Effects of acute psychosocial stress on attentional bias toward food, food craving, and intake in binge eating

Stress significantly influences eating behavior, yet individual responses vary. Binge eating - a core feature of Binge Eating Disorder and Bulimia Nervosa - is frequently triggered by acute stress. One proposed mechanism is that stress increases the motivational salience of food cues, which could promote craving and food intake. To test this idea experimentally, this study examined how stress affects attentional bias toward food, and how such changes relate to food craving and food intake in individuals with binge eating behaviors compared with individuals without binge eating. Using a mixed experimental design, 130 participants (68 with binge eating, 62 without binge eating) completed sessions with and without stress induction via a video-conference Trier Social Stress Test. Attentional bias was assessed via the Dot Probe Paradigm and eye tracking, food craving was measured via self-reports, and food intake was measured behaviorally. Stress did not significantly change attentional bias toward food, nor did it affect food intake. Stress did increase craving in the group with binge eating, indicating that stress enhanced the motivational value of food. The absence of corresponding changes in attentional bias suggests that heightened craving under stress does not necessarily translate into measurable shifts in attentional allocation toward food cues, or that stress may influence motivational processes without altering overt attentional patterns. Another possibility is that methodological restraints specific to our study design limited the detection of stress-related changes in attentional processes. Further research is needed to clarify the role of attentional processes in stress-related eating, especially regarding binge eating.