PMID- 35653964 OWN - NLM STAT- MEDLINE DCOM- 20220825 LR - 20230902 IS - 1873-6807 (Electronic) IS - 1740-1445 (Print) IS - 1740-1445 (Linking) VI - 42 DP - 2022 Sep TI - "Feeling fat," disgust, guilt, and shame: Preliminary evaluation of a mediation model of binge-eating in adults with higher-weight bodies. PG - 32-42 LID - S1740-1445(22)00095-X [pii] LID - 10.1016/j.bodyim.2022.05.008 [doi] AB - "Feeling fat" is a subjective state that theoretically contributes to the maintenance of binge eating (BE). However, feeling fat, and its relation to BE among individuals with higher-weight bodies, has been infrequently studied. This study proposes a momentary-level model in which negative moral emotion states (disgust, guilt, shame) mediate the association between feeling fat and binge eating. In this study, 50 adults with higher-weight bodies (M(BMI)=40.3 +/- 8.5 kg/m(2); 84% female) completed a two-week ecological momentary assessment protocol, which measured experiences of feeling fat, emotion states, and binge-eating behavior. Univariate generalized linear mixed models (GLMM) evaluated the momentary associations among levels of feeling fat at Time 1, emotion states at Time 2, and binge eating at Time 2, controlling for Time 1 emotion states. GLMM results suggest that increases in each emotion from Time 1 to Time 2 mediated the association between Time 1 feeling fat and Time 2 binge eating. When modeled simultaneously within one multivariate multilevel structured equation model, disgust appeared to drive the relation between feeling fat and binge eating, over and above guilt and shame. Although preliminary, findings suggest increases in negative moral emotions, particularly disgust, mediate the feeling fat-binge eating association in adults with higher-weight bodies. CI - Copyright (c) 2022. Published by Elsevier Ltd. FAU - Anderson, Lisa M AU - Anderson LM AD - University of Minnesota, Department of Psychiatry and Behavioral Sciences, Minneapolis, MI, USA. Electronic address: ande8936@umn.edu. FAU - Hall, Leah M J AU - Hall LMJ AD - Eastern Oklahoma Veterans' Affairs Health Care System, Tulsa, OH, USA. FAU - Crosby, Ross D AU - Crosby RD AD - Sanford Research, Center for Bio-behavioral Research, Fargo, ND, USA; University of North Dakota School of Medicine and Health Sciences, Department of Psychiatry, Fargo, ND, USA. FAU - Crow, Scott J AU - Crow SJ AD - University of Minnesota, Department of Psychiatry and Behavioral Sciences, Minneapolis, MI, USA; The Emily Program, St. Paul, MI, USA. FAU - Berg, Kelly C AU - Berg KC AD - University of Minnesota, Department of Psychiatry and Behavioral Sciences, Minneapolis, MI, USA. FAU - Durkin, Nora E AU - Durkin NE AD - University of Minnesota, Department of Psychiatry and Behavioral Sciences, Minneapolis, MI, USA; Hazelden Betty Ford Foundation, Plymouth, MI, USA. FAU - Engel, Scott G AU - Engel SG AD - Sanford Research, Center for Bio-behavioral Research, Fargo, ND, USA; University of North Dakota School of Medicine and Health Sciences, Department of Psychiatry, Fargo, ND, USA. FAU - Peterson, Carol B AU - Peterson CB AD - University of Minnesota, Department of Psychiatry and Behavioral Sciences, Minneapolis, MI, USA. LA - eng GR - K23 MH123910/MH/NIMH NIH HHS/United States PT - Journal Article DEP - 20220530 PL - Netherlands TA - Body Image JT - Body image JID - 101222431 SB - IM MH - Adult MH - *Binge-Eating Disorder/psychology MH - Body Image/psychology MH - *Bulimia/psychology MH - *Disgust MH - Emotions MH - Female MH - Guilt MH - Humans MH - Male MH - Shame PMC - PMC10136371 MID - NIHMS1891292 OTO - NOTNLM OT - Binge eating OT - Disgust OT - Feeling fat OT - Guilt OT - Shame COIS- Declarations of Interest None. EDAT- 2022/06/03 06:00 MHDA- 2022/08/26 06:00 PMCR- 2023/09/01 CRDT- 2022/06/02 18:26 PHST- 2021/12/06 00:00 [received] PHST- 2022/05/11 00:00 [revised] PHST- 2022/05/23 00:00 [accepted] PHST- 2022/06/03 06:00 [pubmed] PHST- 2022/08/26 06:00 [medline] PHST- 2022/06/02 18:26 [entrez] PHST- 2023/09/01 00:00 [pmc-release] AID - S1740-1445(22)00095-X [pii] AID - 10.1016/j.bodyim.2022.05.008 [doi] PST - ppublish SO - Body Image. 2022 Sep;42:32-42. doi: 10.1016/j.bodyim.2022.05.008. Epub 2022 May 30.