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Appetite
journal homepage: www.elsevier.com/locate/appet
Multi-method evidence for a dual-pathway perspective of self-regulation in
loss of control over eating among adolescents
Eva Van Malderen
a,∗
, Lien Goossens
a
, Sandra Verbeken
a
, Eva Kemps
b
a
Ghent University, Department of Developmental, Personality and Social Psychology, Henri Dunantlaan 2, 9000, Ghent, Belgium
b
School of Psychology, Flinders University, GPO Box 2100, Adelaide, SA, 5001, Australia
ARTICLE INFO
Keywords:
Adolescents
Loss of control over eating
Dual-pathway perspective
Regulatory processes
Reactive processes
ABSTRACT
Objective: Dual-pathway models propose that loss of control over eating (LOC) is the result of an imbalance
between weaker regulatory and stronger reactive processes. However, these processes are generally captured
with only one assessment method, leading to mixed findings. Additionally, it is unclear whether regulatory
difficulties are generic or food-specific. Therefore, the aim of this study was twofold: (1) to investigate the
interaction between regulatory and reactive processes in predicting the presence of LOC in adolescents, using
both self-report questionnaires and behavioral tasks, and (2) to examine whether generic or food-specific reg-
ulatory processes interact with reactive processes to predict the presence of LOC.
Method: A community sample of 295 adolescents (10–17 years; 67.2% girls; M = 13 years; SD = 1.99) was
allocated to a LOC-Group (n = 93) or a NoLOC-Group (n = 202) based on a self-report questionnaire which
assessed whether participants had experienced LOC over the past month (Children's Eating Disorder Examination
Questionnaire). Both self-report questionnaires and behavioral tasks were used to measure regulatory (Behavior
Rating Inventory of Executive Function and go/no-go task, respectively) and reactive (Behavioral Activation
Scale and dot probe task, respectively) processes. Some adolescents completed a generic go/no-go task and
others a food-specific version. Binary logistic regressions were conducted with LOC as the categorical dependent
variable and regulatory and reactive processes (and their interaction) as the independent variables.
Results: In line with dual-pathway models, the combination of weaker regulatory and stronger reactive processes
was associated with the presence of LOC. This was evident from both the self-report scales and the behavioral
tasks. Preliminary results further suggest that regulatory difficulties seem to be food-specific.
Conclusions: Our results provide multi-method evidence for the dual-pathway account of self-regulation in LOC
among adolescents. Theoretical and practical implications are discussed.
1. Introduction
1.1. Loss of control over eating
Loss of control over eating (LOC), a key feature of binge eating, is
defined as the experience of lack of control while eating. Recent pre-
valence rates suggest that LOC is a common experience among ado-
lescents (He, Cai, & Fan, 2016; Van Malderen, Goossens, Verbeken, &
Kemps, 2018), and is associated with a wide range of physical (e.g.,
weight/fat gain, obesity) and psychosocial (e.g., depressive symptoms,
low self-esteem) problems (Tanofsky-Kraff et al., 2011). Moreover,
longitudinal research has shown that LOC in adolescents may be a
precursor to clinical eating disorders (e.g., Bulimia Nervosa) or other
types of psychopathology (e.g., depression, addiction) (Herpertz-
Dahlmann et al., 2015). Driven by these adverse and long-term con-
sequences, efforts have been made to examine LOC in youth; however,
the explanatory mechanisms of this pathological eating behavior re-
main to be fully understood (e.g., Goldschmidt et al., 2017; Van
Malderen et al., 2018).
1.2. A dual-pathway perspective of self-regulation
Self-regulation can be described as the adaptive regulation of one's
emotions, cognitions and behavior (Nigg, 2017). Dual-pathway models
(e.g., Strack & Deutsch, 2004) propose that adequate self-regulation is
the result of two interacting processes: regulatory processes (e.g., in-
hibitory control, working memory, cognitive flexibility) and reactive
processes (e.g., attentional bias, reward responsiveness, approach-
https://doi.org/10.1016/j.appet.2020.104729
Received 8 January 2020; Received in revised form 7 April 2020; Accepted 2 May 2020
∗
Corresponding author.
E-mail address: eva.vanmalderen@ugent.be (E. Van Malderen).
Appetite 153 (2020) 104729
Available online 06 May 2020
0195-6663/ © 2020 Elsevier Ltd. All rights reserved.
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