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.2021 Aug 30:110:110318.
doi: 10.1016/j.pnpbp.2021.110318. Epub 2021 Mar 29.

Impulsivity and compulsivity in binge eating disorder: A systematic review of behavioral studies

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Impulsivity and compulsivity in binge eating disorder: A systematic review of behavioral studies

Meagan M Carr et al. Prog Neuropsychopharmacol Biol Psychiatry..

Abstract

Background: Binge eating disorder (BED) often includes impulsive and compulsive behaviors related to eating behavior and food. Impulsivity and compulsivity generally may contribute to the etiology and maintenance of multiple psychiatric disorders including BED. This review aimed to identify and synthesize available behavioral studies of impulsivity and compulsivity among individuals with BED.

Method: A systematic search was performed focusing on BED and specific facets of impulsivity (rapid response and choice) and compulsivity (set-shifting, cognitive flexibility, and/or habit learning). All case-control studies comparing adults with either full-threshold or subthreshold BED to individuals with normal weight, overweight/obesity, or other eating disorders (e.g., bulimia nervosa) were included.

Results: Thirty-two studies representing 29 unique samples met inclusion criteria. Increased choice impulsivity was observed among individuals with BED relative to individuals with normal weight. There were mixed findings and/or a lack of available evidence regarding rapid response impulsivity and compulsivity. The presence of between-group differences was not dependent on sample characteristics (e.g., full or sub threshold BED diagnosis, or treatment-seeking status). Heterogeneity relating to covariates, task methodologies, and power limited conclusions.

Conclusions: Literature supports a postive association between choice impulsivity and BED. More research is needed to determine if individuals with BED demonstrate elevated levels of either rapid response impulsivity or types of compulsivity. Careful selection of covariates and consideration of task methodologies and power would aid future research.

Keywords: Binge-eating disorder; Cognition; Compulsivity; Delay discounting; Impulsivity; Obesity.

Copyright © 2021 Elsevier Inc. All rights reserved.

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Conflict of interest statement

Potential conflicts of interest: The authors (Carr, Wiedemann, Macdonald-Gagnon, Potenza) report no conflicts of interest with respect to the content of this manuscript. The authors alone are responsible for the content and writing this paper. Dr. Potenza has consulted for and advised Rivermend Health, the Addiction Policy Forum, Game Day Data, Opiant/Lightlake Therapeutics, AXA and Idorsia Pharmaceuticals; received research support from the Mohegan Sun Casino and the National Center for Responsible Gaming; and consulted for legal and gambling entities on issues related to impulse control and addictive behaviors. The other authors report no financial relationships with commercial interests.

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Fig. 1.
PRISMA flow chart of study identification and inclusion.
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