Individuals with bulimia nervosa spectrum disorders often compulsively engage in binge eating and purging, despite life threatening... Show moreIndividuals with bulimia nervosa spectrum disorders often compulsively engage in binge eating and purging, despite life threatening consequences. Little is known about factors that contribute to compulsivity in these conditions. The purpose of this study was to investigate whether stress and habitual control over bulimic behaviors play a role in maintaining symptoms in these disorders, using ecological momentary assessment. Women with bulimia nervosa spectrum disorders (N = 81) completed self-report baseline questionnaires and a 14-day EMA protocol which involved daily assessments of stress, negative affect, bulimic behaviors, and contextual antecedents to bulimic behaviors. The results indicated that baseline habitual control over binge eating and purging were not associated with global eating pathology or eating disorder-related clinical impairment. However, exploratory analyses revealed that habitual control over binge eating and purging were associated with more frequent engagement in these behaviors during the previous four weeks. Neither stress appraisal nor stressor frequency were associated with habitual control over bulimic behavior during the EMA period. In terms of affect trajectories surrounding bulimic behaviors, negative affect increased in the hours leading up to these behaviors, decreased in the hours following these behaviors, and was higher immediately after these behaviors compared to before. Habitual control over binge eating and purging did not moderate temporal relations between negative affect and bulimic behaviors during the EMA period. Overall, the findings suggest that habit may play a role in maintaining binge eating and purging. Show less
