognition hold that higher cognitive processes operate on perceptual symbols and that concept use involves reactivations of the sensory-motor states that occur during experience with the world. Similarly, activation of interoceptive representations and meta-representations of bodily signals supporting interoceptive awareness are profoundly associated with emotional experience and cognitive functions...
October 2012: Topics in Cognitive Science
Cynthia J Price, Elizabeth A Wells, Dennis M Donovan, Tessa Rue
This study examined mindful awareness in body-oriented therapy (MABT) feasibility as a novel adjunct to women's substance use disorder (SUD) treatment. As an individual therapy, MABT combines manual and mind-body approaches to develop interoception and self-care tools for emotion regulation. A 2-group randomized controlled trial repeated-measures design was used, comparing MABT to treatment as usual (TAU) on relapse to substance use and related health outcomes. Sixty-one women were screened for eligibility, and 46 enrolled...
July 2012: Journal of Substance Abuse Treatment
Nasir H Naqvi, Antoine Bechara
We have recently shown that damage to the insula leads to a profound disruption of addiction to cigarette smoking (Naqvi et al., Science 315:531-534, 2007). Yet, there is little understanding of why the insula should play such an important role in an addictive behavior. A broad literature (much of it reviewed in this issue) has addressed the role of the insula in processes related to conscious interoception, emotional experience, and decision-making. Here, we review evidence for the role of the insula in drug addiction, and propose a novel theoretical framework for addiction in which the insula represents the interoceptive effects of drug taking, making this information available to conscious awareness, memory and executive functions...
June 2010: Brain Structure & Function
Olga Pollatos, Anne-Lene Kurz, Jessica Albrecht, Tatjana Schreder, Anna Maria Kleemann, Veronika Schöpf, Rainer Kopietz, Martin Wiesmann, Rainer Schandry
OBJECTIVE: Interoceptive awareness is known to be impaired in eating disorders. To date, it has remained unclear whether this variable is related to the construct of interoceptive sensitivity. Interoceptive sensitivity is considered to be an essential variable in emotional processes. The objective of the study was to elucidate this potential relationship and to clarify whether general interoceptive sensitivity is reduced in anorexia nervosa. METHODS: Using a heartbeat perception task, interoceptive sensitivity was assessed in 28 female patients with anorexia nervosa and 28 matched healthy controls...
December 2008: Eating Behaviors
M A Ouwens, T van Strien, J F J van Leeuwe, C P F van der Staak
van Strien et al. [van Strien, T., Engels, R. C. M. E., van Leeuwe, J., Snoek, H. M. (2005). The Stice model of overeating: tests in clinical and non-clinical samples. Appetite, 45, 205-213] extended the negative affect pathway of Stice's dual pathway model of overeating Stice [Stice, E. (1994). Review of the evidence for a sociocultural model of bulimia nervosa and an exploration of the mechanisms of action. Clinical Psychology Review, 14(7), 633-661] successfully with the variables lack of interoceptive awareness and emotional eating...
February 2009: Appetite
Tatjana van Strien, Machteld A Ouwens
OBJECTIVE: To improve our understanding of possible mechanisms underlying emotional overeating this study examined the effects of a distress manipulation on food intake in relation to alexithymia and impulsivity. METHOD: Participants were 86 females who were subjected to a distress manipulation (the anticipation of a public speaking task) prior to an ad lib taste task and filled out questionnaires on impulsivity and the alexithymia constructs difficulty identifying and describing feelings...
April 2007: Eating Behaviors
Ingeborg Goethals, Myriam Vervaet, Kurt Audenaert, Filip Jacobs, Hamphrey Ham, Cees Van Heeringen
OBJECTIVE: Using single photon emission computed tomography (SPECT), we sought brain perfusion correlates of eating disorder symptoms in anorexia and bulimia nervosa patients. METHOD: We investigated 67 female eating disordered (ED) patients. Eating disorder symptoms were measured by the Eating Disorders Inventory (EDI). Determination of brain areas in which regional perfusion co-varied with drive for thinness, bulimia, body dissatisfaction, ineffectiveness, perfectionism, interpersonal distrust, interoceptive awareness and maturity fears was done by open explorative correlation analysis using Statistical Parametrical Mapping (SPM)...
December 2007: Journal of Psychiatric Research
Lisa R R Lilenfeld, Stephen Wonderlich, Lawrence P Riso, Ross Crosby, James Mitchell
Methodological approaches utilized to evaluate models of the relationship between personality and eating disorders, as well as empirical support for each model, are reviewed. Limited prospective research suggests that negative emotionality, perfectionism, drive for thinness, poor interoceptive awareness, ineffectiveness, and obsessive-compulsive personality traits are likely predisposing factors. Limited family study research suggests that obsessive-compulsive personality disorder (OCPD) and anorexia nervosa share a common familial liability...
May 2006: Clinical Psychology Review
Tatjana Van Strien, Rutger C M E Engels, Jan Van Leeuwe, Harriëtte M Snoek
The present study tested the dual pathway model of Stice [. A review of the evidence for a sociocultural model of bulimia nervosa and an exploration of the mechanisms of action. Clinical Psychology Review, 14, 633-661 and . A prospective test of the dual-pathway model of bulimic pathology: mediating effects of dieting and negative affect. Journal of Abnormal Psychology, 110, 124-135.] in a non-clinical sample of female adolescents and a clinical sample of female eating disorder patients. The model assumes that negative affect and restrained eating mediates the link between body dissatisfaction and overeating...
December 2005: Appetite
Leslie Sim, Janice Zeman
This study examined emotion-identification skills in 19 adolescent girls (M age=16 years, 8 months) diagnosed with a Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV], American Psychiatric Association, 1994) diagnosis of bulimia nervosa or eating disorder not otherwise specified in the bulimic spectrum, 19 age-matched girls with a DSM-IV diagnosis of unipolar depression, and 19 age-matched girls without a mental health history. Findings revealed that girls with bulimia nervosa compared to girls in the depressed and community control groups endorsed significantly greater reluctance to express emotions and inferior interoceptive awareness...
December 2004: Journal of Clinical Child and Adolescent Psychology
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