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General impulsivity in binge-eating disorder

  • Rebecca G. Boswell (a1) and Carlos M. Grilo (a1) (a2)

Abstract

Background.

The nature and significance of impulse-control difficulties in binge-eating disorder (BED) are uncertain. Most emerging research has focused on food-specific rather than general impulsivity. The current study examines the clinical presentation of patients with BED categorized with and without clinical levels of general impulsivity.

Method.

A total of 343 consecutive treatment-seeking patients with BED were categorized as having BED with general impulsivity (GI+; N = 73) or BED without general impulsivity (GI−: N = 270) based on structured diagnostic and clinical interviews. The groups were compared on demographic, developmental, and psychological features, and on rates of psychiatric and personality comorbidity.

Results.

Individuals with BED and general impulsivity (GI+) reported greater severity of eating-disorder psychopathology, greater depressive symptoms, and greater rates of comorbidity than those without general impulsivity (GI−).

Conclusions.

A subtype of individuals with BED and general impulsivity may signal a more severe presentation of BED characterized by heightened and broader psychopathology. Future work should investigate whether these impulse-control difficulties relate to treatment outcomes.

Copyright

Corresponding author

Rebecca G. Boswell, PhD Email: rebecca.boswell@yale.edu

References

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1.Udo, T, Grilo, CM. Prevalence and corrleates of DSM-5-defined eating disorders in a nationally representative sample of U.S. adults. Biol Psychiatry. 2018;84(5):345354.
2.Udo, T, Bitley, S, Grilo, CM. Suicide attempts in U.S. adults with lifetime DSM-5 eating disorders. BMC Med. 2019;17:120
3.APA. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
4.Citrome, L. Binge eating disorder revisited: what’s new, what’s different, what’s next. CNS Spectr. 2019;24(S1):413.
5.Dawe, S, Loxton, NJ. The role of impulsivity in the development of substance use and eating disorders. Neurosci Biobehav Rev. 2004;28(3):343351.
6.Robbins, TW, Gillan, CM, Smith, DG, de Wit, S, Ersche, KD. Neurocognitive endophenotypes of impulsivity and compulsivity: towards dimensional psychiatry. Trends Cogn Sci . 2012;16(1):8191.
7.Deal, LS, Wirth, RJ, Gasior, M, Herman, BK, McElroy, SL. Validation of the Yale-Brown Obsessive Compulsive Scale modified for binge eating. Int J Eat Disord. 2015;48(7):9941004.
8.Wonderlich, SA, Connolly, KM, Stice, E. Impulsivity as a risk factor for eating disorder behavior: assessment implications with adolescents. Int J Eat Disord. 2004;36(2):172182.
9.Pearson, CM, Zapolski, TC, Smith, GT. A longitudinal test of impulsivity and depression pathways to early binge eating onset. Int J Eat Disord. 2015;48(2):230237.
10.Manasse, SM, Espel, HM, Schumacher, LM, et al.Does impulsivity predict outcome in treatment for binge eating disorder? A multimodal investigation. Appetite. 2016;105:172179.
11.Giel, KE, Teufel, M, Junne, F, Zipfel, S, Schag, K. Food-related impulsivity in obesity and binge eating disorder—a systematic update of the evidence. Nutrients. 2017;9:1170
12.Schag, K, Schonleber, J, Teufel, M, Zipfel, S, Giel, KE. Food-related impulsivity in obesity and binge eating disorder—a systematic review. Obes Rev. 2013;14(6):477495.
13.Balodis, IM, Grilo, CM, Potenza, MN. Neurobiological features of binge eating disorder. CNS Spectr. 2015;20:557565.
14.Hege, MA, Stingl, KT, Kullmann, S, et al.Attentional impulsivity in binge eating disorder modulates response inhibition performance and frontal brain networks. Int J Obes (Lond). 2015;39(2):353360.
15.Svaldi, J, Naumann, E, Trentowska, M, Schmitz, F. General and food-specific inhibitory deficits in binge eating disorder. Int J Eat Disord. 2014;47(5):534542.
16.Kober, H, Boswell, RG. Potential psychological & neural mechanisms in binge eating disorder: implications for treatment. Clin Psychol Rev. 2018;60:3244.
17.Voon, V. Cognitive biases in binge eating disorder: the hijacking of decision making. CNS Spectr. 2015;20(6):566573.
18.Boutelle, KN, Knatz, S, Carlson, J, Bergmann, K, Peterson, CB. An open trial targeting food cue reactivity and satiety sensitivity in overweight and obese binge eaters. Cogn Behav Pract. 2017;24:363373.
19.Schag, K, Rennhak, SK, Leehr, EJ, et al.IMPULS: impulsivity-focused group intervention to reduce binge eating episodes in patients with binge eating disorder—a randomised controlled trial. Psychother Psychosom. 2019;88(3):141153.
20.Calero-Elvira, A, Krug, I, Davis, K, Lopez, C, Fernandez-Aranda, F, Treasure, J. Meta-analysis on drugs in people with eating disorders. Eur Eat Disord Rev. 2009;17(4):243259.
21.Stein, D, Lilenfeld, LR, Wildman, PC, Marcus, MD. Attempted suicide and self-injury in patients diagnosed with eating disorders. Compr Psychiatry. 2004;45(6):447451.
22.Goldner, EM, Geller, J, Birmingham, CL, Remick, RA. Comparison of shoplifting behaviours in patients with eating disorders, psychiatric control subjects, and undergraduate control subjects. Can J Psychiatry. 2000;45:471475.
23.Culbert, KM, Klump, KL. Impulsivity as an underlying factor in the relationship between disordered eating and sexual behavior. Int J Eat Disord. 2005;38(4):361366.
24.Balodis, IM, Kober, H, Worhunsky, PD, et al.Monetary reward processing in obese individuals with and without binge eating disorder. Biol Psychiatry. 2013;73(9):877886.
25.Balodis, IM, Molina, ND, Kober, H, et al.Divergent neural substrates of inhibitory control in binge eating disorder relative to other manifestations of obesity. Obesity (Silver Spring). 2013;21(2):367377.
26.Svaldi, J, Brand, M, Tuschen-Caffier, B. Decision-making impairments in women with binge eating disorder. Appetite. 2010;54(1):8492.
27.Manasse, SM, Goldstein, SP, Wyckoff, E, et al.Slowing down and taking a second look: Inhibitory deficits associated with binge eating are not food-specific. Appetite. 2016;96:555559.
28.Davis, C, Levitan, RD, Carter, J, et al.Personality and eating behaviors: a case-control study of binge eating disorder. Int J Eat Disord. 2008;41(3):243250.
29.Udo, T, Grilo, CM. Psychiatric and medical correlates of DSM-5 eating disorders in a nationally representative sample of adults in the United States. Int J Eat Disord. 2019;52:4250.
30.Becker, DF, Grilo, CM. Comorbidity of mood and substance use disorders in patients with binge-eating disorder: associations with personality disorder and eating disorder pathology. J Psychosom Res. 2015;79(2):159164.
31.Hudson, JI, Hiripi, E, Pope, HG, Kessler, RM. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007;61(3):348358.
32.Kessler, RC, Berglund, PA, Chiu, WT, et al.The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biol Psychiatry. 2013;73(9):904914.
33.Grilo, CM, White, MA, Masheb, RM. DSM-IV psychiatric disorder comorbidity and its correlates in binge eating disorder. Int J Eat Disord. 2009;42(3):228234.
34.Javaras, KN, Pope, HG, Lalonde, JK, et al.Co-occurrence of binge eating disorder with psychiatric and medical disorders. J Clin Psychiatry. 2008;69(2):266273.
35.Friborg, O, Martinussen, M, Kaiser, S, et al.Personality disorders in eating disorder not otherwise specified and binge eating disorder: a meta-analysis of comorbidity studies. J Nerv Ment Dis. 2014;202(2):119125.
36.Schulte, EM, Grilo, CM, Gearhardt, AN. Shared and unique mechanisms underlying binge eating disorder and addictive disorders. Clin Psychol Rev. 2016;44:125139.
37.Kessler, RM, Hutson, PH, Herman, BK, Potenza, MN. The neurobiological basis of binge-eating disorder. Neurosci Biobehav Rev. 2016;63:223238.
38.Davis, C. The epidemiology and genetics of binge eating disorder (BED). CNS Spectr. 2015;20(6):522529.
39.Grilo, CM, Masheb, RM, Wilson, GT. Subtyping binge eating disorder. J Consult Clin Psychol. 2001;69(6):10661072.
40.Peterson, CB, Miller, KB, Crow, SJ, Thuras, P, Mitchell, JE. Subtypes of binge eating disorder based on psychiatric history. Int J Eat Disord. 2005;38:273276.
41.Lacey, JH, Moureli, E. Bulimic alcoholics: some features of a clinical sub-group. Br J Addict. 1986;81:389393.
42.Wiederman, MW, Pryor, T. Multi-impulsivity among women with bulimia nervosa. Int J Eat Disord. 1996;20(4):359365.
43.Waxman, SE. A systematic review of impulsivity in eating disorders. Eur Eat Disord Rev. 2009;17:408425.
44.Bell, L, Newns, K. What is multi-impulsive bulimia and can multi-impulsive patients benefit from supervised self-help? Eur Eat Disord Rev. 2002;10(6):413427.
45.Fichter, MM, Quadfleig, N, Rief, W. Course of multi-impulsive bulimia. Psychol Med. 1994;24:591604.
46.Brisman, J, Siegel, M. Bulimia and alcoholism: two sides of the same coin? J Subst Abuse Treat. 1984;1(2): 113118.
47.Becker, DF, Masheb, RM, White, MA, Grilo, CM. Psychiatric, behavioral, and attitudinal correlates of avoidant and obsessive-compulsive personality pathology in patients with binge-eating disorder. Compr Psychiatry. 2010;51(5):531537.
48.First, MB, Gibbon, M, Spitzer, RL, Williams, JBW, Benjamin, LS. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). New York, NY: New York State Psychiatric Institute, Biometrics Research Department; 1996.
49.Fairburn, CG, Cooper, Z. The eating disorder examination (12th edition). In: , FCG, Wilson, GT, eds. Binge Eating: Nature, Assessment, and Treatment. New York, NY: Guilford Press; 1993:317360.
50.Grilo, CM, Masheb, RM, Wilson, GT. A comparison of different methods for assessing the features of eating disorders in patients with binge eating disorder. J Consult Clin Psychol. 2001;69:317322.
51.Grilo, CM, Masheb, RM, Lozano-Blanco, C, Barry, DT. Reliability of the Eating Disorder Examination in patients with binge eating disorder. Int J Eat Disord. 2004;35:8085.
52.Zanarini, MC, Frankenburg, FR, Sickel, AE, Yong, L. The Diagnostic Interview for DSM-IV Personality Disorders. Vol. 340. Belmont, MA: McLean Hospital; 1996.
53.Weiss, NH, Tull, MT, Viana, AG, Anestis, MD, Gratz, KL. Impulsive behaviors as an emotion regulation strategy: examining associations between PTSD, emotion dysregulation, and impulsive behaviors among substance dependent inpatients. J Anxiety Disorder. 2012;26:453458.
54.Plutchik, R, van Praag, HM. The measurement of suicidality, aggressivity, and impulsivity. Prog Neuropsychopharmacol Biol Psychiatry . 1989;13:523534.
55.Grosz, DE, Lipschitz, DS, Sofia, E, et al.Correlates of violence risk in hospitalized adolescents. Compr Psychiatry. 1994;35:296300.
56.Verdejo-Garcia, A, Lozano, O, Moya, M, Alcazar, MA, Perez-Garcia, M. Psychometric properties of a Spanish version of the UPPS-P Impulsive Behavior Scale: reliability, validity, and association with trait and cognitive impulsivity. J Pers Assess. 2010;92(1):7077.
57.Beck, AT, Steer, R. Manual for Revised Beck Depression Inventory. New York, NY: Psychological Corporation; 1987.
58.Beck, AT, Steer, R, Garbin, M. Psychometric properties of the Beck Depression Inventory: 25 years of evaluation. Clin Psychol Rev. 1998;8:77100.
59.Rosenberg, M. Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press; 1965.
60.Myers, TC, Wonderlich, SA, Crosby, R, et al.Is multi-impulsive bulimia a distinct type of bulimia nervosa: psychopathology and EMA findings. Int J Eat Disord. 2006;39(8):655661.
61.Berg, JM, Latzman, RD, Bliswise, NG, Lilenfeld, LR. Parsing the heterogeneity of impulsivity: a meta-analytic review of the behavioral implications of the UPPS for psychopathology. Psychol Assess. 2015;27(4):11291146.
62.Bardone-Cone, AM, Butler, RM, Balk, MR, Koller, KA. Dimensions of impulsivity in relation to eating disorder recovery. Int J Eat Disord. 2016;49(11):10271031.
63.Smith, GT, Cyders, MA. Integrating affect and impulsivity: the role of positive and negative urgency in substance use risk. Drug Alcohol Depend. 2016;162:S3S12.
64.Muehlenkamp, JJ, Takakuni, S, Brausch, AM, Peyerl, N. Behavioral functions underlying NSSI and eating disorder behaviors. J Clin Psychol. 2019;75(7):12191232.
65.Wedig, MM, Nock, MK. The functional assessment of maladaptive behaviors: a preliminary evaluation of binge eating and purging among women. Psychiatry Res. 2010;178(3):518524.
66.Telch, TF, Agras, WS, Linehan, MM. Dialectical behavior therapy for binge eating disorder. J Consult Clin Psychol. 2001;69:10611065.
67.Markowitz, JG. Interpersonal therapy of personality disorders. In: Oldham, JM, Skodol, AE, Bender, BS, eds. Textbook of Personality Disorders. Washington, DC: American Psychiatric Press; 2005:321334.
68.Tanofsky-Kraff, M, Wilfley, DE. Interpersonal psychotherapy for bulimia nervosa and binge-eating disorder. In: Grilo, CM, Mitchell, JE, eds. The Treatment of Eating Disorders: A Clinical Handbook. New York, NY: The Guilford Press; 2009:271293.
69.McElroy, SL, Mitchell, JE, Wilfley, D, et al.Lisdexamfetamine dimesylate effects on binge eating behavior and obsessive-compulsive and impulsive features in adults with binge eating disorder. Eur Eat Disord Rev. 2016;24:223231.
70.McElroy, SL, Guerdjikova, AI, Mori, N, Munoz, MR, Keck, PE. Overview of the treatment of binge eating disorder. CNS Spectr. 2015;20(6):546556.

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General impulsivity in binge-eating disorder

  • Rebecca G. Boswell (a1) and Carlos M. Grilo (a1) (a2)

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