Differences in Affect Regulation Abilities Among Dietary- and Dietary-negative Affect Subtypes of Binge Eating Disorder

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ISBN 13 :
Total Pages : 208 pages
Book Rating : 4.:/5 (854 download)

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Book Synopsis Differences in Affect Regulation Abilities Among Dietary- and Dietary-negative Affect Subtypes of Binge Eating Disorder by : Pamela Singer

Download or read book Differences in Affect Regulation Abilities Among Dietary- and Dietary-negative Affect Subtypes of Binge Eating Disorder written by Pamela Singer and published by . This book was released on 2009 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: History and Rationale: Cluster-analytic studies of binge eating disorder (BED) have yielded 2 subtypes (pure dietary and mixed dietary-negative affect). Within the construct of a dual-pathway model, these subtypes are thought to conform to the dietary restraint model and affect regulation model of BED, respectively. While these studies have identified disparate levels of dietary restraint, depression, and self-esteem between the two subtypes, affect regulation has not been comparatively evaluated. Objective: The current study aimed to identify differences in affect regulation between subtypes to explore the fit of the dual-pathway model. The current study also examined change in affect regulation after treatment with 20 sessions of group dialectical behavioral therapy (DBT) adapted for BED. The study further explored the relationship between improvement in affect regulation abilities and reduction in binge eating for each of the two subtypes. Methods: This study examined affect regulation abilities of 48 individuals with BED clustered into dietary (N=27) and dietary-negative affect (N=19) subtypes, both at baseline and after treatment with DBT. Results: Individuals in the dietary-negative affect subtype had significantly higher levels of difficulty in affect regulation than those in the dietary subtype at baseline. Both subtypes exhibited significant improvement in affect regulation abilities after treatment with DBT. A positive relationship was found between improvement in affect regulation abilities and reduction in total binge eating (objective binge episodes plus subjective binge episodes) in the dietary-negative affect subtype as well as for the treatment group as a whole, but not within the dietary subtype. Implications: Findings support the use of the dual-pathway model in understanding subtypes of BED. Results further support the use of individualized treatment for the two subtypes of BED, with results suggesting that the dietary-negative affect subtype benefits from treatment that directly addresses affect regulation.

Using the Dual Pathway Model of Being [i.e. Binge] Eating to Understand the Differential Effectiveness of Dialectical Behavioral Therapy and an Active Comparison Group Therapy

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ISBN 13 :
Total Pages : 130 pages
Book Rating : 4.:/5 (924 download)

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Book Synopsis Using the Dual Pathway Model of Being [i.e. Binge] Eating to Understand the Differential Effectiveness of Dialectical Behavioral Therapy and an Active Comparison Group Therapy by : Iris Hsiao-Jung Lin

Download or read book Using the Dual Pathway Model of Being [i.e. Binge] Eating to Understand the Differential Effectiveness of Dialectical Behavioral Therapy and an Active Comparison Group Therapy written by Iris Hsiao-Jung Lin and published by . This book was released on 2013 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the dual pathway model, affect dysregulation, dietary restraint or a combination of the two explain the development of binge eating disorders. Cluster-analyses have identified two subtypes of binge eaters: a dietary restraint (DR) and a dietary-negative affect (DNA) and research suggests that each subtype develops disordered eating via a different underlying pathway. The DNA subtype consistently shows a poorer treatment response to Cognitive Behavioral Therapy (CBT) and it is hoped that improved understanding of the different mechanisms underlying the subtypes would ultimately contribute to improved treatment options for the DNA subtype. The current study aimed to verify whether the theoretical difference between affect regulation abilities of the two subtypes could be demonstrated using a newly developed measure of emotion dysregulation, the Difficulties in Emotion Regulation Scale (DERS). This study also examines the relationship between improvements in affect regulation and reductions in binge eating for the two subytpes after treatment with either Dialectical Behavioral Therapy (DBT) or an Active Comparison Group Therapy (ACGT). One hundred and one subjects with binge eating disorder (BED) were clustered along DNA and DR dimensions, and randomly assigned to DBT or ACGT. At baseline, significantly greater degrees of affect dysregulation were found in the dietary-negative affect (DNA) compared to dietary restraint (DR) subtype. In addition, a direct relationship was found between improvements in emotion regulation (measured by reduction in DERS scores) and reductions in binge eating behaviors (both objective binge and subjective binge days) among DNA subtypes receiving DBT treatment. The findings support dual pathway model by providing important evidence for the existence of subtype specific mechanisms of therapeutic improvement. In addition, such findings shed light on further development of targeted affect regulation interventions to improve treatment response for patients with BED, especially the DNA subtype.

Negative Affect Among Patients with Binge Eating Disorder

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ISBN 13 :
Total Pages : 190 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Negative Affect Among Patients with Binge Eating Disorder by : Jennifer Zoler Dounchis

Download or read book Negative Affect Among Patients with Binge Eating Disorder written by Jennifer Zoler Dounchis and published by . This book was released on 2001 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recurrent binge episodes, marked by the consumption of a large amount of food and the experience of loss of control, are the hallmark feature of binge eating disorder (BED). A stronger desire to eat when experiencing negative affect is associated with higher levels of binge eating, and is a hypothesized pathway to BED. Interpersonal psychotherapy (IPT), with the goal of improving the interpersonal context in which binge eating occurs, and cognitive behavioral therapy (CBT), with the goal of altering cognitions associated with eating, shape, and weight, have both demonstrated efficacy for the treatment of BED. These treatments result in similar outcomes, but typically half of all patients fail to improve. Investigating the relation of high and low negative affect subtypes to treatment outcome may shed additional light on our ability to predict response to treatment and lead to improved treatment planning and outcome. Through the use of cluster analysis, the subtyping of BED participants along a negative affect dimension was examined as was its relation to treatment outcome in the short- and long-term within a sample of 159 female and male patients receiving group IPT or CBT for BED. At pretreatment, participants within the high negative affect subtype experienced greater levels of eating disorder psychopathology, higher levels of emotional eating, poorer social adjustment, and more current psychopathology and personality disorders, but not weight cycling or efficacy controlling overeating across situations. High negative affect predicted a poorer overall response to treatment due to more difficulty maintaining treatment gains and a correspondingly higher risk for relapse by 1-year follow-up. Although there were no significant treatment-specific findings, results suggest that perhaps a longer or more intensive course of treatment, subsequent maintenance treatment, or alternative treatment specifically targeting high negative affect may be beneficial for this subset of BED patients. Future directions may also include designing a pretreatment screen using the negative affect dimension in order to implement the most effective course of treatment for patients with BED.

The Oxford Handbook of Eating Disorders

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Publisher : Oxford University Press
ISBN 13 : 0190620994
Total Pages : 561 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis The Oxford Handbook of Eating Disorders by : W. Stewart Agras

Download or read book The Oxford Handbook of Eating Disorders written by W. Stewart Agras and published by Oxford University Press. This book was released on 2018 with total page 561 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised to reflect the DSM-5, the second edition of The Oxford Handbook of Eating Disorders features the latest research findings, applications, and approaches to understanding eating disorders. Including foundational topics alongside practical specifics, like literature reviews and clinical applications, this handbook is essential for scientists, clinicians, and students alike.

Potential Moderators of the Relationship Between Dietary Restraint and Binge Eating

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ISBN 13 :
Total Pages : 296 pages
Book Rating : 4.3/5 (129 download)

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Book Synopsis Potential Moderators of the Relationship Between Dietary Restraint and Binge Eating by : Stephanie M. Chervinko

Download or read book Potential Moderators of the Relationship Between Dietary Restraint and Binge Eating written by Stephanie M. Chervinko and published by . This book was released on 2004 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Non-Suicidal Self-Injury in Eating Disorders

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Publisher : Springer Science & Business Media
ISBN 13 : 3642401074
Total Pages : 359 pages
Book Rating : 4.6/5 (424 download)

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Book Synopsis Non-Suicidal Self-Injury in Eating Disorders by : Laurence Claes

Download or read book Non-Suicidal Self-Injury in Eating Disorders written by Laurence Claes and published by Springer Science & Business Media. This book was released on 2013-10-10 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Non-suicidal self-injury and eating disorders represent significant problems among today’s youth and pose unique challenges for clinicians, particularly when they co-occur. This book is a rare resource in that it provides cutting-edge information on the interactions between self-injury and disordered eating, empirically informed treatments for the co-occurrence of these behaviors, and specific topics relevant to understanding nuances in the risk factors, treatment, and prevention of both self-injury and eating disorders. Practitioners, graduate students, and researchers working within this specialized area will find this text to be instrumental in advancing their knowledge and improving the treatment of self-injury in those with eating disorders.

Social Influences on Eating

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Publisher : Springer Nature
ISBN 13 : 303028817X
Total Pages : 235 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Social Influences on Eating by : C. Peter Herman

Download or read book Social Influences on Eating written by C. Peter Herman and published by Springer Nature. This book was released on 2019-09-05 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines how the social environment affects food choices and intake, and documents the extent to which people are unaware of the significant impact of social factors on their eating. The authors take a unique approach to studying eating behaviors in ordinary circumstances, presenting a theory of normal eating that highlights social influences independent of physiological and taste factors. Among the topics discussed: Modeling of food intake and food choice Consumption stereotypes and impression management Research design, methodology, and ethics of studying eating behaviors What happens when we overeat? Effects of social eating Social Influences on Eating is a useful reference for psychologists and researchers studying food and nutritional psychology, challenging commonly held assumptions about the dynamics of food choice and intake in order to promote a better understanding of the power of social influence on all forms of behavior.

Dialectical Behavior Therapy for Binge Eating and Bulimia

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Publisher : Guilford Press
ISBN 13 : 1606232657
Total Pages : 256 pages
Book Rating : 4.6/5 (62 download)

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Book Synopsis Dialectical Behavior Therapy for Binge Eating and Bulimia by : Debra L. Safer

Download or read book Dialectical Behavior Therapy for Binge Eating and Bulimia written by Debra L. Safer and published by Guilford Press. This book was released on 2009-05-20 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: This groundbreaking book gives clinicians a new set of tools for helping clients overcome binge-eating disorder and bulimia. Featuring vivid case examples and 30 reproducibles, the book shows how to put an end to binge eating and purging by teaching clients more adaptive ways to manage painful emotions.

Obesity and Binge Eating Disorder

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Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805578326
Total Pages : 233 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Obesity and Binge Eating Disorder by : Simone Munsch

Download or read book Obesity and Binge Eating Disorder written by Simone Munsch and published by Karger Medical and Scientific Publishers. This book was released on 2005-01-01 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: Overweight and obesity have quite recently become a major problem affecting many countries worldwide. This publication gives a comprehensive overview on the current knowledge of the pathophysiological mechanisms in the regulation of hunger and satiety. An

Dutch Eating Behaviour Questionnaire (DEBQ)

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Publisher :
ISBN 13 : 9780749130183
Total Pages : pages
Book Rating : 4.1/5 (31 download)

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Book Synopsis Dutch Eating Behaviour Questionnaire (DEBQ) by :

Download or read book Dutch Eating Behaviour Questionnaire (DEBQ) written by and published by . This book was released on 2002 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Dutch Eating Behaviour Quetionnaire (DEBQ) assesses the structure of an individual's eating behaviour. the DEBQ contains separate scales for emotional, external, and restrained eating behaviour.

Loss of Control Eating Predicted by the Interaction Between Emotion Regulation Difficulties, Distress Tolerance, and the Expectancy that Eating Reduces Negative Affect

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ISBN 13 :
Total Pages : 111 pages
Book Rating : 4.:/5 (128 download)

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Book Synopsis Loss of Control Eating Predicted by the Interaction Between Emotion Regulation Difficulties, Distress Tolerance, and the Expectancy that Eating Reduces Negative Affect by : Emily Koster Burr

Download or read book Loss of Control Eating Predicted by the Interaction Between Emotion Regulation Difficulties, Distress Tolerance, and the Expectancy that Eating Reduces Negative Affect written by Emily Koster Burr and published by . This book was released on 2021 with total page 111 pages. Available in PDF, EPUB and Kindle. Book excerpt: A prominent theory of binge eating is the affect regulation theory, which posits that individuals binge eat to alleviate negative affect, and subsequently reduced negative affect reinforces the behavior. Although it is well-supported that individuals experience elevated negative affect pre-binge, findings do not consistently evince reduced negative affect after binge eating. Therefore, the affect regulation theory does not fully account for binge eating. However, habitual binge eating without reliable improvement in affect may be accounted for by expectancy theory. Expectancies may be predictive of behavior whether the outcomes of a behavior are inconsistent. Additionally, there is an increasing scientific awareness that a sense of loss of control over eating is the most clinically relevant and psychologically distressing component of binge eating and is still associated with adverse outcomes even without objective over-eating. The psychological correlates of low distress tolerance and difficulty regulating one’s emotions may contribute to loss-of-control-eating (LOCE), although research to-date primarily focuses on binge eating as a whole. Additionally, expectancy theory has yet to specifically address LOCE. Therefore, it is essential to understand the impact of the expectancy eating will alleviate negative affect (NA reduction expectancy) and psychological factors distress tolerance and emotion regulation difficulties on LOCE. This relationship was assessed with a multiple linear regression model including a three-way interaction between the predictor variables using data from a national online sample of U.S. adults. NA reduction expectancy and emotion regulation difficulties had direct associations with LOCE, but distress tolerance did not. Additionally, when NA reduction expectancy was high, distress tolerance failed to moderate the impact of emotion regulation difficulties on LOCE. However, at low NA reduction expectancy / high distress tolerance, emotion regulation difficulties no longer significantly contributed to LOCE. Limitations, clinical implications, and directions for future research are discussed.

Emotion Regulation Strategies in Binge Eating Disorder

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ISBN 13 :
Total Pages : 330 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Emotion Regulation Strategies in Binge Eating Disorder by : Lilya Sitnikov

Download or read book Emotion Regulation Strategies in Binge Eating Disorder written by Lilya Sitnikov and published by . This book was released on 2014 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Binge Eating Disorder (BED) is characterized by recurrent episodes of binge eating without the use of compensatory behaviors. Functional accounts of BED propose that negative affect is an antecedent to binge eating because binge eating serves to alleviate negative affect. However, previous studies investigating the association between negative affect and binge eating have yielded inconsistent findings, perhaps due to individual vulnerability factors that moderate the effects of negative affect on binge eating behavior. As one candidate, the current study investigated emotion regulation strategies that may be implicated in the maintenance of binge eating in BED, particularly under conditions of negative affect: brooding rumination, distress tolerance, and mood-related expectancies for eating. These emotion regulation strategies were: a) compared in 38 women with BED vs. 36 non-eating disordered female controls, b) examined in relation to markers of current binge eating severity among BED women, and c) used as predictors of caloric intake and urge to eat in response to a personally-relevant dysphoric mood induction upon presentation of snack foods in a "taste task." Results revealed that women with BED endorsed higher brooding rumination, more positive expectancies that eating serves to ameliorate negative affect, and lower distress tolerance than controls. Among women with BED, higher brooding rumination was associated with greater binge eating severity, and stronger expectancies that eating reduces negative affect were associated with more frequent binge eating episodes and greater urge to eat in response to depression. Surprisingly, better distress tolerance was associated with more frequent binge eating episodes. Women with BED consumed more calories and reported greater loss of control as well as a greater sense of guilt in response to the taste task relative to control participants. Contrary to hypothesis, there were no direct or indirect effects of any of the three emotion regulation strategies on change in urge to eat or calories consumed on the taste task following sad mood induction in BED women. In controls, better distress tolerance and stronger expectancies that eating alleviates negative affect were associated with decreased caloric intake on the taste task after mood induction. Overall, these findings highlight the importance of considering trans-diagnostic processes in BED as well as the need to identify other theoretically-relevant factors that contribute to the cognitive and behavioral features of BED. Limitations and directions for future studies are discussed.

The Oxford Handbook of Eating Disorders

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Publisher : Oxford University Press
ISBN 13 : 0190662727
Total Pages : 561 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis The Oxford Handbook of Eating Disorders by : W. Stewart Agras

Download or read book The Oxford Handbook of Eating Disorders written by W. Stewart Agras and published by Oxford University Press. This book was released on 2017-12-21 with total page 561 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oxford Handbook of Eating Disorders provides current insights from established experts into the phenomenology, epidemiology, prevention, and treatment of eating disorders. Fully revised to reflect new DSM-5 classification and diagnostic criteria, each chapter of the Second Edition has been updated to feature the latest clinical research findings, applications, and approaches to understanding eating disorders. An additional chapter on emerging issues explores critical questions pertaining to ethics and the use of technology in treating eating disorders. With information on newly documented syndromes and a new section on bariatric surgery, this handbook not only encapsulates where the field is at but also offers astute perspectives on how the field is changing. Including both practical specifics, like literature reviews and clinical applications, as well as a broad view of foundational topics, this handbook is essential for scientists, clinicians, experts, and students alike.

Alcohol Research & Health

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Publisher :
ISBN 13 :
Total Pages : 168 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Alcohol Research & Health by :

Download or read book Alcohol Research & Health written by and published by . This book was released on 2002 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Re-Thinking Eating Disorders

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Publisher : Routledge
ISBN 13 : 0429864892
Total Pages : 214 pages
Book Rating : 4.4/5 (298 download)

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Book Synopsis Re-Thinking Eating Disorders by : Barbara Pearlman

Download or read book Re-Thinking Eating Disorders written by Barbara Pearlman and published by Routledge. This book was released on 2018-07-27 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Re-Thinking Eating Disorders: Language, Emotion, and the Brain, Barbara Pearlman integrates ideas from psychoanalysis, developmental psychology and cutting-edge neuroscience to produce a model of neural emotional processing which may underpin the development of an eating disorder. Based on clinical observations over 30 years, this book explores how state change from symbolic to concrete thinking may be a key event that precedes an eating disorder episode. The book introduces this theory, and offers clinicians working with these challenging clients an entirely new model for treatment: internal language enhancement therapy (ILET). This easily teachable therapy is explored throughout the book with case studies and detailed descriptions of therapeutic techniques. Re-Thinking Eating Disorders will appeal to students and practitioners working with this clinical group who are seeking an up-to-date and integrative approach to therapy.

Affect and Self-regulation in Binge-eaters

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ISBN 13 :
Total Pages : 194 pages
Book Rating : 4.3/5 (555 download)

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Book Synopsis Affect and Self-regulation in Binge-eaters by : Ronald Encarnacion Villejo

Download or read book Affect and Self-regulation in Binge-eaters written by Ronald Encarnacion Villejo and published by . This book was released on 1993 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Psychosocial Risk Factors in the Development, Maintenance and Treatment Outcome of Eating Disorders

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Publisher : Frontiers Media SA
ISBN 13 : 2832554709
Total Pages : 155 pages
Book Rating : 4.8/5 (325 download)

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Book Synopsis Psychosocial Risk Factors in the Development, Maintenance and Treatment Outcome of Eating Disorders by : Matteo Aloi

Download or read book Psychosocial Risk Factors in the Development, Maintenance and Treatment Outcome of Eating Disorders written by Matteo Aloi and published by Frontiers Media SA. This book was released on 2024-09-25 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Eating disorders (EDs) are mental disorders characterized by altered eating habits and excessive concerns about weight and body shape. They arise mainly during adolescence and predominantly affect females. The three most common types of EDs are: •Anorexia nervosa (AN), which is characterized by restriction of food intake, significant low body weight, an intense fear of gaining weight and disturbances in body shape and weight experience; •Bulimia nervosa (BN), which is characterized by recurrent binge-eating episodes followed by behaviors that compensate for the overeating (i.e., self-induced vomiting, excessive exercise, or extreme use of laxatives, enemas or diuretics), and self-evaluation based on body shape and weight; •Binge eating disorder (BED), which is characterized by the recurrence of binge-eating episodes without the use of compensatory behaviors for weight control, and feelings of distress, embarrassment and guilt. To date, researchers and clinicians agree that a multifactorial model is the most suitable for explaining the onset and maintenance of EDs. For example, a risk factor for BED may be lower parental care, as it may trigger greater confusion and uncertainty in responding to unpleasant emotional experiences. This contributes to an impaired personality development, more severe psychopathological symptomatology, and greater difficulty in both identifying and distinguishing feelings of hunger and satiety from other emotions. Attachment styles have also been explored in patients with EDs. According to the attachment theory, attachment insecurity could disrupt the ability to identify and express emotional states and might impair affect regulation skills (i.e. emotional dysregulation). Within the two main dimensions of attachment insecurity (i.e., attachment anxiety and avoidance), higher attachment anxiety is related to greater symptom severity in patients with AN and BN. Moreover, prior studies have examined impaired emotional competences (ECs), theory of mind (ToM) and metacognition, which refer to how individuals identify, express, understand, regulate, and use their emotions or those of significant others. These skills may also explain why attachment insecurity places individuals at greater risk of EDs. Although particular personality traits (i.e. impulsivity, perfectionism, self-esteem), attachment styles, trauma, and metacognition clearly play a role in the onset and maintenance of EDs, little is known about their associations and underlying mechanisms.