Deficits in emotion regulation mediate the relationship between childhood abuse and later eating disorder symptoms

2012 ◽  
Vol 36 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Erin E. Burns ◽  
Sarah Fischer ◽  
Joan L. Jackson ◽  
Hilary G. Harding
2017 ◽  
Vol 158 (27) ◽  
pp. 1058-1066
Author(s):  
Tamás Dömötör Szalai

Abstract: Introduction: Attachment dysfunctions determine borderline personality disorder, which is a frequent background factor of multi-impulsivity; however, the relationship between attachment and multi-impulsive eating disorders is almost unexplored. Aim: To compare attachment features of multi-impulsive and classical eating disorder patients with individuals without eating disorders, and to test attachment as a predictor of multi-impulsivity. Method: A cross-sectional survey (148 females, mean age: 30.9 years) investigated maternal, paternal and adult attachment, depression, anxiety, eating disorder and multi-impulsive symptoms in these groups. Results: Altogether 41.3% of the individuals without eating disorders, 17.6% of classical and 11.8% of multi-impulsive eating disorder patients had secure attachment. Multi-impulsive patients had the most severe eating disorder symptoms (F(2) = 17.733) and the lowest paternal care (F(2) = 3.443). Preoccupied and fearful attachment explained 14.5% of multi-impulsive symptoms; however, with adjustment for depression only latter one remained the predictor of multi-impulsivity (t = 5.166, p<0.01). Conclusion: Multi-impulsives are a distinct subgroup of eating disorder patients from the aspects of both symptoms and attachment. Handling their negative moods may hold therapeutic potentials. Longitudinal studies are required to investigate the therapeutic value of paternal care, attachment preoccupation and fearfulness. Orv Hetil. 2017; 158(27): 1058–1066.


2021 ◽  
Author(s):  
Marsha Rowsell ◽  
Danielle E. MacDonald ◽  
Jacqueline C. Carter

Background Difficulties with emotion regulation have been established as a core deficit in anorexia nervosa (AN). However, limited research has evaluated whether weight gain is associated with improvements in emotion regulation difficulties in AN and whether improvements in emotion regulation are associated with reductions in eating disorder psychopathology. The aims of this study were threefold: 1) to examine the nature and extent of emotion regulation difficulties in AN; 2) to determine whether these difficulties improved during intensive treatment for the eating disorder; and 3) to study whether improvements in emotion regulation were associated with improvements in eating disorder psychopathology. Method The participants were 108 patients who met DSM-IV-TR criteria for AN and were admitted to a specialized intensive treatment program. Self-report measures of eating disorder symptoms and difficulties with emotion regulation were administered at admission to and discharge from the program. Results Patients with the binge-purge subtype of AN reported greater difficulties with impulse control when upset and more limited access to emotion regulation strategies when experiencing negative emotions than those with the restricting subtype. Among those who completed treatment and became weight restored, improvements in emotion regulation difficulties were observed. Greater pre-to-post treatment improvements in emotional clarity and engagement in goal directed behaviours when upset were associated with greater reductions in eating disorder psychopathology during treatment. Conclusions These findings add to growing evidence suggesting that eating disorder symptoms may be related to emotion regulation difficulties in AN and that integrating strategies to address emotion regulation deficits may be important to improving treatment outcome in AN.


2019 ◽  
Vol 10 (2) ◽  
pp. 204380871984829 ◽  
Author(s):  
Daniel Talbot ◽  
Evelyn Smith ◽  
John Cass

This study investigated the relationship between body dissatisfaction, eating disorder symptoms, and attentional bias to images of male bodies using a compound visual search task. Sixty-three male participants searched for a horizontal or vertical target line among tilted lines. A separate male body image was presented within proximity to each line. Overall, search times were faster when the target line was paired with a muscular or obese body and distractor lines were paired with bodies of average muscularity and body fat ( congruent trials) than on neutral trials, in which only average muscularity and body fat images were shown. Attentional bias for muscular bodies was correlated with muscle dissatisfaction, eating restraint, and shape concern, and attentional bias for obese bodies was correlated with eating restraint. For incongruent trials, in which a single muscular or obese body was paired with a distractor line, search times were indistinguishable from neutral trials. Unexpectedly, we found a negative association between search times and both body fat dissatisfaction and eating disorder symptoms in conditions where obese bodies were paired with distracting stimuli. This result implicates a potential role for attentional filtering and/or avoidance of obese bodies in predicting body fat dissatisfaction and eating disorder symptomology.


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