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What’s driving binge eating? An experience sampling study among adolescents with subclinical and clinical binge eating symptoms

Projectomschrijving

Mensen met een eetbuistoornis hebben regelmatig hevige, onbedwingbare eetbuien. Dit leidt vaak tot allerlei problemen zoals overgewicht, depressie en middelengebruik. De eerste eetbuien kunnen zich al openbaren in de adolescentie. Vroeg ingrijpen is dus noodzakelijk, maar er is eigenlijk nauwelijks iets bekend over de oorzaken en behandeling van eetbuistoornissen bij jongeren. Uit dagboek onderzoek bij volwassenen, waarbij meerdere malen per dag bezigheden en emoties in kaart worden gebracht, bleek dat somberheid, woede, angst en stress vaak vooraf gaan aan eetbuien.

Doel

In dit project onderzoeken we of deze negatieve emoties ook bij jongeren eetbuien uitlokken.

Werkwijze

Hiervoor gaan we een dagboek app ontwikkelen en testen. We zullen ook onderzoeken of deze app een bruikbaar middel is bij de behandeling van jongeren met eetbuien. Tevens bekijken we in een groot bevolkingsonderzoek naar het beloop van symptomen en welke jongeren meer risico lopen dan anderen om eetbuien te krijgen.

Producten

Titel: Population-based research on eating behaviour in children
Auteur: Jansen
Titel: Subclinical binge eating symptoms during early adolescence and its preceding factors: A population-based study
Auteur: Derks, Harris & Jansen
Titel: Prospective associations between parental feeding practices in early childhood and onset of eating disorder symptoms in adolescence: results from the Gemini Twin Study and the Generation R Study
Auteur: Harris, Kininmonth (presenter), Nas, Derks, Boniface, Llewelyn, Jansen
Titel: Psychopathologie binnen gezinnen - Resultaten uit bevolkingsonderzoek onder opgroeiende kinderen
Auteur: Jansen
Titel: Identifying triggers of binge eating in a clinical population: A mixed-method study using Ecological Momentary Assessment
Auteur: Jansen, Derks, Truijens, Wery & Hoek
Titel: Associations between early childhood appetitive traits and eating disorder symptoms in early adolescence: Results from the Gemini Twin Study and the Generation R Study.
Auteur: Derks (presenter), Nas, Harris, Kininmonth, Boniface, Llewelyn & Jansen
Titel: De rol van ouders bij eetgewoonten van kinderen.
Auteur: PW Jansen
Titel: Werkconferenties “Samen op naar een stad met kansen voor jongeren”
Auteur: Gemeente Rotterdam & Rotterdam Experts Connect (RE-CONNECT, netwerk van 5 hoogleraren (inclusief Jansen) gericht op het welzijn van jongeren)
Titel: Links between autism symptoms and problematic eating across childhood
Auteur: PW Jansen
Titel: Subclinical binge eating symptoms during early adolescence and its correlates: A population-based study
Auteur: Jansen, Harris, Derks
Titel: Emotie eten en psychische problemen
Auteur: Jansen
Titel: Population-based research on eating behaviour among children.
Auteur: Jansen, PW
Titel: Obesity-related appetitive traits as predisposing risk factors for binge-eating symptoms in early adolescence: results from the Gemini Twin Study and the Generation R Study
Auteur: Nas Z (presenter), Derks IPM, Harris HA, Kininmonth AR, Boniface D, Llewelyn C, Jansen PW.
Titel: Emotional overeating across the childhood years. Results from the Generation R cohort.
Auteur: Jansen PW, Derks IPM, Thomas R, Tiemeier H, Hillegers MHJ
Titel: Gebruik van apps in (kinder)psychiatrisch onderzoek.
Auteur: PW Jansen
Titel: Eetbuien bij kinderen: pilot data uit een groot cohortonderzoek.
Auteur: Jansen, PW
Titel: Voorspellers van eetbuisymptomen: Bevolkingsonderzoek onder jongeren
Auteur: PW Jansen
Titel: The sex-specific association between autistic traits and eating behavior in childhood: An exploratory study in the general population
Auteur: van 't Hof, Maarten, Ester, Wietske A., Serdarevic, Fadila, van Berckelaer-Onnes, Ina, Hillegers, Manon H.J., Tiemeier, Henning, Hoek, Hans W., Jansen, Pauline W.
Magazine: Appetite
Titel: Food-approach eating behaviors and brain morphology: The Generation R Study.
Auteur: Dmitrichenko O, Mou Y, Voortman T, White TJ, Jansen PW.
Magazine: Frontiers in Nutrition
Titel: Associations of parents’ use of food as reward with children’s eating behaviors and BMI in a population-based cohort.
Auteur: Jansen PW, Derks IPM, Mou Y, van Rijen EHM, Gaillard R, Micali N, Voortman T, Hillegers MHJ
Magazine: Pediatric Obesity
Titel: Subclinical binge eating symptoms in early adolescence and its preceding and concurrent factor: A population-based study.
Auteur: Derks IPM, Harris HA, Staats S, Gaillard R, Dieleman G, Lewellyn CH, Swanson SA, Jansen PW
Magazine: Journal of Eating Disorders
Titel: Child ADHD and autistic traits, eating behaviors and weight: A population-based study.
Auteur: Harris HA, Bowling A, Santos S, Greaves-Lord K, Jansen PW
Magazine: Pediatric Obesity
Titel: Using Food to Soothe in Infancy is Prospectively Associated with Childhood BMI in a Population-Based Cohort
Auteur: Jansen, Pauline W, Derks, Ivonne P M, Batenburg, Amber, Jaddoe, Vincent W V, Franco, Oscar H, Verhulst, Frank C, Tiemeier, Henning
Magazine: Journal of Nutrition
Titel: The association of adverse life events with children’s emotional eating and restrained eating in a population-based cohort.
Auteur: Thomas R, Siliquini R, Hillegers MHJ, Jansen PW
Magazine: International Journal of Eating Disorders
Titel: Predictors and patterns of eating behaviors across childhood: Results from The Generation R study
Auteur: Derks, Ivonne P.M., Bolhuis, Koen, Sijbrands, Eric J.G., Gaillard, Romy, Hillegers, Manon H.J., Jansen, Pauline W.
Magazine: Appetite
Titel: Eten als beloning of troost? Liever niet!
Auteur: Jansen PW
Magazine: Vakblad Vroeg
Titel: Preventie en vroege behandeling van eetstoornissen
Auteur: Gezondheidsraad, namens de commissie (met Jansen als een van de 8 commissieleden)
Titel: Kennis event “Rotterdammer van de toekomst”
Auteur: Generation R
Link: http://www.generationr.nl/generation-r/het-onderzoek/nieuws/generation-r-kennisevent
Titel: Belangrijke gebeurtenissen en het eetgedrag bij kinderen
Auteur: PW Jansen & S Poeran - Bahadoer
Link: https://generationr.nl/generation-r/het-onderzoek/nieuws/
Titel: Denk eens wat vaker na over wat je eet
Auteur: Natalie Hanssen
Link: https://issuu.com/denieuwspeper/docs/npep1
Titel: Voeding als beloning en eetgedrag bij kinderen
Auteur: PW Jansen & S Poeran - Bahadoer
Link: https://generationr.nl/generation-r/het-onderzoek/nieuws/
Titel: Dat vieze gezicht aan tafel kan iets te betekenen hebben
Auteur: Bart Braun
Link: https://www.trouw.nl/wetenschap/dat-vieze-gezicht
Titel: Troosten met eten is niet altijd een goed idee
Auteur: NRC
Link: https://generationr.nl/algemeen/het-onderzoek/pers-en-mediaberichten/
Titel: ARFID te lijf!
Auteur: Rita Maris
Titel: Huilende baby’s troosten met eten en drinken (blog)
Auteur: PW Jansen
Titel: Prospective associations between parental feeding practices in early childhood and onset of eating disorder symptoms in adolescence: results from the Gemini Twin Study and the Generation R Study
Titel: Subclinical binge eating symptoms during early adolescence and its preceding factors: A population-based study
Titel: Bachelor cursus Inleiding in de Psychopathologie
Auteur: Jansen
Titel: Master Klinische Kinder- & Jeugdpsychologie
Auteur: Jansen
Titel: Talkshow Studio Erasmus: Hoe leer je een kind gezond eten?
Auteur: Jansen PW
Link: https://www.youtube.com/watch?v=kqnOh6qmVpE

Verslagen


Samenvatting van de aanvraag

Background: Binge eating disorder (BED) is the most common eating disorder. It has a detrimental effect on individual’s health and well-being, as it may lead to obesity, depressive symptoms and substance abuse. Onset of eating disorder symptoms, including binge eating, is typically in adolescence. It is estimated that up to 5% of adolescents may binge eat occasionally, including both girls and boys, with 1-2% meeting the diagnostic criteria for BED. Yet, knowledge about BED is relatively sparse, particularly among adolescents. Research among adults using Experience Sampling (ES) to assess daily emotions and activities suggest that mood changes precede binge eating episodes among BED patients. Although it is arguable that the same underlying processes apply to adolescents, this assumption clearly needs to be verified. There is also a need to identify risk factors for the onset and progression of binge eating symptoms, and to further investigate the preliminary evidence on gender-specific risk pathways. Such information is needed to define individualized treatment targets, and to provide an evidence-base for BED treatment in adolescence, which is now substantially based on a few adult clinical samples. Aims: • To describe the prevalence, developmental course and correlates of subclinical binge eating symptomatology in adolescence; • To develop and evaluate an ES app for adolescents with binge eating symptoms; • Using the ES app to unravel which emotional and situational factors immediately precede (sub)clinical binge eating episodes in community and treatment seeking samples; • To examine whether the ES app is a useful tool in BED treatment. We hypothesize that binge eating occurs relatively frequently in both female and male adolescents, with gender and sociodemographic differences in the presentation of eating disorder symptomatology. Using ES in clinical and non-clinical samples, we expect to find that stress-inducing situations and negative affect (indicated by self-reported anger, fear, and sadness, and increases in heart rate) precede binge eating episodes among adolescents. We also expect that the ES app is a practical and informative tool for treatment among adolescents with BED. Design and methods: The project consists of three unique parts with different designs and study populations, each fully matched to the research questions and contributing to improved knowledge on BED and individualising interventions using modern eHealth technology. Study 1 is embedded in the Generation R Study in which self-reported information on binge eating is obtained among 13-14 year olds (N˜5000). These data are used to describe the prevalence of subclinical binge eating in a population-based sample, and to identify risk factors (e.g. gender, sociodemographics, mental health, overweight) for the onset and poor developmental course of binge eating. Of note, given the large underrepresentation of males in clinical samples, our population-based design is well-suited to elucidate gender differences in binge eating symptoms. Study 2 is conducted in a subsample of Generation R participants who reported the occurrence of binge eating episodes. These adolescents are invited to participate in an ES study (N˜165). We will develop a smartphone app for adolescents containing a short assessment of current activities, emotions, and binge eating, and a heart rate assessment. In two 5-day periods, adolescents fill out this assessment about 4-5 times daily, either after a randomly-timed signal or when a binge occurs. Study 3 is conducted in a clinical sample of adolescents aged 13-18 years diagnosed with BED, recruited via psychiatric and obesity clinics. This sample (N˜100) receives treatment as usual during which the ES app is used to improve awareness of binge triggers and to monitor therapy effects. The sampled data (and Study 2 data) are used to examine which factors immediately precede binge eating episodes. Then, in a qualitative study among therapists and adolescents, we evaluate the value and practical use of the app as a therapeutic tool. Relevance: Understanding of the aetiology and presentation of binge eating as early as symptoms emerge contributes to identifying potential treatment targets and high-risk groups that may benefit from screening and early interventions. As such, the development of chronic full syndrome BED and associated comorbidities can be prevented. The use of ES among adolescents is exceptional, also in the field of eating disorders, but has high potential to shorten and improve treatment by individualizing therapy. Project group: This unique multidisciplinary project is led by dr. Pauline Jansen. She has an excellent track record in research at the intersection of different disciplines. In this project, she unites researchers and clinicians, with many of whom she has worked with successfully in the past. Each project member has specific expertise uniquely contributing to the successfulness of this project.

Onderwerpen

Kenmerken

Projectnummer:
636320005
Looptijd: 100%
Looptijd: 100 %
2017
2022
Onderdeel van programma:
Gerelateerde subsidieronde:
Projectleider en penvoerder:
prof. dr. P.W. Jansen PhD
Verantwoordelijke organisatie:
Erasmus Universiteit Rotterdam