Relationship between Binge Eating and Stress

Relationship between Binge Eating and Stress Binge Eating and Stress: Is it Behavioral or Biological? ABSTRACT Stress is often inevitable in today’s fast paced world. People are struggling with positive coping mechanisms to deal with everyday life stressors. Binge eating (BE) can arise from maladaptive coping mechanisms that can be triggered from stress. Research has been limited in categorizing binge eating as either behavioral or biological due to BE being a recent disorder discovery and its overlap between neural and psychological dependence. This review aims to explain the differences between biological and psychological associations and the correlation stress has in both aspects of BE. Key Words: Binge Eating, Stress, Eating Disorder, Food Addiction, Psychological Dependence INTRODUCTION At some point in their lives, people have experienced some form of stress that lead them to turn to coping mechanisms to overcome the stressor(s). Work, college, family, and the pursuit of happiness can consume an individual to perform at optimum, sometimes unrealistic levels. In today’s world, college students and young professionals report the highest levels of stress compared to older generations. Thirty-nine percent of Millennials say their stress has increased in the last year, compared to 36 percent of Generation Xers, 33 percent of Baby Boomers and 29 percent of Matures (Stress by Genarations, 2012).   The form in which people deal with stress varies from individual but maladaptive forms of coping mechanisms such as Binge eating are becoming more popular among young individuals, particularly women (Fischer, 2017).   Binge Eating (BE) is consuming a very large amount of food within a short period of time with no sense of control over one’s eating, and no purgi ng afterwards (Parakeh).   People who have low self-esteem, anxiety, depression, body image issues, dieting obsessed, compulsive tendencies and academic perfection goals are more likely to develop an eating disorder such as BE (Cain, 2008).   BE so far has been classified as an eating disorder along with Anorexia Nervosa and Bulimia (Hardway, 2015), but there are more underlying symptoms that make it difficult to categorize under purely addictive psychological dependence or if it’s a neural response to stress. Psychological conditions such as depression, anxiety and low-self-esteem can manifest themselves when triggered by a situation or stressor that would make the individual turn to BE for relief or avoidance (Shelton, 2010). According to the Yale Food Addiction Scale (YFAS), which is a measure to identify individuals show signs related to substance dependence with the consumption of high fat/high sugar food such as food addiction (YFAS) individuals whose symptoms fit u nder YFAS have a strong correlation to food addiction. The YFAS proposes that the characteristics of binge eating goes hand in hand with what currently qualifies as substance dependence. Also, scores on the YFAS predicted binge eating behavior and emotional eating in a study of obese women who were dieting (Parylak, 2011). Alternatively, studies have been conducted that have found when stress levels are high, individuals are more likely to gravitate towards high-fat, high-sugar palatable foods in excess versus times of little to no stress. Neuronal activity monitored by a functional magnetic resonance imaging (fMRI) showed activation of various limbic system areas such as, the right amygdala (emotions, motivation), Cingulate cortex (emotion formation, memory), Hippocampus (regulates emotions), and Putamen (movement of limbs) (Figure 1, 2 and 3) (Born, 2010). Stress response initiates itself in the hypothalamus pituitary adrenal (HPA) axis and the sympathetic-adrenomedullary (SAM) sy stem (Adam, 2007). The overlapping and differential aspects of stress induced BE in the biological or psychological aspect have not yet been reviewed and the purpose of this review is to compare both sides, using research already done in both areas to determine how stress-induced BE should be categorized. Stress and Categories The Neuronal Approach Studies have been done to research the effects of stress on the brain mostly on animals like mice. The studies have revealed that in rats, stress can lead to choosing of lards and sugars over other foods (Adam, 2007). A study done relating animal and human literature took focus on the neuroendocrine mediators, insulin and cortisol and reviewed the neural circuitry of the reward system that is linked with food (Adam, 2007). Animal models resulted in glucocorticoids allowing for more pleasurable food intake and the consumption of drugs. A tail pinch in rats is considered a stressor and when the tail is pinched the rat would eat more caloric dense food. After a 24 hour rest period the rat would not eat to compensate for the calories taken in. However, if the tail pinching was consistent, the rat would eat more and still ate during the rest period. This can equate into human terms, as how constant severe stressors, for example college finals happening at the same time four research papers are due, and fast food available virtually everywhere can lead a very stressed person into a consumption frenzy of unlimited caloric dense food (Adam, 2007). The activation of the HPA axis as well as other transmitters accounts for the release of endogenous opioids which affect the body by trying to relax it when it’s in a heightened state. When the opioids are released (as response to a stressor) they contribute to the consumption of high-fat/high-sugar foods, and likewise these palatable foods sustain the release of the opioids. Therefore, if food is concluded to shut down stress pathways as before mentioned, (deactivating the HPA axis), so there’s not a continuous influx of stressful signal transduction (such as adrenaline release), and food is a coping mechanism of choice, then neurologically a stressed-out person is wired to seek out fatty foods to compensate for the amounts of stress triggering reactions in their body (Adam, 2007). In another research study, human subjects were tested under stressful and non-stressful conditions (a solvable math test and an unsolvable math test), given two fMRI’s and five blood tests. The test subjects were then asked to choose what kind of food appealed to them more after the test and a meal was also given before of their choosing. The results indicated that under stress food intake was larger than non-stressed. Subjects would have higher energy intake, protein intake and carbohydrate intake compared with the non-stressed subjects, as foods that were more palatable were chosen (higher in sugar, fat, salt, and more textured) (Born, 2010). These results correlate with other studies mentioned in this research, that also stated that stressed subjects have higher energy intakes therefore they tend to eat more nutrient dense foods compared to those who are not stressed. The areas of the brain that were stimulated were those that are linked to the reward system. The reward system is a dependence system is the brain that is activated by pleasurable foods, and drugs that leave the feeling of one wanting more. Constant stimulation of the reward system leads to desensitization which will increase the craving for palatable foods and have neurobiological adaptions to stimulate eating when not hungry. (Adam, 2007). The fMRI scans show regions of the limbic system that were activated when stressed given the choice to choose foods that were appealing (Figures 1,2 and 3) (Born, 2010). Brain reward in eating in the absence of hunger Figure 1. Sagittal (a), coronal (b) and transversal (c) sections, showing the GLM contrast of choosing something versus choosing nothing. Significant activation is visible in the left frontal cortex ( 21, 58, 13; Po0.05 FDR corrected). (Photo taken from Born, 2010). Figure 2. Two sagittal (a, b) sections at different planes and a transversal (c) section with the GLM contrast of choosing breakfast versus choosing a meal postprandially. There is a clear activation in the orbitofrontal cortex (3, 48, 1), frontal cortex (13, 61, 20 and 12, 63, 21) and putamen (18, 5, 5; Po0.05 FDR corrected). (Photo taken from Born 2010). Figure 3. Sagittal (a), coronal (b) and transversal (c) sections, showing the GLM contrast rest condition versus stress condition. Significant activation in present in the putamen (22, 4, 3 and 23, 11, 4) and the orbitofrontal cortex ( 8, 28, 6, Po0.05 FDR corrected). (Photo taken from Born, 2010). A sleep study was conducted identifying lack of sleep as a stressor. This is a common stressor of many college students for example that are loaded with excessive workloads, and young professionals who must meet the demands of their job fields. Subjects spent six days in bed for 9 hours or 4 hours and were submitted to MRI scanning on the sixth day and shown images of high and low calorie foods as well as nonfood items. The results showed overall neuronal activity was greater after restricted sleep than habitual sleep in response to food images. There was also more brain activity in areas of the brain associated with the reward pathways (Orbital frontal Cortex, insula, and regions of the basal ganglia). The brain regions in which activity was detected are related to motivation and desire so individuals who are not getting enough sleep are more prone to binge eating (St. Onge, 2012). Similarly, research has been conducted on nocturnal eating in response to stress and it was found that nocturnal eaters were more likely to binge eat than their counterparts. The stressors in this study were mostly psychological (self-esteem issues, body shaming, depression etc.) but as mentioned before if there is a lack of sleep it will trigger neuronal activity to seek out palatable food, and sometimes it is uncontrolled, leading to binge eating (Striegel-Moore, 2010).   Another study conducted previously tested subjects in a similar manner and found that those subjects with Night Eating Syndrome (NES) were also associated with binge eating (Colles, 2007). Obesity was concurrent with NES and most subjects that have NES were male according to Colles. The Psychological Approach Binge Eating is generally more closely associated with psychological factors such as depression, low self-esteem, poor body image perception, academic insufficiency, and weight-loss goals (Han, 2017). These factors are also closely associated to food addiction. Food addiction is defined just as substance addiction per the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) (Parakeh). The interlacing of terms between food addiction and binge eating has to do with the psychological factors both terms have in common. BE is characterized by behavioral and psychological symptoms such as the frequency of binge episodes, the amount of food consumed, and their occurrence in the absence of hunger. BE is also usually followed by guilt and feelings of disgust, shame, or depression, whereas FA is strictly more of a lack of self-control driven by an impulse for gratification or escape.   Both have a loss of control and impulsivity driving the conditions however, food addiction does not equate into binge eating (Davis, 2016). Research has been conducted to explore these psychological factors and a study was done comparing BE and FA statistically. The results indicated that subjects who fall under similar factors in both BE and FA are more likely to experience more frequent binge eating episodes, stronger cravings for food, and elevated levels of impulsivity and depressive symptoms than those with only BED (Burrows, 2017). Therefore, there is a difference between the two terms, however when used in combination, the effects on an individual can be more severe in contrast if they were suffering from just BE or FA alone. Stress can intensify the effects of BE and FA, as studies have shown the closer the behavior between FA and BE then the more likely there will be underlying implicated stress and anxious and depressive mood (Parylak, 2011). In a Chinese study the effects of stress and its causation to binge eating was studied in adolescent girls whose main stressor was academic perfection. Results showed that adolescents with greater life event stress, earlier maladaptive schemas and higher levels of impulsivity displayed more severe binge eating (Zhu, 2015). Therefore, adolescents who never learned positive coping mechanisms and were exposed to strong life stressors, were more likely to engage in binge eating. This is potentially dangerous among Millennial populations since it is possible they may have not learned positive coping mechanisms in adolescence and now many are in college where the pressure to excel academically is high. Healthy individuals who may not fit criteria for BE or FA can fall into either category depending on the level of stress associated in their lives, and how vulnerable they may be to psychological stressors (Hardaway, 2015). CONCLUSION Categorizing Binge Eating into either behavioral or biological categories is difficult because as research has shown components from both domains often interlace with one another. As discussed in this review many psychological stressors can give rise to neuronal activity that will biologically start a maladaptive cycle if the person is not equipped to handle the overwhelming stress. Unfortunately, diagnosis of BE is done incorrectly because patients are not always asked the appropriate questions regarding their eating habits. Diagnosis should take into consideration dopamine, opioid, acetylcholine, and serotonin neuro-circuitry that are associated within the brain reward regions, along with the psychological stressors (depression, self-esteem etc) that could be troubling the patient (Fornaro, 2016). Experimental drugs should as Lisdexamfetamine, have been tested among patients with mild BE and were found to reduce occurrence of BE episodes compared to the placebo. Future trials concerning safety and long term effects of the drug are needed to deem the drug fit for clinical treatment of BE (Fornaro, 2016). Currently self-help techniques including monitoring mood, stress, and eating behavior are preferred to the pharmaceutical approach, however self-help in patients with BE is not effective as compared to those without reported BE (Wolff, 2000).    Future work could incorporate neuropsychology as to understand the processes of signal transduction that can lead to behavioral problems. The infusion of psychology and biology is crucial in trying to understand and ultimately treat binge eating caused by stress. As of now such research and studies are scarce combining both components in association with BE. This review aimed to clarify the distinction between psychological and neuronal categorization of stress induced binge eating. As mentioned through this review, it is inaccurate to try and place BE into one category, as both categories are often present in individuals suffering from BE. The greater the awareness of this subject, the more equipped work places, colleges, and individuals can be to recognize potential stressors and the effects they have on those who are vulnerable to psychological conditions. Works Cited Adam, Tanja  C., and Elissa  S. Epel. Stress, eating and the reward system.  Physiology & Behavior, vol.  91, no.  4,  2007, pp.  449-458.   Born, J.  M., et al. Acute stress and food-related reward activation in the brain during food choice during eating in the absence of hunger.  International Journal of Obesity, vol.  34, no.  1,  2009, pp.  172-181.   Burrows, Tracy, et al. Food Addiction, Binge Eating Disorder, and Obesity: Is There a Relationship?  Behavioral Sciences, vol.  7, no.  3,  2017, p.  54.   Cain, Angela  S., et al. Refining the relationships of perfectionism, self-efficacy, and stress to dieting and binge eating: Examining the appearance, interpersonal, and academic domains.  International Journal of Eating Disorders, vol.  41, no.  8,  2008, pp.  713-721.   Colles, S.  L., et al. Night eating syndrome and nocturnal snacking: association with obesity, binge eating and psychological distress.  International Journal of Obesity, vol.  31, no.  11,  2007, pp.  1722-1730.   Davis, Caroline. A commentary on the associations among ‘food addiction’, binge eating disorder, and obesity: Overlapping conditions with idiosyncratic clinical features.  Appetite, vol.  115,  2017, pp.  3-8.   Fischer, Sarah, et al. Impact of the neural correlates of stress and cue reactivity on stress related binge eating in the natural environment.  Journal of Psychiatric Research, vol.  92,  2017, pp.  15-23.   Fornaro, Michele, et al. Lisdexamfetamine in the treatment of moderate-to-severe binge eating disorder in adults: systematic review and exploratory meta-analysis of publicly available placebo-controlled, randomized clinical trials.  Neuropsychiatric Disease and Treatment, vol.  Volume 12,  2016, pp.  1827-1836.   Han, Suejung, and Soonhee Lee. College Student Binge Eating: Attachment, Psychological Needs Satisfaction, and Emotion Regulation.  Journal of College Student Development, vol.  58, no.  7,  2017, pp.  1074-1086.   Hardaway, J.  A., et al. Integrated circuits and molecular components for stress and feeding: implications for eating disorders.  Genes, Brain and Behavior, vol.  14, no.  1,  2015, pp.  85-97.   Harrington, Ellen  F., et al. The relationships among trauma, stress, ethnicity, and binge eating.  Cultural Diversity and Ethnic Minority Psychology, vol.  12, no.  2,  2006, pp.  212-229.  Ã‚   Parekh, Ranna. What Are Eating Disorders?  Home │ Psychiatry.org, www.psychiatry.org/patients-families/eating-disorders/what-are-eating-disorders. Parylak, Sarah  L., et al. The dark side of food addiction.  Physiology & Behavior, vol.  104, no.  1,  2011, pp.  149-156.   Pendleton, Victor  R., et al. Negative Stress and the Outcome of Treatment for Binge Eating.  Eating Disorders, vol.  9, no.  4,  2001, pp.  351-360.   Shelton, Virginia  L., and Karena  T. Valkyrie. College Student Stress: A Predictor of Eating Disorder Precursor Behaviors.  Alabama Counseling Association Journal, vol.  35, no.  2,  Mar.  2010,  ebscohost.   St-Onge, M.-P., et al. Sleep restriction leads to increased activation of brain regions sensitive to food stimuli.  American Journal of Clinical Nutrition, vol.  95, no.  4,  2012, pp.  818-824.   Stress by Generations: 2012.  Http://www.apa.org, www.apa.org/news/press/releases/stress/2012/generations.aspx. Striegel-Moore, Ruth  H., et al. Nocturnal eating: Association with binge eating, obesity, and psychological distress.  International Journal of Eating Disorders, vol.  43, no.  6,  2010, pp.  520-526.   Wolff, Gretchen  E., et al. Differences in daily stress, mood, coping, and eating behavior in binge eating and nonbinge eating college women.  Addictive Behaviors, vol.  25, no.  2,  2000, pp.  205-216.   Yale Food Addiction Scale (YFAS),   Zhu, Hong, et al. Life Event Stress and Binge Eating Among Adolescents: The Roles of Early Maladaptive Schemas and Impulsivity.  Stress and Health, vol.  32, no.  4,  2015, pp.  395-401.

Contemporary society Essay

Perhaps the most poignant criticism of the societies in these two novels is the violation of the principals and mores of modern society. In â€Å"The Wars†, death and injury becomes common place, and stopping to help a fellow soldier is not always permitted. â€Å"That was the rule. No one went back- even for a dying comrade. Only someone wounded could stay with another wounded man†¦ No one spoke. The dead all lay with their faces in the mud or turned to the walls of the trench. This was the only way they could be told apart from the wounded.† (Findley 118) More difficult to accept that this apathetic view of death is the enthusiasm that some of the soldiers in â€Å"The Wars† felt for the war and the destruction it caused. After being rained on with shells, having a close brush with death, â€Å"a bright young man with popping eyes turned to Robert and gushed at him: ‘Isn’t it marvellous!’ † Privacy is nearly impossible for ordinary soldiers. While on the boat, going to England the men â€Å"were cramped into spaces meant to hold a quarter of their number†¦ The make shift latrines and showers were virtually open forums where privacy was unheard of†¦ Up in the first class accommodations, the officers were somewhat better off.† (Findley 56-7) This also shows another disadvantage soldiers face that their superiors do not. Sexual abuse is seemingly common and goes unpunished in the novel. Four men rape Robert while his is in a changing stall at Asile Desolà ¯Ã‚ ¿Ã‚ ½. â€Å"His assailants, who he’d thought were crazies, had been his fellow soldiers. Maybe even his brother officers. He’d never know.† (Findley 169) Many aspects of the society in â€Å"The Handmaid’s Tale† also contrast modern societal values. Dead bodies are put on display for all to see. When on their daily walk Offred and Ofglen, â€Å"stop, together as if on signal, and stand and look at the bodies. It doesn’t matter if we look. We’re supposed to look: this is what they are there for, hanging on the Wall. Sometimes they’ll be there for days, until there’s a new batch, so as many people as possible will have the chance to see them.† (Atwood 40) Death does not have much shock value to individuals in the Gileadean society, as they have been exposed to it frequently. The Handmaids take part in the execution of a man who has performed crimes against society. â€Å"There is a surge forward, like a crowd at a rock concert in the former time†¦ Now there are sounds, gasps, a low noise like growling, yells†¦ he’s obscured by arms, fist, feet. A high scream comes from somewhere, like a horse in terror.† (Atwood 349) These women, who are not violent in every day life, are so desensitized to death that they are able to vent their anger through murder. Rape is common with the Gileadean society, although it is not recognized as such. Handmaids are required to copulate with their Commander, if the choose not to, they will be sent to the Colonies. With citizens being desensitized to death, enjoying killing and destruction, and the acceptance of sexual exploitation, the societies in â€Å"The Wars† and â€Å"The Handmaid’s Tale† transgress the morals of contemporary society. â€Å"The Wars† and â€Å"The Handmaid’s Tale† take place over dissimilar time spans, there are many societal parallels that are criticized in both novels. Soldiers are exploited by their superiors in â€Å"The Wars†, just as the unprivileged citizens in â€Å"The Handmaid’s Tale† are used solely to benefit the government. Ignorance to the true motivations and actions of the government are evident in both novels. Social mores and values of present-day society are infracted in both â€Å"The Wars† and â€Å"The Handmaid’s Tale†. Regardless of occurring over different time periods, there are several analogous aspects in the two societies represented in â€Å"The Wars† and â€Å"The Handmaid’s Tale†, which are criticized.

Generation Gap: Mentors and Proteges Essay

When baby boomers reach retirement age; they start mentoring their replacements called generation Xers. Some boomers face difficulties in this process. William Slater; a computer engineer; faced problems while he was participating in his company’s formal mentoring program. One of his students tried to take his place in the organization by reporting negatively about him. Generation Xers even face issues in mentoring programs. Joel Bershok’s mentor dissolved relationship within 3 weeks of mentoring as his mentor did not trust him. This is because new replacements charge less and companies are ready to replace old people with new ones as this helps the company in decreasing cost. This happened with Janet Wheelar as she was replaced by two younger workers. There are beneficial effects of mentoring for the organizations. Mentoring increases employee productivity and job satisfaction. The issue is that many mentoring programs end up in failure due to mismatching of mentors and proteges. On the other hands organizations have benefited from such programs and they have continued using such programs. Mentors should take pride in helping new employees in making their careers. Women are the ones who have gained a lot from mentoring programs and they have reached top level management due to these programs. Knowledge should be passed on. A mentor teaches proteges and then a proteges becomes a mentor and teaches new employees. According to OB literature on Knowledge Management; the experience and the knowledge of the Baby Boomers should be captured and stored so new employees can benefit from that information. This means that Baby Boomers should provide education to new employees so training cost of the organization decreases and performance increases. According to OB literature; performance increases when employees know what they have to do on the job. When employees are able to do their tasks correctly; they gain job satisfaction.

History of Nursing Essay - 1959 Words

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