Binge antecedents in bulimic syndromes: An examination of dissociation and negative affect
Article first published online: 15 JUN 2007
Copyright © 2007 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 40, Issue 6, pages 531–536, September 2007
How to Cite
Engelberg, M. J., Steiger, H., Gauvin, L. and Wonderlich, S. A. (2007), Binge antecedents in bulimic syndromes: An examination of dissociation and negative affect. Int. J. Eat. Disord., 40: 531–536. doi: 10.1002/eat.20399
- Issue published online: 27 JUL 2007
- Article first published online: 15 JUN 2007
- Manuscript Accepted: 25 APR 2007
- Canadian Institutes for Health Research. Grant Number: MA 15368
- Fonds pour la Formation de Chercheurs et l'Aide à la Recherche. Grant Numbers: 990411, 67990
- negative affect;
- binge eating;
- ecological momentary assessment
We conducted a naturalistic study to examine negative affect and dissociative experiences as antecedents to binge episodes.
Using handheld computers, 33 women with bulimic syndromes provided ongoing self-reports on eating behaviors, affects, and dissociative experiences over 7- to 29-day intervals.
Multilevel modeling analyses indicated that negative affect and dissociation were elevated prior to binge episodes. In addition, antecedent effects of dissociation on bingeing were independent of those attributable to negative affect.
Our results are consistent with models of binge eating that assign a causal role to negative mood and altered self-awareness. As such, our findings imply that binge eating is a multiply determined behavior linked to diverse cognitive and affective processes. © 2007 by Wiley Periodicals, Inc.