Anxiety and restrained eating in everyday life: An ecological momentary assessment study

• Published in: Journal of affective disorders Vol. 362; pp. 543 - 551
• Main Authors: Dicker-Oren, S.D., Gelkopf, M., Greene, T.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01-10-2024
• Subjects: Adolescent; Adult; Anxiety; Anxiety - psychology; Disordered eating; Eating disorders; Ecological Momentary Assessment; Feeding and Eating Disorders - psychology; Feeding Behavior - psychology; Female; Humans; Male; Middle Aged; Restrained eating; Surveys and Questionnaires; Young Adult; Ecological momentary assessment; Anxiety; Disordered eating; Restrained eating; Eating disorders
• ISSN: 0165-0327; 1573-2517; 1573-2517
• DOI: 10.1016/j.jad.2024.07.065

Restrained eating has been related to psychological distress like anxiety and eating disorder symptomatology, but little is known about this relationship in daily life in non-clinical populations. We aimed to understand concurrent and temporal associations between momentary anxiety and restrained eating in everyday life within and across persons in a non-clinical sample, and examined whether this association remains after controlling for eating disorder symptomatology.
We used a 10-day ecological momentary assessment (EMA) protocol. Participants (n = 123) completed a baseline survey with demographics and eating disorder symptomatology questions, and three EMA surveys per day reporting anxiety and restrained eating intentions. We applied mixed-effects and random intercept cross-lagged models to analyze the data.
Momentary anxiety and restrained eating were concurrently significantly positively associated within and between persons. When participants had more anxiety than was typical for them, they were more likely to intend to restrain eating, and people with overall higher anxiety symptoms tended to report greater restrained eating over the study period. These associations remained significant after adjusting for eating disorder symptomatology. There were no significant temporal cross-lagged effects. Anxiety-restrained eating association did not spill over into the next assessment window.
The time window between prompts may have been too long to capture potential temporal effects, and we did not examine actual behavioral food restrictions.
Daily-life anxiety may be related to concurrent restrained eating intentions, above and beyond baseline eating disorder symptomatology. Research is needed exploring daily-life anxiety as a potential intervention target to address restrained eating.
•We examined the associations between anxiety and restrained eating in everyday life.•Momentary anxiety was related to restrained eating intentions within and across persons.•These associations were robust beyond the effect of eating disorder symptomatology.•Anxiety and restrained eating association showed no temporal carry-over effects.•Momentary anxiety is an important aspect to consider in the context of restrained eating.