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Adult attachment anxiety is associated with night eating syndrome in UK and US-based samples: Two cross-sectional studies

Laura Wilkinson Orcid Logo, Angela C. Rowe, Tanisha Douglas, Martin Thirkettle Orcid Logo, Laurence J. Nolan Orcid Logo

Appetite, Volume: 172, Start page: 105968

Swansea University Authors: Laura Wilkinson Orcid Logo, Tanisha Douglas

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DOI (Published version): 10.1016/j.appet.2022.105968

Abstract

Previous research has shown that “attachment anxiety” is a robust predictor of disinhibited eating behaviours and that this relationship is underpinned by difficulties in managing emotion. Night eating syndrome (NES), a proposed eating disorder characterized by evening hyperphagia, nocturnal awakeni...

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Published in: Appetite
ISSN: 0195-6663
Published: Elsevier BV 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa59321
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spelling 2022-09-06T13:33:54.4209336 v2 59321 2022-02-08 Adult attachment anxiety is associated with night eating syndrome in UK and US-based samples: Two cross-sectional studies 07aeb47532af5a8421686d4f22f4a226 0000-0002-8093-0843 Laura Wilkinson Laura Wilkinson true false cd08145c97984798d9ce21b3445cd8c7 Tanisha Douglas Tanisha Douglas true false 2022-02-08 HPS Previous research has shown that “attachment anxiety” is a robust predictor of disinhibited eating behaviours and that this relationship is underpinned by difficulties in managing emotion. Night eating syndrome (NES), a proposed eating disorder characterized by evening hyperphagia, nocturnal awakenings to eat, and morning anorexia, is also associated with eating to manage emotion. Across two studies (N = 276 & N = 486), we considered a relationship between attachment anxiety and NES. In Study 1, we hypothesised (pre-registered) that attachment anxiety would predict NES score and that this relationship would be mediated by disinhibited eating. Participants were asked to complete questionnaire measures of attachment orientation, disinhibited eating (emotional and uncontrolled eating) and NES. Our parallel mediation model confirmed a direct relationship between attachment anxiety and NES (p < .001) and showed an indirect path via both emotional (95% CI: 0.15–0.63) and uncontrolled eating (95% CI: 0.001–0.36). In Study 2, we showed that fear of negative evaluation of eating significantly mediated a reversed relationship between attachment anxiety and NES (95% CI: 0.02–0.04). Finally, across both studies we used a novel tool to assess “eating to cope”. We showed a relationship with emotional eating but failed to show a robust relationship with NES. Attachment orientation may represent a potential intervention target for night eating syndrome. Future research should consider a longitudinal approach to strengthen our understanding of directionality amongst these factors. Journal Article Appetite 172 105968 Elsevier BV 0195-6663 Night eating syndrome; Attachment anxiety; Disinhibited eating; Emotional eating; Eating to cope 1 5 2022 2022-05-01 10.1016/j.appet.2022.105968 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University SU Library paid the OA fee (TA Institutional Deal) This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. 2022-09-06T13:33:54.4209336 2022-02-08T07:39:50.6618358 Faculty of Medicine, Health and Life Sciences School of Psychology Laura Wilkinson 0000-0002-8093-0843 1 Angela C. Rowe 2 Tanisha Douglas 3 Martin Thirkettle 0000-0002-6200-3130 4 Laurence J. Nolan 0000-0003-1235-2225 5 59321__24191__671cdaaa44a646fa8d5fce5271d4f4bd.pdf 59321_VoR.pdf 2022-05-26T13:24:31.6861418 Output 918382 application/pdf Version of Record true © 2022 The Authors. This is an open access article under the CC BY license true eng http://creativecommons.org/licenses/by/4.0/
title Adult attachment anxiety is associated with night eating syndrome in UK and US-based samples: Two cross-sectional studies
spellingShingle Adult attachment anxiety is associated with night eating syndrome in UK and US-based samples: Two cross-sectional studies
Laura Wilkinson
Tanisha Douglas
title_short Adult attachment anxiety is associated with night eating syndrome in UK and US-based samples: Two cross-sectional studies
title_full Adult attachment anxiety is associated with night eating syndrome in UK and US-based samples: Two cross-sectional studies
title_fullStr Adult attachment anxiety is associated with night eating syndrome in UK and US-based samples: Two cross-sectional studies
title_full_unstemmed Adult attachment anxiety is associated with night eating syndrome in UK and US-based samples: Two cross-sectional studies
title_sort Adult attachment anxiety is associated with night eating syndrome in UK and US-based samples: Two cross-sectional studies
author_id_str_mv 07aeb47532af5a8421686d4f22f4a226
cd08145c97984798d9ce21b3445cd8c7
author_id_fullname_str_mv 07aeb47532af5a8421686d4f22f4a226_***_Laura Wilkinson
cd08145c97984798d9ce21b3445cd8c7_***_Tanisha Douglas
author Laura Wilkinson
Tanisha Douglas
author2 Laura Wilkinson
Angela C. Rowe
Tanisha Douglas
Martin Thirkettle
Laurence J. Nolan
format Journal article
container_title Appetite
container_volume 172
container_start_page 105968
publishDate 2022
institution Swansea University
issn 0195-6663
doi_str_mv 10.1016/j.appet.2022.105968
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
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description Previous research has shown that “attachment anxiety” is a robust predictor of disinhibited eating behaviours and that this relationship is underpinned by difficulties in managing emotion. Night eating syndrome (NES), a proposed eating disorder characterized by evening hyperphagia, nocturnal awakenings to eat, and morning anorexia, is also associated with eating to manage emotion. Across two studies (N = 276 & N = 486), we considered a relationship between attachment anxiety and NES. In Study 1, we hypothesised (pre-registered) that attachment anxiety would predict NES score and that this relationship would be mediated by disinhibited eating. Participants were asked to complete questionnaire measures of attachment orientation, disinhibited eating (emotional and uncontrolled eating) and NES. Our parallel mediation model confirmed a direct relationship between attachment anxiety and NES (p < .001) and showed an indirect path via both emotional (95% CI: 0.15–0.63) and uncontrolled eating (95% CI: 0.001–0.36). In Study 2, we showed that fear of negative evaluation of eating significantly mediated a reversed relationship between attachment anxiety and NES (95% CI: 0.02–0.04). Finally, across both studies we used a novel tool to assess “eating to cope”. We showed a relationship with emotional eating but failed to show a robust relationship with NES. Attachment orientation may represent a potential intervention target for night eating syndrome. Future research should consider a longitudinal approach to strengthen our understanding of directionality amongst these factors.
published_date 2022-05-01T04:16:32Z
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