Successfully Launching Adolescents With Eating Disorders to College: The Child and Adolescent Psychiatrist’s Perspective.

Successfully Launching Adolescents With Eating Disorders to College: The Child and Adolescent Psychiatrist’s Perspective.

J Am Acad Child Adolesc Psychiatry. 2013 Jun; 52(6): 559-561
Derenne JL

HubMed – eating

 

Different subtypes of impulsivity differentiate uncontrolled eating and dietary restraint.

Appetite. 2013 May 20;
Leitch MA, Morgan MJ, Yeomans MR

The current study explored the relationship between three subtypes of impulsivity (Reflection Impulsivity, Impulsive Choice, and Impulsive Action) and measures of uncontrolled eating (TFEQ-D) and restraint (TFEQ-R). Eighty women classified as scoring higher or lower on TFEQ-D and TFEQ-R completed the Matching Familiar Figures Test (MFFT20), Delay Discounting Task (DDT), a Go No Go task, Balloon Analogue Risk Task (BART), and the Barrett Impulsivity Scale-11 (BIS-11). To test whether these relationships were affected by enforced controls over eating, half of the participants fasted the night before and ate breakfast in the laboratory before testing and half had no such control. Women scoring higher on the TFEQ-D were significantly more impulsive on the MFFT20 and BIS-11 overall but not on DDT, Go No Go or BART. Women scoring higher on TFEQ-R were significantly less impulsive on the Go No Go task but did not differ on other measures. The eating manipulation modulated responses on the BART and BIS-11 non-planning scale depending on TFEQ-D classification. These results confirm recent data that high scores on TFEQ-D are related to impulsivity, but imply this relates more to Reflection Impulsivity rather than Impulsive Choice or Action. In contrast restrained eating was associated with better inhibitory control. Taken together, these results suggest that subtypes of impulsivity further differentiate uncontrolled eating and restraint, and suggest that a poor ability to reflect on decisions may underlie some aspects of overeating. HubMed – eating

 

The Eating Identity Type Inventory (EITI): Development and associations with diet.

Appetite. 2013 May 20;
Blake CE, Bell BA, Freedman D, Colabianchi N, Liese AD

People with healthy eating identities report healthier diets and demonstrate greater receptivity to nutrition interventions, but other types of eating identity are likely important. We developed the Eating Identity Type Inventory (EITI) to assess affinity with four eating identity types; healthy, meat, picky, and emotional. This study assessed factorial validity, using confirmatory factor analysis (CFA) and established reliability and convergent validity of the EITI. In a telephone survey, 968 primary household food shoppers completed the EITI and a dietary questionnaire; 101 repeated the EITI approximately one month later.CFA revealed that an 11-item model provided acceptable fit (?(2)= 206; df=38), CFI=.938, .NNFI=.925, RMSEA =.070; SRMR=.059). The EITI demonstrated acceptable internal consistencies with Cronbach alpha’s ranging from .61-.82 and good test-retest reliability for healthy, emotional, and picky types (Pearson’s correlations ranging from .78-.84). Ordinary Least Squares (OLS) used to assess relationships between eating identity type and diet analyses demonstrated significant hypothesized relationships between healthy eating identity and healthier dietary intake and meat and picky eating identities and less healthy dietary intake. The EITI could facilitate behavioral and cognitive research to yield important insights for ways to more effectively design messages, interventions, and policies to promote healthy dietary behaviors. HubMed – eating