Do emotional responses to food images differ within different types of eating disorders?

Australas Psychiatry. 2020 Apr;28(2):128-133. doi: 10.1177/1039856218789790. Epub 2018 Aug 16.

Abstract

Objectives: To investigate emotional responses to food images in women with eating disorders (EDs) and healthy controls (HCs); and in underweight individuals post weight-restoration.

Methods: Women (>14 years) with (n = 139) and without (n = 41) an ED rated food images evoking fear, disgust and happiness on a three-visual-analogue scale. Underweight participants viewed the images at two time-points; pre- and post-weight-restoration.

Results: HCs were significantly happier, less fearful/anxious prior to viewing the images compared with EDs. Negative emotional responses when viewing images were significantly greater (p < .001) in EDs compared with HCs; however, groups did not differ in happiness. Emotional responses were not significantly different within the ED groups. At post weight-restoration, individuals were significantly less anxious/disgusted when viewing the images.

Conclusions: The importance of considering emotional responses when discussing food consumption in EDs trans-diagnostically is highlighted. Weight recovery reduces negative food responses, although responses remained high in comparison to HCs.

Keywords: eating disorders; emotional response; visual analogue scale.

MeSH terms

  • Adolescent
  • Adult
  • Case-Control Studies
  • Emotions*
  • Fear
  • Feeding and Eating Disorders / psychology*
  • Female
  • Food*
  • Happiness
  • Humans
  • Photography
  • Young Adult