Impact of Depressive Symptoms and Alcohol Use on Disordered Eating and Suicidality: A Moderated Mediation Study

2018 ◽  
Vol 40 (1) ◽  
pp. 26-42 ◽  
Author(s):  
George C. T. Mugoya ◽  
Lisa M. Hooper ◽  
Brynn Chapple ◽  
Kish Cumi

While previous studies have tested the mediating or moderating effects of select factors on disordered eating pathologies, no empirical studies have examined a moderated mediation model. Thus, filling a gap in the literature base, the current study examined a moderated mediation model to test the associations among disordered eating, depressive symptoms, alcohol use, and suicidality. The current study sample included 1,598 students (mean age 21.3 years; 80.9% female) across major universities in the United States. Results showed that disordered eating was significantly associated with suicidality, and the association was mediated by depressive symptoms. Further, the indirect effect of disordered eating via depressive symptoms varied in magnitude as a function of alcohol use. Findings suggest that clinical mental health counselors and other providers working with emerging adults should be vigilant in recognizing behaviors and thoughts associated with disordered eating and related signs and symptoms, including depressive symptoms and alcohol use.

2019 ◽  
Vol 43 (3) ◽  
pp. 368-380 ◽  
Author(s):  
Marlene G. Williams ◽  
Jioni A. Lewis

In the current study, we explored the relations between gendered racial microaggressions, gendered racial identity (intersection of one’s racial and gender identities), coping, and depressive symptoms among Black women. We tested coping strategies as mediators of the relations between gendered racial microaggressions and depressive symptoms. We also tested a moderated mediation model with gendered racial identity public and private regard as moderators of the indirect association of gendered racial microaggressions and depressive symptoms through disengagement coping. Participants were 231 Black women in the United States who completed an online survey. Disengagement coping was a significant mediator; increases in gendered racial microaggressions were associated with greater use of disengagement coping which, in turn, was associated with greater depressive symptoms. Gendered racial identity private regard was a significant moderator of the indirect association of gendered racial microaggressions and depressive symptoms through disengagement coping. These findings highlight the role of gendered racial identity private regard in buffering the negative effects of gendered racial microaggressions on depressive symptoms. Practitioners can use this information to apply an intersectional approach to therapeutic interventions that consider Black women’s intersecting identities and experiences of gendered racism.


2020 ◽  
Vol 41 (1) ◽  
pp. 128-166 ◽  
Author(s):  
Anna Vannucci ◽  
Tessa R. Fagle ◽  
Emily G. Simpson ◽  
Christine McCauley Ohannessian

This study examined gender differences in a moderated-mediation model examining whether perceived social support moderated depressive symptom and academic achievement mediation pathways from peer victimization to substance use among 1,334 U.S. early adolescents (11-14 years, 50% girls, 51% White). Surveys were administered in schools at three 6-month intervals. Multiple group analyses suggested that the moderated-mediation model differed for boys and girls. Indirect effects suggested that declines in academic achievement mediated the relationship between peer victimization and substance use for girls and boys, while elevated depressive symptoms mediated this relationship for girls only. Higher family and friend support attenuated the relationship between overt victimization and academic achievement for boys and between relational victimization and depressive symptoms for girls. These findings implicate two risk pathways that account for why peer victimization enhances substance use risk and emphasize the importance of perceived support following peer victimization during early adolescence. Gender differences require replication.


Sexual Abuse ◽  
2020 ◽  
pp. 107906322091245
Author(s):  
Lindsey G. Hawkins ◽  
Natira Mullet ◽  
Antover P. Tuliao ◽  
Travis Gudenrath ◽  
Derek Holyoak ◽  
...  

In this study, we examined the relationships between prior trauma, alexithymia, and sexual aggression perpetration among 610 U.S. college students and 107 college students from the Philippines utilizing a cross-sectional retrospective design. We tested a moderated mediation model with alexithymia as the mediator between prior trauma and sexual aggression perpetration, and alcohol use as a moderator of the alexithymia–sexual aggression link. Moreover, given that cultural norms may influence these relationships, we also examined the structural invariance of the proposed moderated mediation model. Path analyses and multiple group analysis were used to examine the moderated mediation model, and examine model differences between samples. We did not find evidence for alexithymia as a mediator, but there was a significant interaction between alcohol use severity and alexithymia on sexual aggression perpetration across both samples. Alexithymia is a key variable in understanding the alcohol use–sexual aggression perpetration relationship. Clinical implications and recommendations for future research are also discussed.


2014 ◽  
Vol 75 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Ina M. Koning ◽  
Regina J. J. M. Van den Eijnden ◽  
Wilma A. M. Vollebergh

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