No Cover Image

Journal article 551 views 130 downloads

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

  • 59321_VoR.pdf

    PDF | Version of Record

    © 2022 The Authors. This is an open access article under the CC BY license

    Download (896.86KB)

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...

Full description

Published in: Appetite
ISSN: 0195-6663
Published: Elsevier BV 2022
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa59321
Tags: Add Tag
No Tags, Be the first to tag this record!
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 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.
Keywords: Night eating syndrome; Attachment anxiety; Disinhibited eating; Emotional eating; Eating to cope
College: Faculty of Medicine, Health and Life Sciences
Funders: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Start Page: 105968