An examination of affect prior to and following episodes of getting drunk in women with bulimia nervosa

Emily M. Pisetsky, Ross D. Crosby, Li Cao, Ellen E. Fitzsimmons-Craft, James E. Mitchell, Scott G. Engel, Stephen A. Wonderlich, Carol B. Peterson

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

The current study examined the association between affect and self-reported alcohol intoxication in women with bulimia nervosa (BN; N=133). Participants completed a two-week ecological momentary assessment protocol. Momentary global positive affect (PA) and negative affect (NA), as well as the facets of NA (fear, guilt, hostility and sadness), were measured. Forty-five participants endorsed that they "got drunk" during the study period. Daily mean and variability of global PA and NA were compared between days with self-reported alcohol intoxication and days without self-reported alcohol intoxication. Trajectories of affect were modeled prior to and following episodes of self-reported alcohol intoxication. There were no differences in the mean or variability of PA or NA on days characterized by self-reported alcohol intoxication compared to days with no self-reported alcohol intoxication (ps>0.05). PA decreased significantly prior to self-reported alcohol intoxication and remained stable afterwards. There were no changes in global NA before or after self-reported alcohol intoxication, but an examination of the facets of NA showed that sadness increased following episodes of self-reported alcohol intoxication. These findings showed only partial support for a negative reinforcement model of alcohol use in women with BN.

Original languageEnglish (US)
Pages (from-to)202-208
Number of pages7
JournalPsychiatry Research
Volume240
DOIs
StatePublished - Jun 30 2016

Bibliographical note

Funding Information:
Research reported in this publication was supported by Grants R01 MH59674 and T32 MH082761 from the National Institute of Mental Health and the National Center for Advancing Translational Sciences of the National Institutes of Health Award Number UL1TR000114 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Publisher Copyright:
© 2016 .

Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.

Keywords

  • Alcohol use
  • Bulimia nervosa
  • Ecological momentary assessment

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