State negative affect in relation to loss-of-control eating among children and adolescents in the natural environment

Megan N. Parker; Marian Tanofsky-Kraff; Ross D. Crosby; Lisa M. Shank; Esther A. Kwarteng; Lucy K. Loch; Loie M. Faulkner; Hannah E. Haynes; Suryaa Gupta; Syeda Fatima; Jesse W.P. Dzombak; Anna Zenno; Scott G. Engel; Sheila M. Brady; Susan Z. Yanovski; Jack A. Yanovski

doi:10.1016/j.appet.2022.106166

State negative affect in relation to loss-of-control eating among children and adolescents in the natural environment

Megan N. Parker, Marian Tanofsky-Kraff^*, Ross D. Crosby, Lisa M. Shank, Esther A. Kwarteng, Lucy K. Loch, Loie M. Faulkner, Hannah E. Haynes, Suryaa Gupta, Syeda Fatima, Jesse W.P. Dzombak, Anna Zenno, Scott G. Engel, Sheila M. Brady, Susan Z. Yanovski, Jack A. Yanovski

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Affect regulation theory proposes that loss-of-control (LOC)-eating is preceded by increases and followed by decreases in negative affect (NA), but empirical tests of this theory among pediatric samples in the natural environment are needed. Using an ecological momentary assessment approach, we conducted post-hoc analyses to examine LOC-eating severity reported during post-meal surveys in relation to the intensity of composite NA and NA components (anger, anxiety, depression, guilt) throughout the day for two weeks in a cohort of healthy children and adolescents. Multilevel models tested the associations among LOC-eating severity and NA components reported at pre-meal surveys (t-1), post-meal surveys (t), and lagged post-meal surveys (t+1). Models were adjusted for sex, age, race/ethnicity, height, fat mass, socioeconomic status, and time between the occurrence and report of eating episodes; post-meal analyses were also adjusted for pre-meal NA. Participants age 8–17 (N = 100; 55% female; 45% male; 12.83 ± 2.73y; 24% with overweight/obesity) recorded 2410 eating episodes. Pre-meal composite NA and NA components were not associated with LOC-eating severity at the subsequent meal. LOC-eating severity was positively associated with post-meal depression (β = 0.042, 95% CI = 0.007, 0.076) and guilt (β = 0.056, 95% CI = 0.017, 0.095), but not composite negative affect, anger, or anxiety. The positive association among LOC-eating severity and guilt persisted in lagged post-meal analyses (β = 0.075, 95% CI = 0.021, 0.128). Contrary to affect regulation theory and laboratory data, but consistent with prior ecological momentary assessment data in children and adolescents, pre-meal NA was not linked to subsequent LOC-eating. Increased guilt following meals may be a mechanism for the development of exacerbated disordered eating. Longitudinal studies may elucidate how NA is implicated in the etiology of pediatric eating disorders.

Original language	English
Article number	106166
Journal	Appetite
Volume	178
DOIs	https://doi.org/10.1016/j.appet.2022.106166
State	Published - 1 Nov 2022
Externally published	Yes

Keywords

Adolescents
Children
Ecological momentary assessment
Loss-of-control-eating
Negative affect

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10.1016/j.appet.2022.106166

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Parker, M. N., Tanofsky-Kraff, M., Crosby, R. D., Shank, L. M., Kwarteng, E. A., Loch, L. K., Faulkner, L. M., Haynes, H. E., Gupta, S., Fatima, S., Dzombak, J. W. P., Zenno, A., Engel, S. G., Brady, S. M., Yanovski, S. Z., & Yanovski, J. A. (2022). State negative affect in relation to loss-of-control eating among children and adolescents in the natural environment. Appetite, 178, Article 106166. https://doi.org/10.1016/j.appet.2022.106166

@article{00a13c4ecd934e03a1aa6bd4109b1050,

title = "State negative affect in relation to loss-of-control eating among children and adolescents in the natural environment",

abstract = "Affect regulation theory proposes that loss-of-control (LOC)-eating is preceded by increases and followed by decreases in negative affect (NA), but empirical tests of this theory among pediatric samples in the natural environment are needed. Using an ecological momentary assessment approach, we conducted post-hoc analyses to examine LOC-eating severity reported during post-meal surveys in relation to the intensity of composite NA and NA components (anger, anxiety, depression, guilt) throughout the day for two weeks in a cohort of healthy children and adolescents. Multilevel models tested the associations among LOC-eating severity and NA components reported at pre-meal surveys (t-1), post-meal surveys (t), and lagged post-meal surveys (t+1). Models were adjusted for sex, age, race/ethnicity, height, fat mass, socioeconomic status, and time between the occurrence and report of eating episodes; post-meal analyses were also adjusted for pre-meal NA. Participants age 8–17 (N = 100; 55% female; 45% male; 12.83 ± 2.73y; 24% with overweight/obesity) recorded 2410 eating episodes. Pre-meal composite NA and NA components were not associated with LOC-eating severity at the subsequent meal. LOC-eating severity was positively associated with post-meal depression (β = 0.042, 95% CI = 0.007, 0.076) and guilt (β = 0.056, 95% CI = 0.017, 0.095), but not composite negative affect, anger, or anxiety. The positive association among LOC-eating severity and guilt persisted in lagged post-meal analyses (β = 0.075, 95% CI = 0.021, 0.128). Contrary to affect regulation theory and laboratory data, but consistent with prior ecological momentary assessment data in children and adolescents, pre-meal NA was not linked to subsequent LOC-eating. Increased guilt following meals may be a mechanism for the development of exacerbated disordered eating. Longitudinal studies may elucidate how NA is implicated in the etiology of pediatric eating disorders.",

keywords = "Adolescents, Children, Ecological momentary assessment, Loss-of-control-eating, Negative affect",

author = "Parker, {Megan N.} and Marian Tanofsky-Kraff and Crosby, {Ross D.} and Shank, {Lisa M.} and Kwarteng, {Esther A.} and Loch, {Lucy K.} and Faulkner, {Loie M.} and Haynes, {Hannah E.} and Suryaa Gupta and Syeda Fatima and Dzombak, {Jesse W.P.} and Anna Zenno and Engel, {Scott G.} and Brady, {Sheila M.} and Yanovski, {Susan Z.} and Yanovski, {Jack A.}",

note = "Publisher Copyright: {\textcopyright} 2022",

year = "2022",

month = nov,

day = "1",

doi = "10.1016/j.appet.2022.106166",

language = "English",

volume = "178",

journal = "Appetite",

issn = "0195-6663",

}

Parker, MN, Tanofsky-Kraff, M, Crosby, RD, Shank, LM, Kwarteng, EA, Loch, LK, Faulkner, LM, Haynes, HE, Gupta, S, Fatima, S, Dzombak, JWP, Zenno, A, Engel, SG, Brady, SM, Yanovski, SZ & Yanovski, JA 2022, 'State negative affect in relation to loss-of-control eating among children and adolescents in the natural environment', Appetite, vol. 178, 106166. https://doi.org/10.1016/j.appet.2022.106166

TY - JOUR

T1 - State negative affect in relation to loss-of-control eating among children and adolescents in the natural environment

AU - Parker, Megan N.

AU - Tanofsky-Kraff, Marian

AU - Crosby, Ross D.

AU - Shank, Lisa M.

AU - Kwarteng, Esther A.

AU - Loch, Lucy K.

AU - Faulkner, Loie M.

AU - Haynes, Hannah E.

AU - Gupta, Suryaa

AU - Fatima, Syeda

AU - Dzombak, Jesse W.P.

AU - Zenno, Anna

AU - Engel, Scott G.

AU - Brady, Sheila M.

AU - Yanovski, Susan Z.

AU - Yanovski, Jack A.

PY - 2022/11/1

Y1 - 2022/11/1

N2 - Affect regulation theory proposes that loss-of-control (LOC)-eating is preceded by increases and followed by decreases in negative affect (NA), but empirical tests of this theory among pediatric samples in the natural environment are needed. Using an ecological momentary assessment approach, we conducted post-hoc analyses to examine LOC-eating severity reported during post-meal surveys in relation to the intensity of composite NA and NA components (anger, anxiety, depression, guilt) throughout the day for two weeks in a cohort of healthy children and adolescents. Multilevel models tested the associations among LOC-eating severity and NA components reported at pre-meal surveys (t-1), post-meal surveys (t), and lagged post-meal surveys (t+1). Models were adjusted for sex, age, race/ethnicity, height, fat mass, socioeconomic status, and time between the occurrence and report of eating episodes; post-meal analyses were also adjusted for pre-meal NA. Participants age 8–17 (N = 100; 55% female; 45% male; 12.83 ± 2.73y; 24% with overweight/obesity) recorded 2410 eating episodes. Pre-meal composite NA and NA components were not associated with LOC-eating severity at the subsequent meal. LOC-eating severity was positively associated with post-meal depression (β = 0.042, 95% CI = 0.007, 0.076) and guilt (β = 0.056, 95% CI = 0.017, 0.095), but not composite negative affect, anger, or anxiety. The positive association among LOC-eating severity and guilt persisted in lagged post-meal analyses (β = 0.075, 95% CI = 0.021, 0.128). Contrary to affect regulation theory and laboratory data, but consistent with prior ecological momentary assessment data in children and adolescents, pre-meal NA was not linked to subsequent LOC-eating. Increased guilt following meals may be a mechanism for the development of exacerbated disordered eating. Longitudinal studies may elucidate how NA is implicated in the etiology of pediatric eating disorders.

AB - Affect regulation theory proposes that loss-of-control (LOC)-eating is preceded by increases and followed by decreases in negative affect (NA), but empirical tests of this theory among pediatric samples in the natural environment are needed. Using an ecological momentary assessment approach, we conducted post-hoc analyses to examine LOC-eating severity reported during post-meal surveys in relation to the intensity of composite NA and NA components (anger, anxiety, depression, guilt) throughout the day for two weeks in a cohort of healthy children and adolescents. Multilevel models tested the associations among LOC-eating severity and NA components reported at pre-meal surveys (t-1), post-meal surveys (t), and lagged post-meal surveys (t+1). Models were adjusted for sex, age, race/ethnicity, height, fat mass, socioeconomic status, and time between the occurrence and report of eating episodes; post-meal analyses were also adjusted for pre-meal NA. Participants age 8–17 (N = 100; 55% female; 45% male; 12.83 ± 2.73y; 24% with overweight/obesity) recorded 2410 eating episodes. Pre-meal composite NA and NA components were not associated with LOC-eating severity at the subsequent meal. LOC-eating severity was positively associated with post-meal depression (β = 0.042, 95% CI = 0.007, 0.076) and guilt (β = 0.056, 95% CI = 0.017, 0.095), but not composite negative affect, anger, or anxiety. The positive association among LOC-eating severity and guilt persisted in lagged post-meal analyses (β = 0.075, 95% CI = 0.021, 0.128). Contrary to affect regulation theory and laboratory data, but consistent with prior ecological momentary assessment data in children and adolescents, pre-meal NA was not linked to subsequent LOC-eating. Increased guilt following meals may be a mechanism for the development of exacerbated disordered eating. Longitudinal studies may elucidate how NA is implicated in the etiology of pediatric eating disorders.

KW - Adolescents

KW - Children

KW - Ecological momentary assessment

KW - Loss-of-control-eating

KW - Negative affect

UR - http://www.scopus.com/inward/record.url?scp=85134618791&partnerID=8YFLogxK

U2 - 10.1016/j.appet.2022.106166

DO - 10.1016/j.appet.2022.106166

M3 - Article

C2 - 35850381

AN - SCOPUS:85134618791

SN - 0195-6663

VL - 178

JO - Appetite

JF - Appetite

M1 - 106166

ER -

State negative affect in relation to loss-of-control eating among children and adolescents in the natural environment

Abstract

Keywords

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