Trajectories of higher- and lower-order dimensions of negative and positive affect relative to restrictive eating in anorexia nervosa

Ann F. Haynos, Kelly C. Berg, Li Cao, Ross D. Crosby, Jason M. Lavender, Linsey M. Utzinger, Stephen A. Wonderlich, Scott G. Engel, James E. Mitchell, Daniel Le Grange, Carol B. Peterson, Scott J. Crow

Research output: Contribution to journalArticlepeer-review

50 Scopus citations


Despite robust support for the role of affect in the maintenance of binge eating and purging, the relationship between affect and restrictive eating remains poorly understood. To investigate the relationship between restrictive eating and affect, ecological momentary assessment data from 118 women with anorexia nervosa (AN) were used to examine trajectories of higher-order dimensions of negative affect (NA) and positive affect (PA), as well as lower-order dimensions of NA (Fear, Guilt) and PA (Joviality, Self-Assurance) relative to restrictive eating. Affect trajectories were modeled before and after restrictive eating episodes and AN subtype was examined as a moderator of these trajectories. Across the sample, Guilt significantly increased before and decreased after restrictive eating episodes. Global NA, Global PA, Fear, Joviality, and Self-Assurance did not vary relative to restrictive eating episodes across the sample. However, significant subtype by trajectory interactions were detected for PA indices. Among individuals with AN restricting subtype, Global PA, Joviality, and Self-Assurance decreased prior to and Self-Assurance increased following restrictive eating episodes. In contrast, Global PA and Self- Assurance increased prior to, but did not change following, restrictive eating episodes among individuals with AN binge eating/purging subtype. Results suggest that dietary restriction may function to mitigate guilt across AN subtypes and to enhance self-assurance among individuals with AN restricting subtype.

Original languageEnglish (US)
Pages (from-to)495-505
Number of pages11
JournalJournal of abnormal psychology
Issue number5
StatePublished - Jul 2017

Bibliographical note

Funding Information:
This work was supported by Grants P30DK050456 from the National Institute of Diabetes and Digestive and Kidney Diseases, Grants R01MH059674 and T32MH082761 from the National Institute of Mental Health, and the Neuropsychiatric Research Institute. The hypotheses and results of this study have been previously presented at the 2016 Academy for Eating Disorders annual conference in San Francisco, CA.

Publisher Copyright:
© 2016 American Psychological Association.


  • Affect regulation
  • Anorexia nervosa
  • Ecological momentary assessment
  • Restrictive eating


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