Evaluating psychometric properties of the Emotional Eating Scale Adapted for Children and Adolescents (EES-C) in a clinical sample of children seeking treatment for obesity: a case for the unidimensional model.

BackgroundThe Emotional Eating Scale - Adapted for Children and Adolescents (EES-C) assesses children's urge to eat in response to experiences of negative affect. Prior psychometric studies have demonstrated the high reliability, concurrent validity, and test-retest reliability of theoretically defined subconstructs among non-clinical samples of children and adolescents who were primarily healthy weight; however, no psychometric studies exist investigating the EES-C among clinical samples of children with overweight/obesity (OW/OB). Furthermore, studies conducted in different contexts have suggested a discordant number of subconstructs of emotions related to eating. The purpose of this study was to evaluate the validity of the EES-C in a clinical sample of children seeking weight-loss treatment.MethodUsing a hierarchical bi-factor approach, we evaluated the validity of the EES-C to measure a single general construct, a set of two separate correlated subconstructs, or a hierarchical arrangement of two constructs, and determined reliability in a clinical sample of treatment-seeking children with OW/OB aged 8-12 years (N = 147, mean age = 10.4 years.; mean BMI z = 2.0; female = 66%; Hispanic = 32%, White and other = 68%).ResultsComparison of factor-extraction methods suggested a single primary construct underlying EES-C in this clinical sample. The bi-factor indices provided clear evidence that most of the reliable variance in the total score (90.8 for bi-factor model with three grouping factors and 95.2 for bi-factor model with five grouping factors) was attributed to the general construct. After adjusting for relationships with the primary construct, remaining correlations among sets of items did not suggest additional reliable constructs.ConclusionResults suggest that the primary interpretive emphasis of the EES-C among treatment-seeking children with overweight or obesity should be placed on a single general construct, not on the 3- or 5- subconstructs as was previously suggested

Steep Discounting of Future Rewards as an Impulsivity Phenotype: A Concise Review.

This chapter provides an overview over the behavioral economic index of impulsivity known as delay discounting. Specifically, delay discounting refers to an individual's preference for smaller immediate rewards over a larger delayed rewards. The more precipitously an individual discounts future rewards, the more impulsive they are considered to be. First, the chapter reviews the nature of delay discounting as a psychological process and juxtaposes it with nominally similar processes, including other facets of impulsivity. Second, the chapter reviews the links between delay discounting and numerous health behaviors, including addiction, attention deficit/hyperactivity disorder, and obesity. Third, the determinants of individual variation in delay discounting are discussed, including both genetic and environmental contributions. Finally, the chapter evaluates delay discounting as a potentially modifiable risk factor and the status of clinical interventions designed to reduce delay discounting to address deficits in self-control in a variety of maladaptive behaviors

Artificial Sweeteners in Animal Models of Binge Eating

Rising rates of obesity in most industrialized countries are a major cause of serious medical conditions, including diabetes, heart disease, and mental health disorders. Binge eating, characterized by excessive consumption of highly palatable food within a short period of time, contributes significantly to these problems, even in individuals who are not diagnosed with binge eating disorder (BED). Over the last half century, the use of non-nutritive substitutes has been promoted as a means to reduce fat and sugar consumption, potentially minimizing obesity-related illnesses. Paradoxically, increased intake of artificial sweeteners is associated with weight gain, which may be linked to alterations in metabolic processes. Artificial sweeteners also increase food intake in both humans and rodents, raising intriguing possibilities that these substances are altering biological processes that underlie the homeostatic control of feeding. We explore this idea by summarizing the clinical and preclinical literature on behavioral and biological mechanisms of artificial sweeteners. As a starting point, we review evidence that non-nutritive sweeteners are rewarding in rodent models, then provide a comparison of neural systems mediating the rewarding properties of natural and artificial sweeteners. We then summarize data pointing to sexual dimorphism in behavioral and biological responses to sucrose, with preliminary evidence suggesting that responses to artificial sweeteners may follow a similar pattern. Finally, we provide an overview of the relationship between binge eating and substance use disorders, noting findings from animal studies that artificial sweeteners could contribute to this comorbidity