Course and moderators of emotional eating in anorectic and bulimic patients: a follow-up study.
Emotion dysregulation has been found to be associated with specific eating attitudes and behavior in Eating Disorder (ED) patients. The present study evaluated whether emotional eating profile of ED patients changes over time and the possible effects of a psychotherapeutic intervention on the emotional eating dimension. One hundred and two ED patients (28 with Anorexia Nervosa restricting type [AN-R], 35 with Anorexia Nervosa binge/purging subtype [AN-B/P] and 39 with Bulimia Nervosa [BN]) were evaluated at baseline, at the end of a Cognitive Behavioral Therapy, at 3 and 6 year follow-up. The Structured Clinical Interview for DSM IV Axis I Disorders, the Emotional Eating Scale (EES) and several self-reported questionnaires for eating specific and general psychopathology were applied. A control group of 86 healthy subjects was also studied, in order to compare psychopathological variables at baseline. A significant EES total score reduction was observed among AN-B/P and BN patients, whereas no significant change was found in the AN-R group. Mixed Models analyses showed that a significant effect on EES total score variation was found for cocaine or amphetamine abuse (b = .25; p < .01). Patients who assumed these substances reported no significant EES reduction across time, unlike other patients. The present results suggest that ED patients with a history of cocaine or amphetamine abuse represent a sub-population of patients with lasting dysfunctional mood modulatory mechanisms.
Department of Health Sciences, Section of Psychology and Psychiatry, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy.
Giulia
G
Fioravanti
Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Giovanni
G
Castellini
Department of Health Sciences, Section of Psychology and Psychiatry, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy.
Carolina
C
Lo Sauro
Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Sirio
S
Ianni
Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Luca
L
Montanelli
Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy.
Francesco
F
Rotella
Department of Health Sciences, Section of Psychology and Psychiatry, University of Florence, Viale Pieraccini 6, 50139 Florence, Italy.
Carlo
C
Faravelli
Psychiatric Unit, Careggi Teaching Hospital, Largo Brambilla 3, 50134 Florence, Italy. Electronic address: valdo.ricca@unifi.it.
Valdo
V
Ricca
D000293:Adolescent; D000328:Adult; D019969:Amphetamine-Related Disorders / Q000523:psychology; D000856:Anorexia Nervosa / Q000145:classification / Q000523:psychology* / Q000628:therapy; D052018:Bulimia Nervosa / Q000523:psychology* / Q000628:therapy; D016022:Case-Control Studies; D019970:Cocaine-Related Disorders / Q000523:psychology; D015928:Cognitive Behavioral Therapy; D004435:Eating / Q000523:psychology*; D004644:Emotions; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D011569:Psychiatric Status Rating Scales; D057566:Self Report; D016896:Treatment Outcome
Amphetamine abuse; Cocaine abuse; Eating Disorders; Emotional eating; Follow-up study