Ethics code: IR.SUMS.REC.1400.256
Mohammadi Moghaddm M, Goudarzi M A, Imani M. Prediction of binge-eating disorder based on symptoms of depression, emotion regulation, and psychological flexibility in women with type 2 diabetes. TB 2022; 21 (1) :98-115
URL:
http://tbj.ssu.ac.ir/article-1-3312-en.html
Shiraz University, Shiraz, Iran , mgoodarzi@roze.shirazu.ac.ir
Full-Text [PDF 670 kb]
(457 Downloads)
|
Abstract (HTML) (859 Views)
Full-Text: (1066 Views)
Prediction of binge-eating disorder based on symptoms of depression, emotion regulation, and psychological flexibility in women with type 2 diabetes
Mehrnaz Mohammadi Moghaddm (M.Sc.)1, Mohammad Ali Goodarzi (Ph.D.) 2, Mehdi Imani (Ph.D.)3
1. M.Sc., Department of Psychology, Shiraz University, Shiraz, Iran.
2. Corresponding Author: Professor, Department of Psychology, Shiraz University, Shiraz, Iran.
Email: mgoodarzi@rose.shirazu.ac.ir Tel: 09173051610
3. Assistant Professor, Department of Psychology, Shiraz University, Shiraz, Iran.
Abtarct
Introduction: Type 2 diabetes affects more than 90% of diabetic patients, which in addition to physical complications, is associated with psychological problems, such as binge-eating disorder. Diagnosing and treating binge-eating disorder can improve many comorbidities and type 2 diabetes. Therefore, this study aims to predict binge-eating disorder in women with type 2 diabetes based on symptoms of depression, emotion regulation, and psychological flexibility.
Methods: The present descriptive-correlational study was conducted on 102 people with type 2 diabetes through the cooperation of centers related to diabetes and using social media in a targeted manner. Research tools included the Gormally et al. (1982) binge-eating, the Beck et al. (1996) depression, the Bond et al. (2011) acceptance and the practice, and Graz and Roemer (2004) difficulty in regulation of emotion questionnaires. The data were analyzed by SPSS software version 22 using Pearson correlation coefficient and multiple regression.
Results: The results show that the symptoms of depression, emotion regulation, and psychological flexibility could significantly (p <0.001) predict binge-eating disorder. Among the predictor variables, depression symptoms with a prediction of 33% of the variance of binge-eating disorder, was the best predictor of the disorder in people with type 2 diabetes (p <0.001).
Conclusion: It can be concluded that early detection and treatment of depression symptoms in people with type 2 diabetes, can reduce binge-eating disorder in these people.
Keywords: Binge-Eating Disorder, Psychological Flexibility, Emotion Regulation, Depression Symptoms, Type 2 Diabetes
References
1-World Health Organization. WHO guidelines for indoor air quality: household fuel combustion. World Health Organization; 2014.
2-Mojahed A, Fallah M, Ganjali A, Heidari Z. The role of social support and coping strategies in the prediction of psychological well-being in type 2 diabetic patients of Zahedan. Bali Med J. 2019;8(1):281. [Persian]
3-Chatterjee S, Khunti K, Davies MJ. Type 2 diabetes. Lancet.2017;389(10085):2239–51.
4-Abbott S, Dindol N, Tahrani AA, Piya MK. Binge eating disorder and night eating syndrome in adults with type 2 diabetes: a systematic review. J Eat Disord.2018;6(1):1–8.
5-Javanbakht M, Mashayekhi A, Baradaran HR, Haghdoost AA, Afshin A. Projection of diabetes population size and associated economic burden through 2030 in Iran: Evidence from micro-simulation Markov model and Bayesian meta-analysis. PLoS One.2015;10(7). [Persian]
6-Balhara YP. Diabetes and psychiatric disorders. Indian J Endocrinol Metab. 2011;15(4):274.
7-Bolge SC, Flores NM, Phan JH. The burden of poor mental well-being among patients with type 2 diabetes mellitus: Examining health care resource use and work productivity loss. J Occup Environ Med. 2016;58(11):1121–6.
8-Rahimi M, Jalali M, Nouri R, Rahimi M. The Mediating Role of Resilience and Diabetes Distress in Relationship between Depression and Treatment Adherence in Type 2 Diabetes among Iranian Patients. J Community Heal Res. 2020;9(2):107–18. [Persian]
9-Nezami L, Abiri F, Kheirjoo E. Bulimia in Diabetic Patients: A Review on Diabulimia. Iran J Diabetes Obes. 2018;10(2):102–5. [Persian]
10-Karlsen B, Idsoe T, Dirdal I, Hanestad BR, Bru E. Effects of a group-based counselling programme on diabetes-related stress, coping, psychological well-being and metabolic control in adults with type 1 or type 2 diabetes. Patient Educ Couns.2004;53(3):299–308.
11-Rezaei S, Ahmadi S, Rahmati J, Hosseinifard H, Dehnad A, Aryankhesal A, et al. Global prevalence of depression in HIV/AIDS: a systematic review and meta-analysis. BMJ Support Palliat Care. 2019;9(4):404–12.[Persian]
12-Dickens C, Cherrington A, McGowan L. Depression and health-related quality of life in people with coronary heart disease: a systematic review. Eur J Cardiovasc Nurs. 2012;11(3):265–75.
13-Watts S, Leydon G, Birch B, Prescott P, Lai L, Eardley S, et al. Depression and anxiety in prostate cancer: a systematic review and meta-analysis of prevalence rates. BMJ Open. 2014;4(3):e003901.
14-Wittkopf PG, Zomkowski K, Cardoso FL, Sperandio FF. The effect of chronic musculoskeletal pain on several quality of life dimensions: a critical review. Int J Ther Rehabil. 2017;24(8):327–36.
15-Obinson DJ, Coons M, Haensel H, Vallis M, Yale JF. Diabetes and Mental Health. Can J Diabetes. 2018;42: 130–41.
16-Association AP, Association AP. Diagnostic and statistical manual of mental disorders: DSM-5. United States. 2013.
17-Javaras KN, Pope HG, Lalonde JK, Roberts JL, Nillni YI, Laird NM, et al. Co-occurrence of binge eating disorder with psychiatric and medical disorders. J Clin Psychiatry. 2008;69(2):3749.
18-Kessler RC, Berglund PA, Chiu WT, Deitz AC, Hudson JI, Shahly V, et al. The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biol Psychiatry.2013;73(9):904–14.
19-Daousi C, Casson IF, Gill G V, MacFarlane IA, Wilding JPH, Pinkney JH. Prevalence of obesity in type 2 diabetes in secondary care: association with cardiovascular risk factors. Postgrad Med J. 2006;82(966):280–4.
20-Vetter ML, Amaro A, Volger S. Nutritional management of type 2 diabetes mellitus and obesity and pharmacologic therapies to facilitate weight loss. Postgrad Med. 2014;126(1):139–52.
21-Goebel-Fabbri A, Copeland P, Touyz S, Hay P. Eating disorders in diabetes: Discussion on issues relevant to type 1 diabetes and an overview of the Journal’s special issue. J Eat Disord. 2019;7(1):1–3.
22-Mannucci E, Ricca V, Rotella CM. Clinical features of binge eating disorder in type I diabetes: a case report. Int J Eat Disord.1997;21(1):99–102.
23-Chevinsky JD, Wadden TA, Chao AM. Binge eating disorder in patients with type 2 diabetes: Diagnostic and management challenges. Diabetes, Metab Syndr Obes Targets Ther. 2020;13:1117–31.
24-Izadi TA, Naderi FARM, Naderi FARA, Nikbakht R. Depression in patiens with diabetes: A review article. J Diabetes Nurs.2014;2(2):77–83. [Persian]
25-Dingemans AE, Vanhaelen CB, Aardoom JJ, van Furth EF. The influence of depressive symptoms on executive functioning in binge eating disorder: A comparison of patients and non-obese healthy controls. Psychiatry Res.2019;274:138–45.
26-Haji-Arabi E, Nobahar M, Ghorbani R. Relationship between depression and knowledge about diabetes with the amount of self-care in patients with type 2 diabetes. Koomesh. 2018;210–20. [Persian]
27-Singleton C, Kenny TE, Hallett D, Carter JC. Depression partially mediates the association between binge eating disorder and health-related quality of life. Front Psychol. 2019;10. [Persian]
28-Moemeni F. Effectiveness of Emotion Regulation Training on Depression, Anxiety, and Emotional Dysregulation in Female University Students Living in Dormitories. J Res Behav Sci. 2016;14(1):64–71. [Persian]
29-Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clin Psychol Rev.2010;30(2):217–37.
30-Taylor SE. Health psychology. Oxford University Press; 2010.
31-Richman LS, Kubzansky L, Maselko J, Kawachi I, Choo P, Bauer M. Positive emotion and health: going beyond the negative. Heal Psychol. 2005;24(4):422.
32-Gross JJ. The emerging field of emotion regulation: An integrative review. Rev Gen Psychol. 1998;2(3):271–99.
33-Garnefski N, Kraaij V. Relationships between cognitive emotion regulation strategies and depressive symptoms: A comparative study of five specific samples. Pers Individ Dif. 2006;40(8):1659–69.
34-Munsch S, Meyer AH, Quartier V, Wilhelm FH. Binge eating in binge eating disorder: A breakdown of emotion regulatory process? Psychiatry Res. 2012;195(3):118–24.
35-Bodell LP, Pearson CM, Smith KE, Cao L, Crosby RD, Peterson CB, et al. Longitudinal associations between emotion regulation skills, negative affect, and eating disorder symptoms in a clinical sample of individuals with binge eating. Eat Behav. 2019;32(February 2018):69–73.
36-Svaldi J, Werle D, Naumann E, Eichler E, Berking M. Prospective associations of negative mood and emotion regulation in the occurrence of binge eating in binge eating disorder. J Psychiatr Res. 2019;115(April):61–8.
37-Dingemans A, Danner U, Parks M. Emotion Regulation in Binge Eating Disorder : A Review. 2017;1–11.
38-Kobylińska D, Kusev P. Flexible emotion regulation: How situational demands and individual differences influence the effectiveness of regulatory strategies. Front Psychol. 2019;10:72.
39- Kashdan TB, Rottenberg J. Psychological flexibility as a fundamental aspect of health. Clin Psychol Rev. 2010;30(7):865–78.
40- Morton C, Mooney TA, Lozano LL, Adams EA, Makriyianis HM, Liss M. Psychological inflexibility moderates the relationship between thin-ideal internalization and disordered eating. Eat Behav. 2020;36.
41-Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and Commitment Therapy: Model, processes and outcomes. Behav Res Ther. 2006;44(1):1–25.
42-Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary Psychometric Properties of the Acceptance and Action Questionnaire-II: A Revised Measure of Psychological Inflexibility and Experiential Avoidance. Behav Ther [Internet]. 2011;42(4):676–88. Available from: http://dx.doi.org/10.1016/j.beth.2011.03.007
43-Hayes SC, Strosahl K, Wilson KG, Bissett RT, Pistorello J, Toarmino D, et al. Measuring experiential avoidance: A preliminary test of a working model. Psychol Rec. 2004;54(4):553–78.
44-Lillis J, Hayes SC. Measuring avoidance and inflexibility in weight related problems. Int J Behav Consult Ther. 2008;4(4):348–54.
45-Masuda A, Latzman RD. Psychological flexibility and self-concealment as predictors of disordered eating symptoms. J Context Behav Sci. 2012;1(1–2):49–54.
46-Schaumberg K, Schumacher LM, Rosenbaum DL, Kase CA, Piers AD, Lowe MR, et al. The role of negative reinforcement eating expectancies in the relation between experiential avoidance and disinhibition. Eat Behav.2016;21:129–34.
47-Sarno M. Valued Living and Psychological Flexibility as Predictors of Binge Eating Behavior. Alliant International University; 2020.
48-Butryn ML, Juarascio A, Shaw J, Kerrigan SG, Clark V, O’Planick A, et al. Mindfulness and its relationship with eating disorders symptomatology in women receiving residential treatment. Eat Behav. 2013;14(1):13–6.
49-Gianini LM, White MA, Masheb RM. Eating pathology, emotion regulation, and emotional overeating in obese adults with binge eating disorder. Eat Behav. 2013;14(3):309–13.
50-Moore M, Masuda A, Hill ML, Goodnight BL. Body image flexibility moderates the association between disordered eating cognition and disordered eating behavior in a non-clinical sample of women: A cross-sectional investigation. Eat Behav. 2014;15(4):664–9.
51-Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics. Vol. 5. Pearson Boston, MA; 2007.
52-Gormally J, Black S, Daston S, Rardin D. The assessment of binge eating severity among obese persons. Addict Behav.1982;7(1):47–55.
53-Dezhkam M, Moloodi R, Mootabi F, Omidvar N. Standardization of the Binge Eating Scale among Iranian Obese Population. Psychiatry Interpers Biol Process. 2009;4(4):143–6. [Persian]
54-Izadi R, Neshat Doost HT, Asgari K, Abedi MR. Comparison of the efficacy of Acceptance and Commitment Therapy and Cognitive-Behavior Therapy on symptoms of treatment of patients with obsessive- compulsive disorder. J Behav Sci Res. 2014;12(1):19–33. [Persian]
55-Heydarianfar N, Amanelahe A, Khojastemehr R, Imani M. Effectiveness of Acceptance and Commitment Therapy (ACT) in Increase Marital Quality and Marital Adjustment among Couples City of Dezful City. Achiev Clin Psychol. 2015;1(3):49–66. [Persian]
56-Beck AT, Steer RA, Brown GK. Manual for the beck depression inventory-II. San Antonio, TX: Psychological Corporation; 1996.
57-Kapci EG, Uslu R, Turkcapar H, Karaoglan A. Beck Depression Inventory II: evaluation of the psychometric properties and cut‐off points in a Turkish adult population. Depress Anxiety. 2008;25(10): 104–10.
58-Segal DL, Coolidge FL, Cahill BS, O’Riley AA. Psychometric properties of the Beck Depression Inventory—II (BDI-II) among community-dwelling older adults. Behav Modif. 2008;32(1):3–20.
59-Rajabi G, karju kasmai S. Psychometric properties of a Persian language version of the beck depression inventory second edition. Q Educ Meas. 2012;3(10):139–58. [Persian]
60-Fata L, Birashk B, Atefvahid M, Dabson K. Meaning Assignment Structures/ Schema, Emotional States and Cognitive Processing of Emotional Information: Comparing Two Conceptual Frameworks. Iran J Psychiatry Clin Psychol. 2005;11(342):312–26.
61-Gratz KL, Roemer L. Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behav Assess. 2004;26(1):41–54.
62-Azizi. A, Mirzaei. A, Shams. J. Correlation between Distress Tolerance and Emotional Regulation With Students Smoking Dependence. Hakim Heal Syst Res J. 2010;13(1):11–8. [Persian]
63-Mahmoodi T. Role of emotion regulation, childhood trauma, depression and obesity in predicting binge eating disorder. J Mod Psychol Res. 2019;14(54.2):1–12. [Persian]
64- Hagger V, Hendrieckx C, Sturt J, Skinner TC, Speight J. Diabetes distress among adolescents with type 1 diabetes: a systematic review. Curr Diab Rep. 2016;16(1):9.
65-Harris SR, Carrillo M, Fujioka K. Binge-Eating Disorder and Type 2 Diabetes: A Review. Endocr Pract. 2020.
66-Haedt-Matt AA, Keel PK. Revisiting the affect regulation model of binge eating: a meta-analysis of studies using ecological momentary assessment. Psychol Bull. 2011;137(4):660.
67- 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(2):317.
68-Lacey JH. Pathogenesis. Curr approaches Bulim Nerv.1986;17–26.
69-Kachooei M, Moradi A, Kazemi AS, Ghanbari Z. The discriminative role of emotion regulation and impulsivity in different unhealthy eating patterns. KAUMS J. 2016;20(4):383–90. [Persian]
70-Gross JJ. Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology. 2002;39(3):281–91.
71-Brockmeyer T, Skunde M, Wu M, Bresslein E, Rudofsky G, Herzog W, et al. Difficulties in emotion regulation across the spectrum of eating disorders. Compr Psychiatry. 2014;55(3):565–71.
72-Harrison A, Sullivan S, Tchanturia K, Treasure J. Emotional functioning in eating disorders: attentional bias, emotion recognition and emotion regulation. Psychol Med. 2010;40(11):1887–97.
73-Deaver CM, Miltenberger RG, Smyth J, Meidinger AMY, Crosby R. An evaluation of affect and binge eating. Behav Modif. 2003;27(4):578–99.
74-Munsch S, Michael T, Biedert E, Meyer AH, Margraf J. Negative mood induction and unbalanced nutrition style as possible triggers of binges in binge eating disorder (BED). Eat Weight Disord Anorexia, Bulim Obes. 2008;13(1):22–9.
75-Evers C, Marijn Stok F, de Ridder DTD. Feeding your feelings: Emotion regulation strategies and emotional eating. Personal Soc Psychol Bull. 2010;36(6):792–804.
76-Kehtari Harzangh L, Poursharifi H, Heshmati R. Comparison of impulsivity and experiential avoidance in obese individuals with and without binge eating disorder. Iran J Psychiatry Clin Psychol. 2019;25(1):84–95.
77-Allison KC, Grilo CM, Masheb RM, Stunkard AJ. High self-reported rates of neglect and emotional abuse, by persons with binge eating disorder and night eating syndrome. Behav Res Ther. 2007;45(12):2874–83.
78-Striegel‐Moore RH, Dohm F, Kraemer HC, Schreiber GB, Taylor CB, Daniels SR. Risk factors for binge‐eating disorders: An exploratory study. Int J Eat Disord. 2007;40(6):481–7.
79-Twohig MP, Pierson HM, Hayes SC. Acceptance and commitment therapy. In: Handbook of Homework Assignments in Psychotherapy.2007;113–32.
Type of Study:
Research |
Subject:
Special Received: 2022/02/26 | Accepted: 2022/05/14 | Published: 2022/05/31