Dealing with problematic eating behaviour. The effects of a mindfulness-based intervention on eating behaviour, food cravings, dichotomous thinking and body image concern.

Maastricht University, Faculty of Psychology and Neuroscience, Clinical and Psychological Science, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Appetite (Impact Factor: 2.54). 01/2012; 58(3):847-51. DOI: 10.1016/j.appet.2012.01.009
Source: PubMed

ABSTRACT This study explored the efficacy of a mindfulness-based intervention for problematic eating behavior. A non-clinical sample of 26 women with disordered eating behavior was randomly assigned to an 8-week MBCT-based eating intervention or a waiting list control group. Data were collected at baseline and after 8 weeks. Compared to controls, participants in the mindfulness intervention showed significantly greater decreases in food cravings, dichotomous thinking, body image concern, emotional eating and external eating. These findings suggest that mindfulness practice can be an effective way to reduce factors that are associated with problematic eating behaviour.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Empirical studies using Acceptance and commitment therapy (ACT) and its components to treat eating disorders (EDs) were reviewed. Evidence suggests that emotional avoidance is a major component in the onset and maintenance of EDs. Acceptance and commitment therapy targets emotional avoidance and control strategies with six core processes. These core processes have been applied to EDs and demonstrated improvement in subjects’ functioning and reduction in disordered eating. There are several advantages of using ACT for treating EDs: ACT fundamentally equalizes the therapeutic relationship; experiential techniques in ACT may facilitate lasting treatment gains; ACT navigates the ego-syntonic nature of EDs; the ACT conceptualization based on experiential avoidance and cognitive rigidity in EDs is consistent with current literature. The six core processes of ACT can be further modified to fit the challenges of treating EDs. Specifically, concerns about client motivation for treatment can be addressed by emphasizing creative hopelessness and a values construction process earlier in treatment.
    Journal of Contemporary Psychotherapy 43(2).
  • [Show abstract] [Hide abstract]
    ABSTRACT: There has been growing research indicating the potential positive benefits of mindfulness-based interventions for obesity, but few studies have examined the relationship of mindfulness processes to obesity-related behaviors, particularly among clinical populations such as bariatric surgery candidates. The current study examined the relationship of specific mindfulness facets to a variety of problematic eating behaviors assessed through diagnostic interviews in a clinical sample of 820 patients seeking bariatric surgery. Results indicated that greater mindfulness on specific facets, particularly acting with awareness, were related to less binge and emotional eating. Greater mindfulness was also related, though less consistently, to less habitual overeating and grazing. The observing facet was generally unrelated to problematic eating, but in a few cases being more observant related to having greater eating problems. The results of the study and future directions are discussed in relation to research on problematic eating in obesity and mindfulness-based interventions.
    Eating Behaviors. 01/2014;
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: To describe how frequency and characteristics of traditional meal and non-meal occasions vary by age, gender, presence of children, and body mass index (BMI). Design: A cross-sectional survey was administered to a national demographically balanced sample of adults via an online market research panel. Setting: Online survey. Subjects: Survey respondents were in the 18- to 80-year-old age range and had consumed any food or beverage at home or away from home the previous day. The sample included 2702 adults reporting on 6689 eating/drinking occasions. Most (80.3%) had no children at home; 43.5% were male and about two thirds were overweight/obese. Measures of outcome: Eating occasion characteristics and goals by age, gender, presence of children, and BMI. Results: Older respondents were more likely to report planning traditional meal occasions and report on a breakfast occasion than younger respondents. Two prominent reasons that triggered consumption occasions were habit and hunger/thirst with one dominant benefit of satisfying hunger or thirst. Habit and nutrition played a larger role as a goal for eating occasions for older compared to younger respondents. When children were present in the household, respondents had a goal of connecting with "family, friends, or colleagues" at dinner compared to those without children. Few gender differences were noted; however, women more often reported goals of satisfying hunger/thirst and taste at lunch than men. BMI levels were related to a range of triggers, goals, and behaviors but not as prominently as the relationships observed with age. Those with BMI ≥ 30 were less health conscious regarding dinner and breakfast consumption compared to those with a lower BMI. Conclusions: Among demographic variables, age differences were noted in relation to eating occasion characteristics more often than other demographic characteristics or BMI. Understanding these differences can be beneficial in tailoring promotion of healthful intake at specific eating occasions for particular subgroups.
    Journal of the American College of Nutrition 08/2014; · 1.74 Impact Factor