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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
URL: http://tbj.ssu.ac.ir/article-1-3312-en.html
Shiraz University, Shiraz, Iran , mgoodarzi@roze.shirazu.ac.ir
Keywords: Binge-Eating Disorder, Psychological Flexibility, Emotion Regulation, Depression Symptoms, Type 2 Diabetes
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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
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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]
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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.
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Received: 2022/02/26 | Accepted: 2022/05/14 | Published: 2022/05/31
Received: 2022/02/26 | Accepted: 2022/05/14 | Published: 2022/05/31
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