Comfortably Numb: The Role of Momentary Dissociation in the Experience of Negative Affect Around Binge Eating.
Comfortably Numb: The Role of Momentary Dissociation in the Experience of Negative Affect Around Binge Eating.
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DOI:
10.1097/nmd.0000000000000658
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发表时间:
2017-05
期刊:
影响因子:
--
通讯作者:
Crosby RD
中科院分区:
文献类型:
--
作者:
Mason TB;Lavender JM;Wonderlich SA;Steiger H;Cao L;Engel SG;Mitchell JE;Crosby RD
Evidence suggests that both dissociation and negative affect (NA) may precipitate binge eating. The extent to which dissociation may impact the experience of negative affect around binge eating is unclear. Women with bulimia nervosa completed a two-week ecological momentary assessment protocol of dissociation, NA, and binge eating. Multilevel modeling was used to examine dissociation as a moderator of NA preceding and following binge eating. NA was greater at the time of binge eating for participants higher in average dissociation (between-subjects) and when momentary dissociation was greater than one's average (within-subjects). The trajectory of NA was characterized by a sharper decline after binge eating for participants higher in average dissociation; the NA trajectories were characterized by sharper increases before and decreases after binge eating when momentary dissociation was greater than one's average. Results support the salience of both dissociation and NA in relation to the occurrence of binge eating.