Abstract
Self-monitoring based on recording food is an intervention tool
frequently utilized in eating disorders (EDs) treatment. Appetite
monitoring provides an alternative form of self-monitoring based on
noticing internal appetite cues, that we predicted might be
particularly suitable for subclinical disordered eating pathology.
The goal of the present study was to evaluate the effects of brief
electronic self-monitoring as an early intervention for women at
risk for eating and weight problems. Ninety women with eating and
weight concerns were randomly assigned to either appetite monitor
(AM-App, N=45) or food monitor (FM-App, N=45) for three weeks.
Participants completed a follow-up assessment three weeks after the
end of the intervention to evaluate the sustained effect once
monitoring terminated. Results indicated similar reductions in both
groups on primary outcome measures (binge eating, shape concerns,
dietary intent, and BMI) at post-intervention. These changes were
well maintained at follow-up. Notably, while neither intervention
directly targeted body image, body satisfaction showed some
improvement at post-intervention, which reached a significant level
at follow-up, suggesting that improved regulation of eating
behavior may have a delayed effect on body satisfaction. Results
indicated a significant decrease in risk factors for eating
pathology, including binge eating, dietary intent, shape concerns,
and BMI) for both electronic appetite and food monitoring, and
showed that these reductions were sustained for three weeks after
monitoring was terminated. Baseline data were used to evaluate the
relationships among the variables hypothesized to serve as risk
factors within the dual pathway model of eating pathology (Stice,
Ziemba, Margolis, & Flick, 1996). Support was found for the
dieting pathway leading to binge eating but not for the
hypothesized negative affect pathway.
Table of Contents
Introduction.............................................................1
Method..................................................................14
Results..................................................................22
Discussion.............................................................31
References............................................................43
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