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The relationship of momentary anger and impulsivity to bulimic behavior

Published on Mar 1, 2007in Behaviour Research and Therapy 4.31
· DOI :10.1016/j.brat.2006.03.014
Scott G. Engel37
Estimated H-index: 37
Justin J. Boseck2
Estimated H-index: 2
+ 5 AuthorsHoward Steiger7
Estimated H-index: 7
(McGill University)
Abstract Past research has suggested that negative affect may be a causal factor for eating disordered behaviors. More specifically, research has shown that anger appears to be one aspect of negative affect that is particularly relevant in bulimic patients. Previous studies have also shown that the relationship between negative affect and eating disordered behaviors may partially depend upon personality variables such as impulsivity. The present study examined whether the relationship between anger and eating disordered behaviors is moderated by impulsivity. Subjects completed an ecological momentary assessment (EMA) protocol for an average of 2 weeks. Findings revealed that overall antecedent anger level and the variability of antecedent anger predicted binge-eating episodes and that these relationships were moderated by participants’ level of impulsivity. These findings suggest that personality variables impact the way that anger and eating behaviors relate. They also suggest that the variability of antecedent anger may be a fruitful avenue for future research for those interested in causal variables associated with bulimia nervosa.
  • References (45)
  • Citations (71)
Published on Nov 1, 2005in Clinical Psychology Review 9.90
Stephanie E. Cassin17
Estimated H-index: 17
(U of C: University of Calgary),
Kristin M. von Ranson19
Estimated H-index: 19
(U of C: University of Calgary)
Abstract Personality traits have been implicated in the onset, symptomatic expression, and maintenance of eating disorders (EDs). The present article reviews literature examining the link between personality and EDs published within the past decade, and presents a meta-analysis evaluating the prevalence of personality disorders (PDs) in anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) as assessed by self-report instruments versus diagnostic interviews. AN and BN are b...
Published on Apr 15, 2005in The Journal of Clinical Psychiatry 4.02
Kyung Bong Koh11
Estimated H-index: 11
Dong Kee Kim3
Estimated H-index: 3
+ 1 AuthorsJoong Kyu Park5
Estimated H-index: 5
BACKGROUND: In previous studies, the relationship between either anger suppression and depression or anger suppression and somatic symptoms was examined. However, the relationship between anger expression, depression, and somatic symptoms was not examined in depressive disorders and somatoform disorders. METHOD: The DSM-IV-diagnosed subjects included 73 patients with depressive disorders and 47 patients with somatoform disorders. The Anger Expression Scale was used to assess the level of anger e...
Published on Jan 1, 2005in International Journal of Eating Disorders 3.52
Caroline Meyer32
Estimated H-index: 32
(Warw.: University of Warwick),
Newman Leung16
Estimated H-index: 16
(University of Birmingham)
+ 3 AuthorsJanie Mitchell1
Estimated H-index: 1
(Warw.: University of Warwick)
Objective The current study addressed the link between anger and bulimic psychopathology between young adult men and women. Method Volunteers (125 males and 125 females) completed two self-report questionnaires measuring anger (State Trait Anger Inventory [STAXI]) and bulimic attitudes and behaviors (Bulimic Investigatory Test, Edinburgh [BITE]). Results Although overall levels of anger did not differ broadly across genders, bulimic attitudes were associated with state anger in men but with ange...
Published on Jan 1, 2005in Psychological Assessment 3.47
Mario Gollwitzer2
Estimated H-index: 2
(University of Trier),
Michael Eid38
Estimated H-index: 38
(University of Geneva),
Ralph Jurgensen1
Estimated H-index: 1
This study demonstrates how mixture distribution item response models can be used to detect different response styles in the clinical assessment of anger expression. Analyses of 3 subscales of the State-Trait Anger Expression Inventory in a clinical sample of 4,497 patients revealed that there are different response styles that manifest themselves in 2- and 3-class solutions. These solutions are robust across subsamples. Response styles reflect both psychologically meaningful biases (i.e., socia...
Published on Nov 1, 2004in British Journal of Psychiatry 7.23
David Collier85
Estimated H-index: 85
Janet Treasure93
Estimated H-index: 93
The past decade has seen a major shift in our thoughts about the origins of eating disorders. Anorexia nervosa has traditionally been regarded as a disorder with social and cultural explanations, rather than a developmental or biological disorder ([Nasser et al , 2000][1]). For about a century from
Published on Jan 1, 2004
Joel K. Thompson28
Estimated H-index: 28
Published on Jul 1, 2003in International Journal of Eating Disorders 3.52
Glenn Waller50
Estimated H-index: 50
(St George's Hospital),
Michelle Babbs3
Estimated H-index: 3
+ 3 AuthorsNewman Leung16
Estimated H-index: 16
(University of Birmingham)
Objective The link between emotion and eating pathology has long been established, but relatively little is known about the role of anger, partly because the existing literature has tended to concentrate on anger as a unitary construct. Nor is there any understanding of the cognitive factors that drive this affect in the eating disorders. This study had two aims: to determine levels of different facets of anger across eating disorder diagnoses and behaviors; and to investigate whether facets of ...
Published on May 1, 2003in International Journal of Eating Disorders 3.52
Sarah Fischer20
Estimated H-index: 20
(UK: University of Kentucky),
Gregory T. Smith56
Estimated H-index: 56
(UK: University of Kentucky),
Kristen G. Anderson26
Estimated H-index: 26
(UK: University of Kentucky)
Objective With the goal of demonstrating that urgency impulsivity is associated with bulimic symptoms, not (lack of) planning impulsivity, the authors conducted two studies assessing these personality traits and bulimic symptoms in undergraduate women. Method In study 1 291 women completed urgency and deliberation scales of the NEO PIR and the BULIT-R. In study 2 101 women completed alternative measures tapping these personality constructs and the BULIT-R. Results In both studies, what is common...
Published on Oct 1, 2002in Journal of Personality Disorders 2.97
Dorothy L. Espelage57
Estimated H-index: 57
Suzanne E. Mazzeo1
Estimated H-index: 1
(WVU: West Virginia University)
+ 1 AuthorsRon A. Thompson14
Estimated H-index: 14
A three-factor model of personality pathology was investigated in a clinical sample of 183 female patients in an outpatient eating disorders treatment program. Cluster analysis of MCMI-II personality scales (Millon, 1987) yielded three distinct personality profiles, which were consistent with previous studies. First, 16.9% of the sample comprised a High Functioning cluster, which manifested no clinical elevations on the MCMI-II and had significantly lower scores on the Eating Disorder Inventory ...
Published on Jun 1, 2002in Journal of Personality Disorders 2.97
Mary C. Zanarini77
Estimated H-index: 77
(Harvard University),
Frances R. Frankenbur55
Estimated H-index: 55
(Harvard University),
Anka A. Vujanovic32
Estimated H-index: 32
(Harvard University)
Abstract The baseline inter-rater reliability, test-retest reliability, follow-up inter-rater reliability, and follow-up longitudinal reliability (interrater reliability between generations of raters) of borderline symptoms and the diagnosis of borderline personality disorder (BPD) were assessed using the Revised Diagnostic Interview for Borderlines (DIB-R). Excellent κs (> .75) were found in each of these reliability substudies for the diagnosis of BPD itself. Excellent κs were also found in ea...
Cited By71
Published on Oct 1, 2018in Journal of Personality 3.08
Sarah H. Sperry8
Estimated H-index: 8
(UIUC: University of Illinois at Urbana–Champaign),
Donald R. Lynam66
Estimated H-index: 66
(Purdue University),
Thomas Richard Kwapil40
Estimated H-index: 40
(UIUC: University of Illinois at Urbana–Champaign)
Objective Impulsivity appears to be best conceptualized as a multidimensional construct. For example, the UPPS-P model posits that there are five underlying facets of impulsivity. The present study examined the expression of the UPPS-P facets in daily life using experience sampling methodology. A specific goal of the study was to examine positive urgency, a facet added to the original UPPS model, and its convergence and divergence from the negative urgency facet. Method A large nonclinical sampl...
Published on Sep 1, 2018in Psychiatry Research-neuroimaging 2.21
Jessica R. Peters15
Estimated H-index: 15
(Brown University),
Tory Eisenlohr-Moul3
Estimated H-index: 3
(UIC: University of Illinois at Chicago)
+ 1 AuthorsKaren J. Derefinko16
Estimated H-index: 16
(UTHSC: University of Tennessee Health Science Center)
Abstract The tendency to engage in impulsive behavior in the context of negative affect, known as negative urgency, has emerged as a powerful transdiagnostic predictor of behavioral dysregulation. Although general vulnerability to negative affect (neuroticism) correlates with negative urgency, not all neurotic individuals engage in urgent behavior. Given prior experimental evidence that sympathetic nervous system (SNS) activation may promote emotion-related impulsivity, the present study examine...
Published on Sep 1, 2018in Journal of Business Ethics 3.80
Daphna Motro4
Estimated H-index: 4
(UA: University of Arizona),
Lisa D. Ordóñez18
Estimated H-index: 18
(UA: University of Arizona)
+ 1 AuthorsDavid T. Welsh7
Estimated H-index: 7
(ASU: Arizona State University)
Although emotion has become one of the most popular research areas within organizational scholarship, few studies have considered its connection with unethical behavior. Using dual-process theory, we expand on the rationalist perspective within the field of behavioral ethics by considering the process through which two discrete emotions, anger and guilt, influence unethical behavior. Across two studies using different methodologies, we found that anger increases unethical behavior whereas guilt ...
Published on Sep 1, 2018in Australian Journal of Psychology 0.98
Gillian Wakeford (University of the Sunshine Coast), Lee Kannis-Dymand4
Estimated H-index: 4
(University of the Sunshine Coast),
Dixie J. Statham19
Estimated H-index: 19
(University of the Sunshine Coast)
Objective Binge eating and alcohol consumption have been associated with attempts to reduce negative affect such as anger. Anger rumination has been associated with maintaining anger. The aim of the current study was to explore the association between anger rumination and binge eating and at-risk alcohol use. Method Participants were 563 university students aged between 18 and 66 years who completed an online survey containing the Anger Rumination Scale (ARS), Eating Disorder Diagnosis Scale (ED...
Published on Feb 1, 2018in Appetite 3.50
Tyler B. Mason10
Estimated H-index: 10
(SC: University of Southern California),
Kathryn E. Smith4
Estimated H-index: 4
(UND: University of North Dakota)
+ 1 AuthorsRobin J. Lewis19
Estimated H-index: 19
(ODU: Old Dominion University)
Abstract There is growing recognition that impulsivity may serve as an underlying risk factor for binge eating. In addition, the association of impulsivity with binge eating may be moderated by other affective and cognitive risk factors. This study examined independent and interactive associations of negative affect, dietary restraint, and facets of impulsivity with binge eating. A diverse sample of 566 undergraduate women completed online questionnaires of study variables. Results revealed a th...
Published on Sep 1, 2017in Journal of Psychiatric Research 3.92
Laura A. Berner12
Estimated H-index: 12
(UCSD: University of California, San Diego),
Ross D. Crosby74
Estimated H-index: 74
(UND: University of North Dakota)
+ 4 AuthorsStephen A. Wonderlich57
Estimated H-index: 57
(UND: University of North Dakota)
Abstract Prior research suggests that the construct of emotional instability may be salient to bulimia nervosa (BN), but no study to date has used ecological momentary assessment (EMA) to examine its temporal association with binge eating and purging. In the current study, 133 women with DSM-IV BN used portable digital devices to provide multiple daily negative affect (NA) and positive affect (PA) ratings and record eating disorder behaviors over 2 weeks. Two state-of-the art indices quantified ...
Published on May 1, 2017in Comprehensive Psychiatry 2.59
Karen M. Jennings4
Estimated H-index: 4
(U of C: University of Chicago),
Jennifer E. Wildes22
Estimated H-index: 22
(U of C: University of Chicago),
Emil F. Coccaro55
Estimated H-index: 55
(U of C: University of Chicago)
Abstract Objective Clinical studies suggest comorbidity between eating disorders and aggressive behaviors. This study examined the pattern of comorbidity between intermittent explosive disorder (IED) and eating disorders (ED). Methods Data were analyzed from both the adult and adolescent samples of the National Comorbidity Survey-Replication (n = 19,430) and a clinical research sample (n = 1,642). Results Lifetime prevalence of Any ED was elevated in IED vs. non-IED for both the community and cl...
Published on May 1, 2017in Appetite 3.50
Robyn Sysko21
Estimated H-index: 21
(ISMMS: Icahn School of Medicine at Mount Sinai),
Rachel Ojserkis4
Estimated H-index: 4
(Fordham University)
+ 3 AuthorsB. Timothy Walsh57
Estimated H-index: 57
Abstract Many patients with bulimia nervosa (BN) also meet criteria for a lifetime alcohol use disorder (AUD). In order to understand possible mechanisms contributing to the co-occurrence and perpetuation of these disorders, this study investigated the importance of impulsivity and test meal intake among patients with BN by comparing women with BN only ( n = 18), BN and current/past AUDs ( n = 13), and healthy controls ( n = 12). All participants completed assessments of eating disorder symptoms...
Published on Jan 1, 2017in European Eating Disorders Review 3.15
Cees Boerhout4
Estimated H-index: 4
(UMCG: University Medical Center Groningen),
Marte Swart12
Estimated H-index: 12
(UMCG: University Medical Center Groningen)
+ 3 AuthorsHans W. Hoek60
Estimated H-index: 60
(Columbia University)
Objective The objective is to evaluate a body and movement-oriented intervention on aggression regulation, specifically aimed towards reducing anger internalization in patients with an eating disorder. Method Patients were randomized to treatment-as-usual (TAU) plus the intervention (n = 38) or to TAU only (n = 32). The intervention was delivered by a psychomotor therapist. TAU consisted of multidisciplinary day treatment (3–5 days per week during 3–9 months). Anger coping (Self-Expression and C...