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THE ROLE OF EXPERIENTIAL AVOIDANCE IN THE ASSOCIATION BETWEEN ANXIETY SENSITIVITY AND EMOTIONAL EATING IN NON-EATING DISORDERED OVERWEIGHT/OBESE INDIVIDUALS SEEKING WEIGHT LOSS TREATMENT BY
Title
THE ROLE OF EXPERIENTIAL AVOIDANCE IN THE ASSOCIATION BETWEEN ANXIETY SENSITIVITY AND EMOTIONAL EATING IN NON-EATING DISORDERED OVERWEIGHT/OBESE INDIVIDUALS SEEKING WEIGHT LOSS TREATMENT BY
Creator
Dave, Pooja N.
Date
2015, 2015-12
Description
Obesity is one of the most rapidly emerging public health concerns whose prevalence far exceeds that of eating disorders (Hudson et al., 2007)...
Show moreObesity is one of the most rapidly emerging public health concerns whose prevalence far exceeds that of eating disorders (Hudson et al., 2007). As most obese individuals do not meet criteria for an eating disorder, emotional eating (EE) may be a more useful construct in understanding obesity more broadly. Anxiety sensitivity (AS) has been recognized as a transdiagnostic risk factor for a variety of problem behaviors including EE in obese individuals (Hearon et al., 2012). In addition, recent research has highlighted the mediating role of maladaptive responses to internal experiences in the association between AS and eating pathology (Anestis et al., 2008). Experiential avoidance (EA) is one such maladaptive response that has garnered attention for predicting maladaptive coping for a range of psychiatric conditions. To date, only one study has examined the relationship between AS and EE in obese individuals (Hearon et al., 2012). This study aims to replicate and extend their findings by examining the role of EA in this relationship. A sample of 127 obese patients without an eating disorder seeking weight-loss treatment completed questionnaires to assess emotional eating, experiential avoidance, and anxiety sensitivity. When controlling for gender, negative affect, and current psychiatric diagnosis and treatment, EA was found to fully mediate the relationship between AS and EE. There was a significant positive indirect effect (B = .285, CI95% = .155-.462) and a non-significant direct effect (B = .039, p = .786. These findings provide initial support for the mediating role of EA in the association between AS and EE in an obese, non-eating disordered, weight-loss treatment-seeking sample.Further, the identification of AS and EA as relevant in the development of emotional eating adds to the growing literature base arguing for the conceptualization of these two factors as transdiagnostic risk factors for a wide range of problem behaviors, including emotional eating. Clinical and research implications are discussed, as well as strengths and limitations of the study. Recommendations for the development of interventions targeting individuals high in anxiety sensitivity, with the intention of reducing experiential avoidance, are also reviewed.Further, the identification of AS and EA as relevant in the development of emotional eating adds to the growing literature base arguing for the conceptualization of these two factors as transdiagnostic risk factors for a wide range of problem behaviors, including emotional eating. Clinical and research implications are discussed, as well as strengths and limitations of the study. Recommendations for the development of interventions targeting individuals high in anxiety sensitivity, with the intention of reducing experiential avoidance, are also reviewed.
Ph.D. in Psychology, December 2015
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ELECTRIC VEHICLE (EV) STORAGE SUPPLY CHAIN RISK AND THE ENERGY MARKET: A MICRO AND MACROECONOMIC RISK MANAGEMENT APPROACH
Title
ELECTRIC VEHICLE (EV) STORAGE SUPPLY CHAIN RISK AND THE ENERGY MARKET: A MICRO AND MACROECONOMIC RISK MANAGEMENT APPROACH
Creator
Aguilar, Susanna D.
Date
2015, 2015-12
Description
NO ABSTRACT
Ph.D. in Management Science, December 2015
Transdiagnostic Emotional Factors as Mediators of the Relation between Obsessive-Compulsive Symptoms and Tobacco Use and Dependence in a Large Community Sample of Adolescents
Title
Transdiagnostic Emotional Factors as Mediators of the Relation between Obsessive-Compulsive Symptoms and Tobacco Use and Dependence in a Large Community Sample of Adolescents
Creator
Chang, Weilynn Christine
Date
2023
Description
This study investigated the associations between obsessive compulsive disorder symptoms (OCS) and tobacco use and tobacco dependence in a...
Show moreThis study investigated the associations between obsessive compulsive disorder symptoms (OCS) and tobacco use and tobacco dependence in a large community sample of adolescents. Specifically, transdiagnostic emotional vulnerability factors (i.e., anhedonia, distress tolerance and anxiety sensitivity) were explored as potential mediators of the relation between OCS and tobacco use/dependence. Weighted logistic regression models found that OCS was significantly positively associated with likelihood of tobacco use in the past six months (when suppressor variables were excluded). Similarly, zero-inflated negative binomial regression models found a significant positive relation between OCS and tobacco dependence (when suppressor variables were excluded). There was no significant weighted indirect effect via anhedonia for the OCS-Tobacco Use association, which suggests that anhedonia was not a significant mediator in this case. However, the indirect effect via anhedonia for the OCS-Tobacco Dependence association was significant at the p < .05 level, but not the adjusted p < .001 threshold (when suppressor variables were removed). The weighted indirect effect via distress tolerance for the OCS-Tobacco Use association was significant at the p < .05 level, but not the p < .001 threshold (when suppressor variables were removed). There was no significant indirect effect via distress tolerance for the OCS-Tobacco Dependence association. There was a significant weighted indirect effect via anxiety sensitivity for the OCS-Tobacco Use association (when suppressor variables were removed). There were no significant indirect effects via anxiety sensitivity for the OCS-Tobacco Dependence association. When overlapping variance was accounted for by including all three mediators simultaneously, anhedonia was still not a significant mediator of the OCS-Tobacco Use association; there were still significant indirect effects via distress tolerance and anxiety sensitivity, under specific model parameters. Our results also revealed that while Asian adolescents demonstrated lower likelihood of tobacco use compared to those who were Hispanic/Latinae, Asian youth demonstrated more severe tobacco dependence symptoms.
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