Sustained Effects of Brief Electronic Self-monitoring as an Early Intervention for Eating Pathology 公开

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
Table 1.................................................................52
Table 2.................................................................53
Table 3.................................................................54
Table 4.................................................................55
Table 5.................................................................56
Figure 1................................................................57
Figure 2................................................................58
Figure 3................................................................59
Figure 4................................................................60 Figure 5................................................................62

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School	Laney Graduate School
Department	Psychology
Degree	PhD
Submission	Dissertation
Language	English
Research Field	Psychology, Clinical
关键词	Prevention Self-monitoring Eating Pathology
Committee Chair / Thesis Advisor	Craighead, Linda, Emory University
Committee Members	Barsalou, Lawrence, Emory University Duke, Marshall P, Emory University Lilienfeld, Scott O, Emory University Bliwise, Nancy, Emory University

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