Emotion regulation in binge eating disorder
Anna Walenda1, Krzysztof Bogusz2, Maciej Kopera3
1Uniwersytet Kardynała Stefana Wyszyńskiego w Warszawie, Instytut Psychologii.
Psychiatria Polska
|April 26, 2022
Summary
Binge eating disorder (BED) is linked to difficulties managing negative emotions, with individuals often using maladaptive strategies. Therapies like CBT-E, DBT, and psychodynamic therapy show promise in treating emotional dysregulation in BED.
Area of Science:
- Psychiatry
- Neuroscience
- Psychology
Background:
- Binge eating disorder (BED) is characterized by impulsivity, compulsivity, altered reward sensitivity, and attentional bias towards food.
- Neuroimaging studies reveal corticostriatal circuitry alterations in BED, similar to substance use disorders, affecting orbitofrontal, prefrontal, and insular cortices.
Purpose of the Study:
- To review literature on emotion regulation in binge eating disorder (BED) from 1990-2020.
- To explore the role of negative emotions and their regulation in BED.
- To identify effective therapeutic interventions for emotional dysregulation in BED.
Main Methods:
- Literature review of studies published in English and Polish.
- Analysis of research on emotion processing, regulation strategies, and neural circuitry in BED.
Main Results:
- Negative emotions, particularly anger, anxiety, and sadness, significantly precede binge eating episodes.
- Individuals with BED frequently employ non-adaptive emotion regulation strategies like rumination and suppression.
- Adaptive strategies such as cognitive reappraisal are underutilized.
- Inconsistency exists regarding whether binge eating alleviates negative affect.
Conclusions:
- Deficits in emotion regulation are central to BED.
- Enhanced cognitive behavioral therapy (CBT-E), dialectic-behavioral therapy (DBT), and psychodynamic therapy are effective treatments for emotional dysregulation in BED.
- Future research should utilize methods like ecological momentary assessment (EMA) to study emotional dynamics within the binge cycle.
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