title: Media exposure and associated stress contribute to eating pathology in women with Anorexia Nervosa: Daily and momentary associations.
abstract: We examined whether media exposure and media-induced stress contributed to eating disorder behaviors immediately and over the course of a day in women with anorexia nervosa (AN).
  
  
  
  Women with AN (N = 118) completed a 2-week ecological momentary assessment protocol during which they reported on exposure to food, shape, or weight-related media, associated stress, and eating behaviors.
  
  
  
  Food, weight, or shape-related media exposure alone did not predict more frequent daily eating disorder behaviors. However, stress associated with media exposure was prospectively associated with a greater likelihood of binge eating and vomiting at the next assessment point. In addition, media-induced stress increased the probability of restrictive eating and fluid intake, vomiting, and laxative abuse across the day.
  
  
  
  Media-induced stress may contribute to increased eating disorder behaviors in women with AN, as women who saw a media image and reported this experience as stressful were more likely to engage in momentary binge eating or vomiting. Reducing stress associated with viewing media images could be a potential target for therapeutic intervention with disordered eating. © 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:617-621).
authors.affiliation: Department of Psychology, University of Nevada, Las Vegas, Nevada.
authors.forename: Emily K
authors.initials: EK
authors.lastname: White
authors.affiliation: Department of Psychology, University of Nevada, Las Vegas, Nevada.
authors.forename: Cortney S
authors.initials: CS
authors.lastname: Warren
authors.affiliation: Department of Biomedical Statistics, Neuropsychiatric Research Institute, Fargo, North Dakota.
authors.forename: Li
authors.initials: L
authors.lastname: Cao
authors.affiliation: Department of Biomedical Statistics, Neuropsychiatric Research Institute, Fargo, North Dakota.|Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.
authors.forename: Ross D
authors.initials: RD
authors.lastname: Crosby
authors.affiliation: Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.|Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota.
authors.forename: Scott G
authors.initials: SG
authors.lastname: Engel
authors.affiliation: Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.|Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Wonderlich
authors.affiliation: Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota.|Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota.
authors.forename: James E
authors.initials: JE
authors.lastname: Mitchell
authors.affiliation: Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota.
authors.forename: Carol B
authors.initials: CB
authors.lastname: Peterson
authors.affiliation: Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota.|The Emily Program, St. Paul, Minnesota.
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Crow
authors.affiliation: Department of Psychiatry, University of California, San Francisco, San Francisco, California.
authors.forename: Daniel
authors.initials: D
authors.lastname: Le Grange
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications / Q000523:psychology*; D056912:Binge-Eating Disorder / Q000523:psychology; D001835:Body Weight / Q000502:physiology; D002032:Bulimia / Q000523:psychology; D004435:Eating / Q000523:psychology; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D006801:Humans; D008402:Mass Media; D011446:Prospective Studies; D013315:Stress, Psychological / Q000150:complications*; D014839:Vomiting / Q000523:psychology; D055815:Young Adult
keywords: anorexia nervosa; eating pathology; ecological momentary assessment; media exposure; media stress