Stephanie Goldstein | Drexel University (original) (raw)

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Papers by Stephanie Goldstein

Journal of Contextual Behavioral Science, 2012

European Eating Disorders Review, 2014

mHealth tools may be a feasible modality for delivering evidence-based treatments and principles ... more mHealth tools may be a feasible modality for delivering evidence-based treatments and principles (EBPs), and may enhance treatment for eating disorders (EDs). However, research on the efficacy of mHealth tools for EDs and the extent to which they include EBPs is lacking. The current study sought to (i) review existing apps for EDs, (ii) determine the extent to which available treatment apps utilize EBPs, and (iii) assess the degree to which existing smartphone apps utilize recent advances in smartphone technology. Overall, existing ED intervention apps contained minimal EBPs and failed to incorporate smartphone capabilities. For smartphone apps to be a feasible and effective ED treatment modality, it may be useful for creators to begin taking utilizing the abilities that set smartphones apart from in-person treatment while incorporating EBPs. Before mHealth tools are incorporated into treatments for EDs, it is necessary that the feasibility, acceptability, and efficacy be evaluated.

Journal of Contextual Behavioral Science, 2014

Young adult women, particularly those attending college, may be at risk for future weight gain. T... more Young adult women, particularly those attending college, may be at risk for future weight gain. The current study examined the efficacy of a brief acceptance-based behavioral approach in facilitating weight gain prevention in female college students with a body mass index between 23 and 32 kg/m 2 . Fifty-eight participants were randomized to an intervention group who attended 8 group sessions over 16 weeks (n ¼29), or an assessment-only control group (n ¼29) and completed assessments at baseline, 6 weeks, post-intervention, and 1 year. Group sessions taught behavioral (e.g., monitor weight, calories, and exercise) and acceptance-based (e.g., distress tolerance, acceptance of cravings) strategies that could be applied for weight loss or weight gain prevention. The intervention resulted in a decrease in weight and body mass index of 1.57 kg and 0.52 kg/m 2 (respectively) at 16 weeks that was maintained at 1 year follow up (M¼ À2.24 kg, M¼ À0.74 kg/m 2 ) whereas the control group gained 1.07 kg and 0.34 kg/m 2 over the year. Results indicate that a brief acceptance-based behavioral intervention may be effective for a group who appears to be at risk for future weight gain and further research is needed to determine mechanisms of change.

Eating Behaviors, 2014

Disinhibited eating (i.e., the tendency to overeat, despite intentions not to do so, in the prese... more Disinhibited eating (i.e., the tendency to overeat, despite intentions not to do so, in the presence of palatable foods or other cues such as emotional stress) is strongly linked with obesity and appears to be associated with both implicit (automatic) and explicit (deliberative) food attitudes. Prior research suggests that a large discrepancy between implicit and explicit food attitudes may contribute to greater levels of disinhibited eating; however this theory has not been directly tested. The current study examined whether the discrepancy between implicit and explicit attitudes towards chocolate could predict both lab-based and self-reported disinhibited eating of chocolate. Results revealed that, whereas neither implicit nor explicit attitudes alone predicted disinhibited eating, absolute attitude discrepancy positively predicted chocolate consumption. Impulsivity moderated this effect, such that discrepancy was less predictive of disinhibited eating for those who exhibited lower levels of impulsivity. The results align with the meta-cognitive model to indicate that attitude discrepancy may be involved in overeating.

The present study investigated whether more severe baseline eating pathology (e.g. baseline sympt... more The present study investigated whether more severe baseline eating pathology (e.g. baseline symptomatology, previous hospitalizations, and low weight in anorexia nervosa) moderated the effect of an Acceptance and Commitment Therapy (ACT)-based group treatment. Participants were 140 women who were admitted to an inpatient facility for eating disorders. Women were categorized as anorexia nervosa spectrum or bulimia nervosa spectrum at intake and completed measures of eating pathology. All participants received comprehensive treatment, and those in the treatment-as-usual plus ACT condition received twice weekly ACT group treatment. At post-treatment (i.e., at discharge from the facility), participants completed measures again. Severity of self-reported eating symptomatology moderated treatment such that those with more severe symptoms at baseline showed greater improvements in eating disorder symptomatology in the ACT condition than in the treatment-as-usual

Journal of Contextual Behavioral Science, 2012

European Eating Disorders Review, 2014

mHealth tools may be a feasible modality for delivering evidence-based treatments and principles ... more mHealth tools may be a feasible modality for delivering evidence-based treatments and principles (EBPs), and may enhance treatment for eating disorders (EDs). However, research on the efficacy of mHealth tools for EDs and the extent to which they include EBPs is lacking. The current study sought to (i) review existing apps for EDs, (ii) determine the extent to which available treatment apps utilize EBPs, and (iii) assess the degree to which existing smartphone apps utilize recent advances in smartphone technology. Overall, existing ED intervention apps contained minimal EBPs and failed to incorporate smartphone capabilities. For smartphone apps to be a feasible and effective ED treatment modality, it may be useful for creators to begin taking utilizing the abilities that set smartphones apart from in-person treatment while incorporating EBPs. Before mHealth tools are incorporated into treatments for EDs, it is necessary that the feasibility, acceptability, and efficacy be evaluated.

Journal of Contextual Behavioral Science, 2014

Young adult women, particularly those attending college, may be at risk for future weight gain. T... more Young adult women, particularly those attending college, may be at risk for future weight gain. The current study examined the efficacy of a brief acceptance-based behavioral approach in facilitating weight gain prevention in female college students with a body mass index between 23 and 32 kg/m 2 . Fifty-eight participants were randomized to an intervention group who attended 8 group sessions over 16 weeks (n ¼29), or an assessment-only control group (n ¼29) and completed assessments at baseline, 6 weeks, post-intervention, and 1 year. Group sessions taught behavioral (e.g., monitor weight, calories, and exercise) and acceptance-based (e.g., distress tolerance, acceptance of cravings) strategies that could be applied for weight loss or weight gain prevention. The intervention resulted in a decrease in weight and body mass index of 1.57 kg and 0.52 kg/m 2 (respectively) at 16 weeks that was maintained at 1 year follow up (M¼ À2.24 kg, M¼ À0.74 kg/m 2 ) whereas the control group gained 1.07 kg and 0.34 kg/m 2 over the year. Results indicate that a brief acceptance-based behavioral intervention may be effective for a group who appears to be at risk for future weight gain and further research is needed to determine mechanisms of change.

Eating Behaviors, 2014

Disinhibited eating (i.e., the tendency to overeat, despite intentions not to do so, in the prese... more Disinhibited eating (i.e., the tendency to overeat, despite intentions not to do so, in the presence of palatable foods or other cues such as emotional stress) is strongly linked with obesity and appears to be associated with both implicit (automatic) and explicit (deliberative) food attitudes. Prior research suggests that a large discrepancy between implicit and explicit food attitudes may contribute to greater levels of disinhibited eating; however this theory has not been directly tested. The current study examined whether the discrepancy between implicit and explicit attitudes towards chocolate could predict both lab-based and self-reported disinhibited eating of chocolate. Results revealed that, whereas neither implicit nor explicit attitudes alone predicted disinhibited eating, absolute attitude discrepancy positively predicted chocolate consumption. Impulsivity moderated this effect, such that discrepancy was less predictive of disinhibited eating for those who exhibited lower levels of impulsivity. The results align with the meta-cognitive model to indicate that attitude discrepancy may be involved in overeating.

The present study investigated whether more severe baseline eating pathology (e.g. baseline sympt... more The present study investigated whether more severe baseline eating pathology (e.g. baseline symptomatology, previous hospitalizations, and low weight in anorexia nervosa) moderated the effect of an Acceptance and Commitment Therapy (ACT)-based group treatment. Participants were 140 women who were admitted to an inpatient facility for eating disorders. Women were categorized as anorexia nervosa spectrum or bulimia nervosa spectrum at intake and completed measures of eating pathology. All participants received comprehensive treatment, and those in the treatment-as-usual plus ACT condition received twice weekly ACT group treatment. At post-treatment (i.e., at discharge from the facility), participants completed measures again. Severity of self-reported eating symptomatology moderated treatment such that those with more severe symptoms at baseline showed greater improvements in eating disorder symptomatology in the ACT condition than in the treatment-as-usual