Attachment, body appreciation, and body image quality of life in adolescents with eating disorders

Laporta-Herrero, Isabel; Jáuregui‐Lobera, Ignacio; Serrano‐Troncoso, Eduardo; Garcia‐Argibay, Miguel; Cortijo-Alcarria, Mari Carmen; Germán, Miguel Ángel Santed

doi:10.1080/10640266.2020.1763112

Cited by 10 publications

(2 citation statements)

References 27 publications

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“…Based on previous studies, a general model explaining the relationship between compulsive learning and EDs, particularly anorexia nervosa and bulimia nervosa, has been suggested. Etiologically, both study addiction and these EDs, in many cases, may have their roots in specific family dynamics that are regulated by strong parental control, parental criticism, and family discord [14,31,42]. In response, compensatory mechanisms related to perfectionism and a high need for control may develop.…”

Section: Introductionmentioning

confidence: 99%

Compulsive Study Behaviors Are Associated with Eating Disorders and Have Independent Negative Effects on Well-Being: A Structural Equation Model Study among Young Musicians

Woropay-Hordziejewicz

Buźniak

Lawendowski

et al. 2022

Sustainability

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Compulsive overworking and eating disorders (EDs) show considerable similarities in terms of risk factors (e.g., rigid perfectionism), clinical manifestation (e.g., excessive controlling behaviors), and consequences (e.g., physical exhaustion and depression). This study aimed to examine the hypotheses that compulsive study behaviors (conceptualized as study addiction) are related to EDs and that they have independent negative effects on well-being among young musicians, who constitute a highly vulnerable population for these types of problematic behaviors. The relatively high prevalence of study addiction and its pronounced negative relationship with psychosocial functioning make it a pending challenge for sustainable education. A total of 255 students from various music academies in Poland took part in the study. The Bergen Study Addiction Scale, assessing compulsive studying (conceptualized as addictive behavior), the Eating Attitude Test-26 (EAT-26), the Perceived Stress Scale, the Hospital Anxiety and Depression Scale, and the quality-of-life measure were used. A structural equation model was investigated. Study addiction was positively related to the general factor of EDs and the social pressure component. Both problematic behaviors showed negative and independent effects on the well-being of young musicians. EDs may be 8 to 16 times more prevalent among the students of music academies who are addicted to studying than among the general population. About 80% of those students showing all seven symptoms of study addiction exhibited at least mild depression, while more than half had clinically significant levels of depression. Almost 90% had clinically significant levels of anxiety. Without addressing co-occurring study addiction and eating disorders, including their commonalities and idiosyncrasies, their prevention and treatment cannot be effective and it will substantially affect the sustainability of education and work.

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Section: Introductionmentioning

confidence: 99%

Compulsive Study Behaviors Are Associated with Eating Disorders and Have Independent Negative Effects on Well-Being: A Structural Equation Model Study among Young Musicians

Woropay-Hordziejewicz

Buźniak

Lawendowski

et al. 2022

Sustainability

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“…Considering that AN is often understood as a body image disorder [ 42 ], it might seem intuitive to assume that the AN group would present lower levels of body appreciation [ 43 ], functionality appreciation and body responsiveness when compared to the HC group. As both PBI and effective emotion regulation require mechanisms of interoceptive awareness [ 33 , 36 ], we also predicted that higher scores in the PBI dimensions would correlate with fewer difficulties in emotion regulation among individuals with AN [ 32 , 33 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

A Comprehensive Study of Positive Body Image as a Predictor of Psychological Well-Being in Anorexia Nervosa

Torres,

Vieira,

Vieira

et al. 2024

Nutrients

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Recent data suggest a close association between positive body image (PBI) and eating disorder recovery. Nevertheless, the specific mechanisms through which PBI may facilitate recovery from anorexia nervosa (AN) remain unknown. To advance understanding of these mechanisms, this study examined core indices of PBI within AN, exploring its association with emotion regulation and well-being outcomes. Data were collected from 159 female participants, 64 with AN diagnosis and 95 healthy controls (HCs), who completed measures of PBI (body appreciation, functionality appreciation, and body responsiveness), emotion regulation, and psychological well-being (depression, anxiety, stress, and psychological quality of life). The AN group reported lower levels of PBI and psychological well-being, along with greater difficulties in regulating emotions, relative to HCs. PBI variables significantly predicted emotion regulation and psychological well-being in AN, accounting for 36% to 72% of the variance, with body appreciation emerging as the strongest predictor. These findings lend credence to the view that PBI can serve as a catalyst for psychological health. We hypothesize that enhancing PBI can improve interoceptive awareness, which is crucial for emotion regulation and reducing maladaptive food-related coping. Emphasizing a mind–body connection in lifestyle could be a relevant element to consider for both treating and preventing AN.

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Attachment in individuals with eating disorders compared to community controls: A systematic review and meta‐analysis

Jewell

Apostolidou

Sadikovic

et al. 2023

Intl J Eating Disorders

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Objective: Individuals with eating disorders are known to have higher rates of insecure attachment compared to community controls, but the factors underlying this finding are poorly understood. We conducted the first meta-analysis comparing attachment in eating disorder samples compared to community controls that included quality assessment, publication bias and moderation analysis.Method: We pre-registered our meta-analysis (CRD42019146799) and followed PRISMA guidelines. We searched PsychINFO, Embase, Medline, CINAHL, and Scopus for publications. Attachment scores were extracted, and Cohen's d calculated for each study using a random effects model. Results:In total, 35 studies were included in the meta-analysis and six studies were summarized in a narrative review. Eating disorder samples showed higher rates of insecure attachment compared to community controls, with a large effect size, across measurement methods and different attachment dimensions. Blinding of assessors moderated effect sizes for attachment interview studies, but no other moderators were significant.Discussion: Risk of insecure attachment is elevated in individuals with eating disorders, albeit heterogeneity is high and largely unexplained. Clinicians may need to take this into account in their work, particularly given the association between attachment insecurity and challenges to therapeutic alliance. Future studies comparing eating disorder samples with community samples should control for general psychopathology.

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Attachment, body appreciation, and body image quality of life in adolescents with eating disorders

Cited by 10 publications

References 27 publications

Compulsive Study Behaviors Are Associated with Eating Disorders and Have Independent Negative Effects on Well-Being: A Structural Equation Model Study among Young Musicians

Compulsive Study Behaviors Are Associated with Eating Disorders and Have Independent Negative Effects on Well-Being: A Structural Equation Model Study among Young Musicians

A Comprehensive Study of Positive Body Image as a Predictor of Psychological Well-Being in Anorexia Nervosa

Attachment in individuals with eating disorders compared to community controls: A systematic review and meta‐analysis

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