Longitudinal investigation of the abstinence violation effect in binge eaters.
This study, guided in part by G. A. Marlatt and J. R. Gordon's (1985) abstinence violation effect (AVE) model, examined whether variability in cognitive and emotional reactions to binges accounts for recurrence of binge eating. Attributional, cognitive, and affective reactions to two successive binges, as well as the latencies between each binge and a subsequent binge, were evaluated through a series of structured phone interviews with 50 nonpurging normal-weight female bingers. Reported mood after binging was unrelated to binge latency. However, when Ss made more intense internal, global, and uncontrollable causal attributions for a binge, a subsequent binge followed significantly sooner. Within-subject variations in AVEs across binges prospectively predicted within-subject variations in the speed with which another binge followed. Analyses suggested that cognitive states (e.g., AVE and guilt) evoked by particular events were better predictors of how quickly binging repeats than were stable differences in attributional style.
Grilo
C M
CM
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06520.
Shiffman
S
S
D000293:Adolescent; D000328:Adult; D002032:Bulimia / Q000523:psychology*; D004038:Diet, Reducing / Q000523:psychology*; D005260:Female; D006167:Guilt; D006801:Humans; D006963:Hyperphagia / Q000523:psychology*; D007206:Individuality; D007389:Internal-External Control; D008875:Middle Aged