Emotion Regulation and its Influence on Body-Related Distress in Overweight Women

Overweight and obese individuals are at greater risk for the development of a major depressive disorder. A main factor contributing to negative affect in obese women is body-related worrying. Given the potential benefits of various emotion regulation (ER) strategies in the modification of negative affect, the aim of the present study was to test whether experimentally-induced body dissatisfaction can be modified by ER strategies in obese women. Body dissatisfaction was experimentally induced in a group of 37 obese women using model pictures. Following this, participants were randomly assigned to two different ER strategies: rumination on present emotions and thoughts, or acceptance of whatever thoughts and feelings come up. Weight and appearance satisfaction, distress about body feelings and mood were assessed both prior to, immediately after, and 4 min after the induction. Psychophysiological parameters were assessed continuously. The main results reveal that after the use of ER strategies, weight and appearance satisfaction returned to baseline levels. However, in the rumination condition, distress about body feelings remained above and mood below baseline. In the acceptance condition distress and mood returned to baseline levels. The results are discussed in terms of the usefulness of ER strategies with regard to reducing body-related distress.

[1]  B. Tuschen-Caffier,et al.  Automatic and Intentional Processing of Body Pictures in Binge Eating Disorder , 2011, Psychotherapy and Psychosomatics.

[2]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[3]  Ulrike Zetsche,et al.  The Perseverative Thinking Questionnaire (PTQ): Validation of a content-independent measure of repetitive negative thinking , 2011, Journal of behavior therapy and experimental psychiatry.

[4]  B. Tuschen-Caffier,et al.  Attention to Ugly Body Parts Is Increased in Women with Binge Eating Disorder , 2011, Psychotherapy and Psychosomatics.

[5]  B. Tuschen-Caffier,et al.  Explicit memory bias for positively valenced body-related cues in women with binge eating disorder. , 2010, Journal of behavior therapy and experimental psychiatry.

[6]  H. Doll,et al.  Testing a new cognitive behavioural treatment for obesity: A randomized controlled trial with three-year follow-up , 2010, Behaviour research and therapy.

[7]  H. Lackner,et al.  Effects of Stimuli on Cardiovascular Reactivity Occurring at Regular Intervals During Mental Stress , 2010 .

[8]  S. Gielen,et al.  Please Scroll down for Article the Quarterly Journal of Experimental Psychology Greater Efficiency in Attentional Processing Related to Mindfulness Meditation , 2022 .

[9]  Susanne Schweizer,et al.  Emotion-regulation strategies across psychopathology: A meta-analytic review. , 2010, Clinical psychology review.

[10]  A. McClelland,et al.  Psychological and cumulative cardiovascular effects of repeated angry rumination and visuospatial suppression. , 2009, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[11]  A. Lutz,et al.  Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence , 2009, The Journal of Neuroscience.

[12]  T. Wade,et al.  A randomized controlled trial of brief interventions for body dissatisfaction. , 2009, Journal of consulting and clinical psychology.

[13]  H. Hospers,et al.  Adding cognitive therapy to dietetic treatment is associated with less relapse in obesity. , 2009, Journal of psychosomatic research.

[14]  Tim Dalgleish,et al.  The consequences of effortful emotion regulation when processing distressing material: A comparison of suppression and acceptance , 2009, Behaviour research and therapy.

[15]  Alice T. Sawyer,et al.  How to handle anxiety: The effects of reappraisal, acceptance, and suppression strategies on anxious arousal. , 2009, Behaviour research and therapy.

[16]  P. Malinowski,et al.  Meditation, mindfulness and cognitive flexibility , 2009, Consciousness and Cognition.

[17]  Anne Roefs,et al.  Negative affect and cue-induced overeating in non-eating disordered obesity , 2008, Appetite.

[18]  C. Nederkoorn,et al.  Jolly fat or sad fat? Subtyping non-eating disordered overweight and obesity along an affect dimension , 2008, Appetite.

[19]  B. Tuschen-Caffier,et al.  Mirror exposure reduces body dissatisfaction and anxiety in obese adolescents: A pilot study , 2008, Appetite.

[20]  J. Bower,et al.  Effects of acceptance-oriented versus evaluative emotional processing on heart rate recovery and habituation. , 2008, Emotion.

[21]  Marjorie Woollacott,et al.  Effects of level of meditation experience on attentional focus: is the efficiency of executive or orientation networks improved? , 2007, Journal of alternative and complementary medicine.

[22]  T. Smeets,et al.  Vulnerability to interpretation bias in overweight children , 2007 .

[23]  M. Hautzinger,et al.  Reliabilität und Validität des revidierten Beck-Depressionsinventars (BDI-II) , 2007, Der Nervenarzt.

[24]  E. Dall’aglio,et al.  Changes in Body Image Disturbance in Morbidly Obese Patients 1 Year after Laparoscopic Adjustable Gastric Banding , 2007, Obesity surgery.

[25]  F Keller,et al.  [Reliability and validity of the Revised Beck Depression Inventory (BDI-II). Results from German samples]. , 2007, Der Nervenarzt.

[26]  S. Nieuwenhuis,et al.  Mental Training Affects Distribution of Limited Brain Resources , 2007, PLoS biology.

[27]  K. Dobson,et al.  An experimental investigation of the cognitive vulnerability to depression. , 2007, Behaviour research and therapy.

[28]  H. Baumeister,et al.  Mental disorders in patients with obesity in comparison with healthy probands , 2007, International Journal of Obesity.

[29]  Eric Stice,et al.  Reciprocal relations between rumination and bulimic, substance abuse, and depressive symptoms in female adolescents. , 2007, Journal of abnormal psychology.

[30]  S. Hofmann,et al.  Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. , 2006, Behaviour research and therapy.

[31]  R. Shafran,et al.  Empirically evaluated treatments for body image disturbance: a review , 2006 .

[32]  H. Hospers,et al.  Overweight and obesity: the significance of a depressed mood. , 2006, Patient education and counseling.

[33]  J. Veijola,et al.  Obesity and depression: results from the longitudinal Northern Finland 1966 Birth Cohort Study , 2006, International Journal of Obesity.

[34]  J. Stillman,et al.  An Empirical Investigation of Discrimination against Overweight Female Job Applicants in New Zealand , 2005 .

[35]  B. Tuschen-Caffier,et al.  Body–Related Cognitions in Binge–Eating Disorder and Bulimia Nervosa , 2005 .

[36]  C. Nederkoorn,et al.  Selective visual attention for ugly and beautiful body parts in eating disorders. , 2005, Behaviour research and therapy.

[37]  Maria Karekla,et al.  Measuring experiential avoidance: A preliminary test of a working model , 2004 .

[38]  B. Tuschen-Caffier,et al.  Sensitivity to change of scales assessing symptoms of bulimia nervosa , 2004, Psychiatry Research.

[39]  B. Tuschen-Caffier,et al.  Eating Disorder Examination: Deutschsprachige Version des strukturierten Essstörungsinterviews , 2004 .

[40]  M. Tiggemann,et al.  The Role of Social Comparison in the Effect of Magazine Advertisements on Women's Mood and Body Dissatisfaction , 2004 .

[41]  H. Pollack,et al.  Social marginalization of overweight children. , 2003, Archives of pediatrics & adolescent medicine.

[42]  Jennifer S. Mills,et al.  Effects of Exposure to Thin Media Images: Evidence of Self-Enhancement among Restrained Eaters , 2002 .

[43]  B. Tuschen-Caffier,et al.  Evaluation des Fragebogens zum Figurbewusstsein (FFB, deutsche Version des Body Shape Questionnaire) , 2002, Verhaltenstherapie.

[44]  A. Geliebter,et al.  Body image disturbance in obese outpatients before and after weight loss in relation to race, gender, binge eating, and age of onset of obesity. , 2002, The International journal of eating disorders.

[45]  K. Brownell,et al.  Bias, discrimination, and obesity. , 2001, Obesity research.

[46]  Marimuthu Palaniswami,et al.  Do existing measures of Poincare plot geometry reflect nonlinear features of heart rate variability? , 2001, IEEE Transactions on Biomedical Engineering.

[47]  H. Hospers,et al.  One-year follow-up effects of two obesity treatments on psychological well-being and weight. , 2001, British journal of health psychology.

[48]  J. Margraf,et al.  Obesity and mental illness in a representative sample of young women , 2001, International Journal of Obesity.

[49]  C. Fairburn,et al.  A new cognitive behavioural approach to the treatment of obesity. , 2001, Behaviour research and therapy.

[50]  C. Grilo,et al.  Childhood psychological, physical, and sexual maltreatment in outpatients with binge eating disorder: frequency and associations with gender, obesity, and eating-related psychopathology. , 2001, Obesity research.

[51]  E. Stice A prospective test of the dual-pathway model of bulimic pathology: mediating effects of dieting and negative affect. , 2001, Journal of abnormal psychology.

[52]  A. Astrup,et al.  Obesity : Preventing and managing the global epidemic , 2000 .

[53]  D. Neumark-Sztainer,et al.  Mistreatment due to weight: prevalence and sources of perceived mistreatment in women and men. , 1999, Obesity research.

[54]  J. Goldberger,et al.  Sympathovagal balance: how should we measure it? , 1999, The American journal of physiology.

[55]  H. Doll,et al.  Risk factors for binge eating disorder: a community-based, case-control study. , 1998, Archives of general psychiatry.

[56]  W Linden,et al.  Physiological stress reactivity and recovery: conceptual siblings separated at birth? , 1997, Journal of psychosomatic research.

[57]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[58]  J. Thompson,et al.  Body Image and Televised Images of Thinness and Attractiveness: A Controlled Laboratory Investigation , 1995 .

[59]  C. Crandall Do Parents Discriminate Against their Heavyweight Daughters? , 1995 .

[60]  R. Tindale,et al.  Bias against overweight job applicants in a simulated employment interview. , 1994, The Journal of applied psychology.

[61]  S. Nolen-Hoeksema,et al.  Effects of rumination and distraction on naturally occurring depressed mood , 1993 .

[62]  M. First,et al.  The Structured Clinical Interview for DSM-III-R (SCID). I: History, rationale, and description. , 1992, Archives of general psychiatry.

[63]  S. Grunert Ein Inventar zur Erfassung von Selbstaussagen zum Ernährungsverhalten. , 1989 .

[64]  M. Taylor,et al.  The development and validation of the body shape questionnaire , 1987 .

[65]  Tatjana van Strien,et al.  The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior , 1986 .

[66]  Jacob Cohen Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[67]  M. Potenza,et al.  Obesity and Binge Eating Disorder , 2010 .

[68]  M. Makara-Studzińska,et al.  [Obesity and body image]. , 2009, Psychiatria polska.

[69]  R. Kessler,et al.  Obesity and mental disorders in the general population: results from the world mental health surveys , 2008, International Journal of Obesity.

[70]  M. Craske,et al.  Optimizing inhibitory learning during exposure therapy. , 2008, Behaviour research and therapy.

[71]  M. McCullough,et al.  Rumination, fear, and cortisol: an in vivo study of interpersonal transgressions. , 2007, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[72]  B. Tabachnick,et al.  Using multivariate statistics, 5th ed. , 2007 .

[73]  F. Weiss Weight Bias: Nature, Consequences, and Remedies , 2007 .

[74]  P. Warschburger Diagnostik von Essstörungen und Adipositas , 2006 .

[75]  P. Costanzo,et al.  Body image partially mediates the relationship between obesity and psychological distress. , 2002, Obesity research.

[76]  C. Perry,et al.  Weight-teasing among adolescents: correlations with weight status and disordered eating behaviors , 2002, International Journal of Obesity.

[77]  Cheryl L. Maranto,et al.  Weight Discrimination: A Multidisciplinary Analysis , 2000 .

[78]  A. Beck,et al.  Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation , 1988 .