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Attachment anxiety, disinhibited eating, and body mass index in adulthood

Abstract

Several studies report a relationship between body mass index (BMI) and disinhibited eating (a failure to restrict intake and to overeat). However, the aetiology of disinhibited eating has received scant attention. In this study, we consider a role for ‘attachment orientation’, a trait that reflects the quality of bonding in early life and remains stable throughout adulthood. Participants (N=200, females=135, BMI range from 17.4 to 41.1 kg m−2) completed measures of disinhibition and attachment orientation. ‘Attachment anxiety’ was a good predictor of disinhibited eating (P<0.001). Furthermore, mediation analysis confirmed that it is through this relationship that attachment anxiety also predicts BMI (P=0.02). These findings are consistent with other studies, showing an association between attachment orientation and other disinhibited behaviours, including alcohol and substance abuse. Our interpretation is that disinhibited eaters engage in external affect regulation. In doing so, they seek to mitigate the anxiety associated with poor interpersonal attachments.

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References

  1. Westenhoefer J, Broeckmann P, Munch AK, Pudel V . Cognitive control of eating behaviour and the disinhibition effect. Appetite 1994; 23: 27–41.

    Article  CAS  Google Scholar 

  2. Stunkard AJ, Messick S . The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 1985; 29: 71–83.

    Article  CAS  Google Scholar 

  3. Provencher V, Drapeau V, Tremblay A, Despres J-P, Lemieux S . Eating behaviors and indexes of body composition in men and women from the Quebec family study. Obesity 2003; 11: 783–792.

    Article  Google Scholar 

  4. Hays NP, Bathalon GP, McCrory MA, Roubenoff R, Lipman R, Roberts SB . Eating behavior correlates of adult weight gain and obesity in healthy women aged 55–65 y. Am J Clin Nutr 2002; 75: 476–483.

    Article  CAS  Google Scholar 

  5. Bryant EJ, King NA, Blundell JE . Disinhibition: its effects on appetite and weight regulation. Obes Rev 2007; 9: 409–419.

    Article  Google Scholar 

  6. Maunder RG, Hunter JJ . Attachment and psychosomatic medicine: developmental contributions to stress and disease. Psychosom Med 2001; 63: 556–567.

    Article  CAS  Google Scholar 

  7. Dozier MK, Stovall KC, Albus KE . Attachment and Psychopathology in Adulthood. Guildford Press: New York, 1999.

    Google Scholar 

  8. Bowlby J . Attachment & Loss, vol. 1. Basic Books: New York, 1969.

    Google Scholar 

  9. Waters E, Merrick S, Treboux D, Crowell J, Albersheim L . Attachment security in infancy and early adulthood: a twenty-year longitudinal study. Child Dev 2000; 71: 684–689.

    Article  CAS  Google Scholar 

  10. Brennan KA, Clark CL, Shaver PR . Self-Report Measurement of Adult Attachment: An Integrative Overview. Guildford Press: New York, 1998.

    Google Scholar 

  11. Mikulincer M . Adult attachment style and affect regulation: strategic variations in self-appraisals. J Pers Soc Psychol 1998; 75: 420–435.

    Article  CAS  Google Scholar 

  12. Baron RM, Kenny DA . The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986; 51: 1173–1182.

    Article  CAS  Google Scholar 

  13. Sobel ME . Asymptotic Confidence Intervals for Indirect Effects in Structural Equation Models. Jossey-Bass: San Francisco, 1982, pp 290–312.

    Google Scholar 

  14. Quirin M, Pruessner JC, Kuhl J . HPA system regulation and adult attachment anxiety: individual differences in reactive and awakening cortisol. Psychoneuroendocrinology 2008; 33: 581–590.

    Article  CAS  Google Scholar 

  15. Davis D, Shaver PR, Vernon ML . Physical, emotional, and behavioral reactions to breaking up: the roles of gender, age, emotional involvement, and attachment style. Pers Soc Psychol Bull 2003; 29: 871–884.

    Article  Google Scholar 

  16. Levitsky DA, Halbmaier CA, Mrdjenovic G . The freshman weight gain: a model for the study of the epidemic of obesity. Int J Obes Relat Metab Disord 2004; 28: 1435–1442.

    Article  CAS  Google Scholar 

  17. Ingram Fogel C . Hard time: the stressful nature of incarceration for women. Issues Ment Health Nurs 1993; 14: 367–377.

    Article  Google Scholar 

  18. Kayman S, Bruvold W, Stern JS . Maintenance and relapse after weight loss in women: behavioral aspects. Am J Clin Nutr 1990; 52: 800–807.

    Article  CAS  Google Scholar 

  19. Mikulincer M, Hirschberger G, Nachmias O, Gillath O . The affective component of the secure base schema: affective priming with representations of attachment security. J Pers Soc Psychol 2001; 81: 305–321.

    Article  CAS  Google Scholar 

  20. Brunstrom JM, Mitchell GL, Baguley TS . Potential early-life predictors of dietary behaviour in adulthood: a retrospective study. Int J Obes 2005; 29: 463–474.

    Article  CAS  Google Scholar 

Download references

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Correspondence to L L Wilkinson.

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Wilkinson, L., Rowe, A., Bishop, R. et al. Attachment anxiety, disinhibited eating, and body mass index in adulthood. Int J Obes 34, 1442–1445 (2010). https://doi.org/10.1038/ijo.2010.72

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  • DOI: https://doi.org/10.1038/ijo.2010.72

Keywords

  • attachment anxiety
  • attachment avoidance
  • BMI
  • disinhibited eating
  • mediation analysis

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