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Linking Grazing to Inhibition and Goal-Directed Behaviour in Obesity With and Without Eating Disorder Features

Published online by Cambridge University Press:  28 September 2020

Andreea I. Heriseanu Open the ORCID record for Andreea I. Heriseanu [Opens in a new window] ,
Phillipa Hay  and
Stephen Touyz
Andreea I. Heriseanu*
Affiliation:
Clinical Psychology Unit, School of Psychology, University of Sydney, Camperdown, New South Wales2050, Australia eCentreClinic, Department of Psychology, Macquarie University, Macquarie Park, NSW 2109, Australia
Phillipa Hay
Affiliation:
Translational Health Research Institute, School of Medicine, Western Sydney University, Penrith, New South Wales2751, Australia Campbelltown Hospital, South West Sydney Local Health District (SWSLHD), Campbelltown, NSW 2560, Australia
Stephen Touyz
Affiliation:
Clinical Psychology Unit, School of Psychology, University of Sydney, Camperdown, New South Wales2050, Australia InsideOut Institute, Level 2, The Charles Perkins Centre, University of Sydney, Camperdown, New South Wales2006, Australia
*
*Corresponding author: Andreea I. Heriseanu, Clinical Psychology Unit, School of Psychology, University of Sydney, Level 3 M02 F, 94 Mallett Street, Camperdown, NSW2050, Australia. Email: aher4458@uni.sydney.edu.au
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Abstract

Recent models of obesity and eating behaviour have implicated both automatic responding to food-related cues and executive functioning in driving dietary choice. This study aimed to relate grazing severity to high weight with and without significant eating disorder features via the effects of inhibition and degree of goal-directed behaviour, in persons with obesity with and without significant eating disorder features compared to healthy controls. Forty-four participants with obesity (43.1% endorsing marked eating disorder features), and 43 healthy-weight age- and sex-matched participants (N = 87; 67.8% female, age = 28.57 (8.70; 18.18–58.34) years, BMI = 29.18 (7.80; 18.65–51.95) kg/m2) completed demographic and eating disorder-related questionnaires, a neuropsychological task of inhibition and an instrumental decision-making task. Bootstrapped serial mediation analyses were performed to examine the effect of group on grazing via goal-directed behaviour and inhibition. While significant differences existed between the groups in terms of inhibition, goal-directed behaviour and grazing severity, the effect of group on grazing severity was not found to be mediated by the degree of behavioural goal-directedness and inhibition. Therefore, :in persons with obesity with or without eating disorder symptoms, putative relationships between a reduced inhibitory profile and/or behaviour that is less flexible and goal-directed and eating behaviours such as grazing, remain unclear.

Keywords

grazingobesityeating disordersgoal-directed behaviourinstrumental behaviourmediation
Type
Standard Paper
Information
Behaviour Change , Volume 38 , Issue 1 , April 2021 , pp. 1 - 9
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press.

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References

Appelhans, BM (2009). Neurobehavioral inhibition of reward-driven feeding: Implications for dieting and obesity. Obesity, 17, 640–647. doi:10.1038/oby.2008.638.CrossRefGoogle ScholarPubMed
Burgess, P and Shallice, T (1997). The Hayling and Brixton tests: Test manual. Bury St Edmunds, UK: Thames Valley Test Company.Google Scholar
Conceição, EM, Mitchell, JE, Engel, S, Machado, P, Lancaster, K and Wonderlich, S (2014). What is ‘grazing’? Reviewing its definition, frequency, clinical characteristics, and impact on bariatric surgery outcomes, and proposing a standardized definition. Surgery for Obesity and Related Diseases, 10, 973–982. doi:10.1016/j.soard.2014.05.002.CrossRefGoogle ScholarPubMed
Conceição, EM, de Lourdes, M, Pinto-Bastos, A, Vaz, AR, Brandão, I and Ramalho, S (2018). Problematic eating behaviors and psychopathology in patients undergoing bariatric surgery: The mediating role of loss of control eating. International Journal of Eating Disorders, 51, 507–517. doi:10.1002/eat.22862.CrossRefGoogle ScholarPubMed
Davis, C, Levitan, RD, Carter, J, Kaplan, AS, Reid, C, Curtis, C, … Kennedy, JL (2008). Personality and eating behaviors: A case-control study of binge eating disorder. International Journal of Eating Disorders, 41, 243–250. doi:10.1002/eat.20499.CrossRefGoogle ScholarPubMed
de Wit, S, Kindt, M, Knot, SL, Verhoeven, AAC, Robbins, TW, Gasull-Camos, J, … Gillan, CM (2018). Shifting the balance between goals and habits: Five failures in experimental habit induction. Journal of Experimental Psychology: General, 147, 1043–1065. doi:10.1037/xge0000402.CrossRefGoogle ScholarPubMed
Dohle, S, Diel, K and Hofmann, W (2018). Executive functions and the self-regulation of eating behavior: A review. Appetite, 124, 4–9. doi:10.1016/j.appet.2017.05.041.CrossRefGoogle ScholarPubMed
Fairburn, CG and Beglin, SJ (1994). Assessment of eating disorder psychopathology: Interview or self-report questionnaire? International Journal of Eating Disorders, 16, 363–370. doi:10.1002/1098-108X(199412)16:4< 363::AID-EAT2260160405 > 3.0.CO;2-#.Google ScholarPubMed
Gardner, B, Corbridge, S and McGowan, L (2015). Do habits always override intentions? Pitting unhealthy snacking habits against snack-avoidance intentions. BMC Psychology, 3, 8. doi:10.1186/s40359-015-0065-4.CrossRefGoogle ScholarPubMed
Gettens, KM and Gorin, AA (2017). Executive function in weight loss and weight loss maintenance: A conceptual review and novel neuropsychological model of weight control. Journal of Behavioral Medicine, 40, 687–701. doi:10.1007/s10865-017-9831-5.CrossRefGoogle ScholarPubMed
Gillan, CM, Robbins, TW, Sahakian, BJ, van den Heuvel, OA and van Wingen, G (2015). The role of habit in compulsivity. European Neuropsychopharmacology. doi:10.1016/j.euroneuro.2015.12.033.Google ScholarPubMed
Griffiths, KR, Morris, RW and Balleine, BW (2014). Translational studies of goal-directed action as a framework for classifying deficits across psychiatric disorders. Frontiers in Systems Neuroscience, 8, 101. doi:10.3389/fnsys.2014.00101.CrossRefGoogle ScholarPubMed
Hall, PA and Fong, GT (2007). Temporal self-regulation theory: A model for individual health behavior. Health Psychology Review, 1, 6–52. doi:10.1080/17437190701492437.CrossRefGoogle Scholar
Hall, PA, Fong, GT, Epp, LJ and Elias, LJ (2008). Executive function moderates the intention-behavior link for physical activity and dietary behavior. Psychology & Health, 23, 309–326. doi:10.1080/14768320701212099.CrossRefGoogle ScholarPubMed
Hayes, AF (2017). Introduction to mediation, moderation, and conditional process analysis (2nd ed.). Guilford Press.Google Scholar
Heriseanu, AI, Hay, P, Corbit, L and Touyz, S (2017). Grazing in adults with obesity and eating disorders: A systematic review of associated clinical features and meta-analysis of prevalence. Clinical Psychology Review, 58, 16–32. doi:10.1016/j.cpr.2017.09.004.CrossRefGoogle Scholar
Heriseanu, AI, Hay, P and Touyz, S (2019). Grazing behaviour and associations with obesity, eating disorders, and health-related quality of life in the Australian population. Appetite, 143. doi:10.1016/j.appet.2019.104396.CrossRefGoogle ScholarPubMed
Heriseanu, AI, Hay, P, Corbit, L and Touyz, S (in press). Relating grazing to goal-directed behaviour in obesity with and without eating disorder features. Journal of Eating Disorders, in press.Google Scholar
Hofmann, W, Friese, M and Roefs, A (2009). Three ways to resist temptation: The independent contributions of executive attention, inhibitory control, and affect regulation to the impulse control of eating behavior. Journal of Experimental Social Psychology, 45, 431–435. doi:10.1016/j.jesp.2008.09.013.CrossRefGoogle Scholar
Hofmann, W, Schmeichel, BJ and Baddeley, AD (2012). Executive functions and self-regulation. Trends in Cognitive Science, 16, 174–180. doi:10.1016/j.tics.2012.01.006.CrossRefGoogle ScholarPubMed
Horstmann, A (2017). It wasn't me; it was my brain: Obesity-associated characteristics of brain circuits governing decision-making. Physiology & Behavior, 176. doi:10.1016/j.physbeh.2017.04.001.CrossRefGoogle ScholarPubMed
Horstmann, A, Dietrich, A, Mathar, D, Possel, M, Villringer, A and Neumann, J (2015). Slave to habit? Obesity is associated with decreased behavioural sensitivity to reward devaluation. Appetite, 87C, 175–183. doi:10.1016/j.appet.2014.12.212.CrossRefGoogle Scholar
Janssen, LK, Duif, I, Loon, vI, Wegman, J, de Vries, JHM, Cools, R and Aarts, E (2017). Loss of lateral prefrontal cortex control in food-directed attention and goal-directed food choice in obesity. Neuroimage, 146, 148–156. doi:10.1016/j.neuroimage.2016.11.015.CrossRefGoogle ScholarPubMed
Jones, A, Hardman, CA, Lawrence, N and Field, M (2018). Cognitive training as a potential treatment for overweight and obesity: A critical review of the evidence. Appetite, 124, 50–67. doi:10.1016/j.appet.2017.05.032.CrossRefGoogle Scholar
Kakoschke, N, Aarts, E and Verdejo-García, A (2019). The cognitive drivers of compulsive eating behavior. Frontiers in Behavioral Neuroscience, 12, 338. doi:10.3389/fnbeh.2018.00338.CrossRefGoogle ScholarPubMed
Killcross, S and Coutureau, E (2003). Coordination of actions and habits in the medial prefrontal cortex of rats. Cerebral Cortex, 13, 400–408. doi:10.1093/cercor/13.4.400.CrossRefGoogle ScholarPubMed
Lane, B and Szabó, M (2013). Uncontrolled, repetitive eating of small amounts of food or ‘grazing’: Development and evaluation of a new measure of atypical eating. Behaviour Change, 30, 57–73. doi:10.1017/bec.2013.6.CrossRefGoogle Scholar
Lavagnino, L, Arnone, D, Cao, B, Soares, JC and Selvaraj, S (2016). Inhibitory control in obesity and binge eating disorder: A systematic review and meta-analysis of neurocognitive and neuroimaging studies. Neuroscience & Biobehavioral Reviews, 68, 714–726. doi:10.1016/j.neubiorev.2016.06.041.CrossRefGoogle ScholarPubMed
Lovibond, SH and Lovibond, PF (1995). Manual for the depression anxiety stress scales (2nd ed). Sydney: Psychology Foundation.Google Scholar
Mond, JM, Hay, P, Rodgers, B, Owen, C and Beumont, PJV (2004). Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples. Behaviour Research and Therapy, 42, 551–567. doi:10.1016/S0005-7967(03)00161-X.CrossRefGoogle ScholarPubMed
Preuss, H, Leister, L, Pinnow, M and Legenbauer, T (2019). Inhibitory control pathway to disinhibited eating: A matter of perspective? Appetite, 141. doi:10.1016/j.appet.2019.05.028.CrossRefGoogle ScholarPubMed
Raman, J, Smith, E and Hay, P (2013). The Clinical Obesity Maintenance Model: An integration of psychological constructs including mood, emotional regulation, disordered overeating, habitual cluster behaviours, health literacy and cognitive function. Journal of Obesity, 2013, 240128. doi:10.1155/2013/240128.CrossRefGoogle ScholarPubMed
Raman, J, Hay, P and Smith, E (2014). The Clinical Obesity Maintenance Model: An evaluation. Obesity Research & Clinical Practice, 8, 83. doi:10.1016/j.orcp.2014.10.150.CrossRefGoogle Scholar
Shields, GS, Moons, WG and Slavich, GM (2017). Inflammation, self-regulation, and health: An immunologic model of self-regulatory failure. Perspectives on Psychological Science, 12, 588–612. doi:10.1177/1745691616689091.CrossRefGoogle ScholarPubMed
Verplanken, B and Orbell, S (2003). Reflections on past behavior: A self-report index of habit strength. Journal of Applied Social Psychology, 33, 1313–1330. doi:10.1111/j.1559-1816.2003.tb01951.x.CrossRefGoogle Scholar
Voon, V (2015). Cognitive biases in binge eating disorder: The hijacking of decision making. CNS Spectrums, 20, 566–573. doi:10.1017/s1092852915000681.CrossRefGoogle ScholarPubMed
Wechsler, D (2009). Test of premorbid functioning. San Antonio, TX: The Psychological Corporation.Google Scholar
Yang, YK, Shields, GS, Guo, C and Liu, YL (2018). Executive function performance in obesity and overweight individuals: A meta-analysis and review. Neuroscience & Biobehavioral Reviews, 84, 225–244. doi:10.1016/j.neubiorev.2017.11.020.CrossRefGoogle ScholarPubMed
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