Affective lability and impulsivity in a clinical sample of women with bulimia nervosa: the role of affect in severely dysregulated behavior

Int J Eat Disord. 2009 Apr;42(3):259-66. doi: 10.1002/eat.20606.

Abstract

Objective: The primary aim of this study was to examine the role of affective lability in maladaptive behaviors in a sample of women who meet DSM criteria for current bulimia nervosa (BN).

Method: Participants were administered a semistructured diagnostic interview (SCID-P) and only those who currently met criteria for BN (N = 134) were included in the analyses. All other data were collected through the use of self-report questionnaires.

Results: Affective lability significantly predicted the Impulsive Behavior Scale score (sr = 0.21, t = 2.64, p < .009, f(2) = 0.06) and excessive reassurance seeking (sr = 0.21, t = 2.74, p < .007, f(2) = 0.06), even when controlling for age, depressive symptoms, state and trait anxiety, and general impulsivity.

Discussion: The degree to which individuals with BN experience labile emotions is associated with several indicators of dysregulated behavior such that higher levels of affective lability predict a more severely dysregulated behavioral profile.

MeSH terms

  • Adolescent
  • Adult
  • Affect* / physiology
  • Anxiety Disorders / epidemiology
  • Anxiety Disorders / psychology
  • Bulimia Nervosa / epidemiology
  • Bulimia Nervosa / psychology*
  • Comorbidity
  • Depressive Disorder / epidemiology
  • Depressive Disorder / psychology
  • Female
  • Humans
  • Impulsive Behavior / epidemiology
  • Impulsive Behavior / psychology*
  • Middle Aged
  • Mood Disorders / epidemiology
  • Mood Disorders / psychology*
  • Personality Inventory
  • Psychiatric Status Rating Scales
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Young Adult