An empirical test of the interpersonal theory of suicide in a heterogeneous eating disorder sample

Pisetsky, Emily M.; Crow, Scott J.; Peterson, Carol B.

doi:10.1002/eat.22645

Cited by 19 publications

(28 citation statements)

References 16 publications

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“…Finally, this study indicates that PB mediates the relation between involuntary submissiveness and fear of negative evaluation, and eating disorder symptoms. The levels of burdensomeness reported in this study’s population were similar to those of patients with eating disorders who also reported lifetime suicidal attempts ( 32 ) and were higher than those reported by patients suffering from other psychiatric conditions ( 31 ). This is particularly relevant, considering that the sample in this study included people at different stages of the illness and recovery, and posits the need to address patient’s perception of social competence at all stages of treatment and in relapse prevention programs.…”

Section: Discussionsupporting

confidence: 67%

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Social Difficulties As Risk and Maintaining Factors in Anorexia Nervosa: A Mixed-Method Investigation

et al. 2018

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Anorexia nervosa (AN) is a serious psychiatric disorder characterized by severe restriction of energy intake and dangerously low body weight. Other domains of functioning are affected, including social functioning. Although difficulties within this domain have started to be acknowledged by the literature, some important gaps remain to be filled. Do social difficulties predate the onset of the illness? What difficulties in particular are relevant for the development and maintenance of the illness? The aim of this study is to combine the use of quantitative and qualitative methods to answer these questions. Ninety participants with lifetime AN (88 women and 2 men) completed an online survey assessing memories of involuntary submissiveness within the family, fear of negative evaluation from others, perceived lack of social competence, feelings of social belonging, eating disorder symptoms, and work and social adjustment. Participants also answered three open questions regarding their experience of social relationships before and after the illness onset. The findings provided support for the hypothesized relationships between the study variables. Involuntary submissiveness and fear of negative evaluation predicted eating disorder symptoms and these associations were partially mediated by perceived lack of social competence. Two-thirds of the sample recalled early social difficulties before illness onset and recognized that these had played a role in the development of the illness. A larger proportion of participants stated that the eating disorder had affected their social relationships in a negative way. This study sheds some light on patients’ perspective on the predisposing and maintaining role that social difficulties play in AN and identifies key psychological variables that could be targeted in treatment.

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Section: Discussionsupporting

confidence: 67%

“…They report lacking social skills and believe that they are a burden to close others as well as the rest of the society. Recent studies have found that perceived burdensomeness (PB) (i.e., lack of social competence) correlates with abnormal eating behaviors ( 30 ) and also with suicidal ideation ( 31 , 32 ).…”

Section: Introductionmentioning

confidence: 99%

Social Difficulties As Risk and Maintaining Factors in Anorexia Nervosa: A Mixed-Method Investigation

et al. 2018

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“…Previous work has supported the use of the IPTS as a useful framework in which to investigate suicidal behavior within eating disorder populations (Pisetsky, Crow, & Peterson, 2017;Smith et al, 2016). Previous work has supported the use of the IPTS as a useful framework in which to investigate suicidal behavior within eating disorder populations (Pisetsky, Crow, & Peterson, 2017;Smith et al, 2016).…”

Section: Discussionmentioning

confidence: 98%

“…The predictive relationship between disordered eating behaviors and suicide ideation may also map onto the desire for suicide as laid out by the IPTS. Previous work has supported the use of the IPTS as a useful framework in which to investigate suicidal behavior within eating disorder populations (Pisetsky, Crow, & Peterson, 2017;Smith et al, 2016). According to this theory, the desire for suicide, which is analogous to suicide ideation, comes from a combination of feelings of perceived burdensomeness to others and a sense of social isolation or thwarted belongingness.…”

Section: Discussionmentioning

confidence: 99%

Body dissatisfaction and symptoms of bulimia nervosa prospectively predict suicide ideation in adolescents

Perkins

Brausch

2019

Intl J Eating Disorders

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Objective: Symptoms of eating disorders have been established as significant concurrent correlates with suicide ideation and behaviors in adolescent samples, but very few studies have examined eating disorder symptoms as prospective risk factors for suicide. The current study examined eating disorder symptoms as prospective risk factors for suicide ideation in an unselected community sample of adolescents.Method: Data were collected from 436 adolescents in middle and high school at baseline and 6-and 12-month follow-ups. Adolescents completed self-report measures assessing eating disorder symptoms and suicide ideation and behaviors at each time point during school hours.Results: Regression analyses found that body dissatisfaction was a significant prospective predictor of suicide ideation severity at the 6-and 12-month follow-ups, symptoms of bulimia nervosa (binge-eating disorder and purging) predicted suicide ideation severity at the 12-month follow-up only, and symptoms of anorexia nervosa (drive for thinness and restricting) were not significant predictors of suicide ideation at either follow-up. Exploratory analyses found the same pattern of results for the sample of girls only, while no significant predictors were found for boys only.Discussion: This is the first longitudinal study of disordered eating and suicide ideation in American adolescents. Symptoms of bulimia nervosa and body dissatisfaction seem to be true risk factors for suicidal ideation. The current study demonstrates the importance of disordered eating behaviors in the development of suicidal ideation in adolescents, particularly for adolescent girls. K E Y W O R D S adolescents, body dissatisfaction, bulimia nervosa, eating disorders, longitudinal, suicide ideation

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“…Moreover, at least five studies have directly examined the relations among EDs, TB, PB, and suicide ideation. Pisetsky, Crow, and Peterson () found that TB and PB were positively associated with suicide ideation in an ED sample. Within a different ED sample, Smith et al.…”

mentioning

confidence: 99%

Assessing Longitudinal Relationships among Thwarted Belongingness, Perceived Burdensomeness, and Eating Disorder Symptoms

Trujillo

Forrest

Claypool

et al. 2019

Suicide & Life Threat Behav

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Objective Past work has documented a cross‐sectional relationship between eating disorders (ED) and suicidality, but few studies have examined the directionality of this relationship. Informed by the interpersonal–psychological theory of suicide (IPTS), this study examines the bidirectional, longitudinal relationship between ED symptoms and two determinants of suicide ideation—thwarted belongingness (TB) and perceived burdensomeness (PB). Method Ninety‐two treatment‐seeking individuals with ED (94.5% White, 95.6% female) completed baseline (T1) measures of ED symptoms along with TB and PB. Of those, 75 (81.5%) completed a follow‐up assessment eight weeks later (T2). Results Separate linear regression models revealed that T1 ED symptoms did not predict T2 TB (b = .03, p = .42) or T2 PB (b = −.01, p = .68). Similarly, T1 TB did not predict T2 ED symptoms (b = .25, p = .37). T1 PB did significantly predict T2 ED symptoms (b = 0.52, p = .04). Further, among participants with AN/sub‐AN, T1 TB and PB predicted T2 ED symptoms (p's ≤ .03). Conclusion Our results reveal the need for a nuanced understanding of the relationship between ED and suicidality. This study found that PB predicts greater ED symptoms and, among the AN/sub‐AN sample, TB does as well.

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An empirical test of the interpersonal theory of suicide in a heterogeneous eating disorder sample

Cited by 19 publications

References 16 publications

Social Difficulties As Risk and Maintaining Factors in Anorexia Nervosa: A Mixed-Method Investigation

Social Difficulties As Risk and Maintaining Factors in Anorexia Nervosa: A Mixed-Method Investigation

Body dissatisfaction and symptoms of bulimia nervosa prospectively predict suicide ideation in adolescents

Assessing Longitudinal Relationships among Thwarted Belongingness, Perceived Burdensomeness, and Eating Disorder Symptoms

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