Multi-method assessment of palatable food exposure in women with and without eating disorders
Christensen, Kara A.
French, Melanie N.
Chen, Eunice Y.
Eating Disorders Association
Scholarly/refereed, author accepted manuscript
© 2020 John Wiley & Sons, Ltd and Eating Disorders Association
MetadataShow full item record
Objective Eating disorders (EDs) are characterized by dysregulated responses to palatable food. Using a multi-method approach, this study examined responses to palatable food exposure and subsequent ad libitum eating in women with binge-eating disorder (BED: n = 64), anorexia nervosa (AN: n = 16), and bulimia nervosa (BN: n = 35) and 26 healthy controls (HCs).Method Participants were exposed to palatable food followed by an ad libitum eating opportunity. Affective and psychophysiological responses were measured before and during the task.Results Participants with EDs reported greater negative affect, particularly fear, following the food cue exposure, whereas HCs reported no change. BN and BED groups reported greater urge to binge after the food cue exposure, whereas AN and HC groups reported no change.Respiratory sinus arrhythmia levels, skin conductance and tonic skin conductance levels increased during food exposure for all groups. Across baseline and during the food exposure, the BED group had lower respiratory sinus arrhythmia levels relative to the BN and HC groups. The BED group consumed significantly more palatable food than the AN group.Conclusions ‘Palatable’ food stimuli elicited more negative affect, particularly fear, in individuals with EDs; and this, rather than psychophysiological responses, distinguishes individuals with EDs from those without.
This is the peer reviewed version of the following article: Christensen, KA, French, MN, Chen, EY. Multi-method assessment of palatable food exposure in women with and without eating disorders. Eur Eat Disorders Rev. 2020; 28: 594– 602. https://doi.org/10.1002/erv.2746, which has been published in final form at https://doi.org/10.1002/erv.2746. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Christensen, KA, French, MN, Chen, EY. Multi-method assessment of palatable food exposure in women with and without eating disorders. Eur Eat Disorders Rev. 2020; 28: 594– 602. https://doi.org/10.1002/erv.2746
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