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- Forsén Mantilla, Emma, et al.
(författare)
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The enemy within: the association between self-image and eating disorder symptoms in healthy, non help-seeking and clinical young women
- 2015
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Ingår i: Journal of Eating Disorders. - : BioMed Central (BMC). - 2050-2974. ; 3
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Tidskriftsartikel (refereegranskat)abstract
- Background: Previous research has shown self-image according to the interpersonal Structural Analysis of SocialBehavior model, to relate to and predict eating disorder symptoms and outcomes.Methods: We examined associations between self-reported self-image and ED symptoms in three groups of 16–25year old females: healthy (N = 388), non help-seeking (N = 227) and clinical (N = 6384). Analyses were divided intoage groups of 16–18 and 19–25 years, and the patient sample was divided into diagnostic groups.Results: Stepwise regressions with self-image aspects as independent variables and eating disorder symptoms asdependent showed that low self-love/acceptance and high self-blame were associated with more eating disordersymptoms in all groups, except older patients with bulimia nervosa where self-hate also contributed. Associationswere generally weaker in the healthy groups and the older samples.Conclusions: We put forward that older age, low desirability of symptoms, poorly working symptoms, and beingacknowledged as ill, may weaken the association, with implications for treatment and prevention.
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| 2. |
- Monell, Elin, et al.
(författare)
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Emotion dysregulation, self-image and eating disorder symptoms in University Women
- 2015
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Ingår i: Journal of Eating Disorders. - : BioMed Central (BMC). - 2050-2974. ; 3:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: We studied associations between emotion dysregulation, self-image and eating disorder (ED)symptoms in university women, and contrasted two indirect effect models to examine possible interveningmechanisms to produce ED symptoms.Methods: 252 female Swedish university students completed the Difficulties in Emotion Regulation Scale(DERS), the Structural Analysis of Social Behavior (SASB) self-image measure, and the Eating DisorderExamination Questionnaire (EDE-Q). Correlations between scales were followed by five simple mediationanalysis pairs with two possible pathways using five ED symptom variables as outcome. The models positedeither self-image or emotion dysregulation as mediator or independent variable, respectively. ED symptomswere EDE-Q Global score, objective binge eating episodes (OBE), subjective binge eating episodes (SBE), andtwo variants of EDE-Q excessive exercise.Results: Emotion dysregulation and self-image were strongly correlated, and both correlated moderately withEDE-Q Global score. There were distinct indirect effects through self-image on the relationship between emotiondysregulation and ED symptoms, but not vice versa. These indirect effects were evident in relation to cognitive EDsymptoms and both OBE and SBE, but not in relation to excessive exercise.Conclusions: Results suggest that even if closely related, emotion dysregulation and self-image both contributeunique knowledge in relation to ED symptoms. Self-image as an intervening mechanism between emotiondysregulation and ED symptoms is relevant for models of the development, maintenance and treatment of ED, as wellas treatment focus.
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