Stress and eating disorder behavior in anorexia nervosa as a function of menstrual cycle status
Article first published online: 12 NOV 2013
Copyright © 2013 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 47, Issue 2, pages 181–188, March 2014
How to Cite
Jappe, L. M., Cao, L., Crosby, R. D., Crow, S. J., Peterson, C. B., Le Grange, D., Engel, S. G. and Wonderlich, S. A. (2014), Stress and eating disorder behavior in anorexia nervosa as a function of menstrual cycle status. Int. J. Eat. Disord., 47: 181–188. doi: 10.1002/eat.22211
- Issue published online: 3 FEB 2014
- Article first published online: 12 NOV 2013
- Manuscript Accepted: 6 SEP 2013
- Manuscript Revised: 12 AUG 2013
- NIH. Grant Numbers: RO1 MH 59674, P30 DK 50456
- anorexia nervosa;
- menstrual cycle;
- ecological momentary assessment
Fluctuations in ovarian hormones during the menstrual cycle and psychosocial stress contribute to eating disorder (ED) behavior.
Using ecological momentary assessment techniques, this study examined relationships between stress and binge eating, self-induced vomiting, and dietary restriction based on menstrual cycle status in anorexia nervosa (AN). One hundred nine females with full and subthreshold AN (17–45 years old) recorded ED behavior and stress ratings over 2 weeks. Using hierarchical linear modeling, individuals with eumenorrhea and those with amenorrhea or oligomenorrhea were compared.
Following episodes of meal skipping, momentary stress decreased in individuals with normal menstrual cycles and increased in those with irregular menstrual cycles.
Results suggest that changes in stress severity in response to food restriction may differ based on ovarian hormonal status and may be a mechanism by which AN is maintained in individuals without menstrual disturbance. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:181–188)