Effects of mood on heart rate reactivity in bulimia nervosa

Subjects were shown a series of slides before and after a negative mood-induction procedure while their heart rate was recorded. Self-reports of mood, craving, and self-efficacy were obtained before and after each series of picture presentations. Significant effects on mood confirmed the effectiveness of the mood-induction procedure in both groups. Following the mood induction, the bulimics showed significantly increased heart rate (HR) decelerations to food pictures, reflecting increased attention (an orienting response). Restrained eaters did not significantly differ in their responses to any of the stimuli in either mood state. The increased attention to food together with the increased craving in the bulimics when experiencing negative mood may help explain bulimics' increased probability of binge eating in response to stressful situations.

[1]  G. Terence Wilson The Treatment of Bulimia Nervosa: A Cognitive-Social Learning Analysis , 2020, Eating, Sleeping, and Sex.

[2]  J. Rodin,et al.  Psychologic and physiologic reactivity to stressors in eating disordered individuals. , 1988, Psychosomatic medicine.

[3]  D. Hatsukami,et al.  Characteristics of 275 patients with bulimia. , 1985, The American journal of psychiatry.

[4]  D J Rohsenow,et al.  Relevance of cue reactivity to understanding alcohol and smoking relapse. , 1988, Journal of abnormal psychology.

[5]  H. Leitenberg,et al.  Analysis of an anxiety model and the process of change during exposure plus response prevention treatment of bulimia nervosa , 1984 .

[6]  G. Wilson,et al.  Cognitive-behavioral treatment of bulimia nervosa: a controlled evaluation. , 1986, Behaviour research and therapy.

[7]  T. Cutts,et al.  Fear of weight gain among bulimic and nondisturbed females , 1986 .

[8]  R. Larson,et al.  Bulimia: An Analysis of Moods and Behavior , 1982, Psychosomatic medicine.

[9]  T. Silverstone,et al.  Is anorexia nervosa a phobic disorder? A psychophysiological enquiry. , 1980, Biological psychiatry.

[10]  David M. Garner,et al.  A naturalistic investigation of eating behavior in bulimia nervosa. , 1988, Journal of consulting and clinical psychology.

[11]  D. Siddle,et al.  Orienting and habituation : perspectives in human research , 1983 .

[12]  J. Laberg Alcohol and expectancy: subjective, psychophysiological and behavioral responses to alcohol stimuli in severely, moderately and non-dependent drinkers. , 1986, British journal of addiction.

[13]  K. Pirke,et al.  Behavioral and biological correlates of dietary restraint in normal life , 1989, Appetite.

[14]  M. Drake Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) , 1988 .

[15]  P. Fonagy,et al.  Autonomic Arousal in Eating Disorders: Further Evidence for the Clinical Subdivision of Anorexia Nervosa , 1983, British Journal of Psychiatry.