Eating behavior style predicts craving and anxiety experienced in food-related virtual environments by patients with eating disorders and healthy controls

Eating behavior style (emotional, restrictive, or external) has been proposed as an explanation for the differences in response to food-related cues between people who overeat and those who do not, and has been also considered a target for the treatment of eating disorders (EDs) characterized by lac...

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Bibliographic Details
Authors: Ferrer, Marta (Ferrer García), Pla Sanjuanelo, Joana, Dakanalis, Antonios, Vilalta-Abella, Ferran, Riva, Giuseppe, Fernández Aranda, Fernando, Sánchez Zaplana, Isabel, Ribas Sabaté, Joan, Andreu Gracia, Alexis, Escandón-Nagel, Neli, Gómez-Tricio, Osane, Tena, Virginia, Gutiérrez Maldonado, José
Format: article
Status:Versión aceptada para publicación
Publication Date:2017
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/117945
Online Access:https://hdl.handle.net/2445/117945
Access Level:Open access
Keyword:Trastorns de la conducta alimentària
Bulímia
Ansietat
Eating disorders
Bulimia
Anxiety
Description
Summary:Eating behavior style (emotional, restrictive, or external) has been proposed as an explanation for the differences in response to food-related cues between people who overeat and those who do not, and has been also considered a target for the treatment of eating disorders (EDs) characterized by lack of control over eating and weightrelated (overweight/obesity) conditions. The aim of this study was to analyze the relationship between eating behavior style and psychophysiological responses (self-reported food craving and anxiety) to food-related virtual reality (VR) environments in outpatients with bulimia nervosa (BN) and binge eating disorder (BED) and to compare them with healthy participants. Fifty-eight outpatients and 135 healthy participants were exposed to palatable foods in four experimental everyday real-life VR environments (kitchen, dining room, bedroom and café). During exposure, cue-elicited food craving and anxiety were assessed. Participants also completed standardized instruments for the study purposes. ED patients reported significantly higher levels of craving and anxiety when exposed to the virtual food than healthy controls. Eating behavior styles showed strong associations with cue-elicited food craving and anxiety. In the healthy group, external eating was the only predictor of cue-elicited craving and anxiety. In participants with BN and BED, external and emotional eating were the best predictors of cue-elicited craving and anxiety, respectively.