Early attachment quality moderates eating disorder risk among adolescent girls

Milan, Stephanie; Acker, J.C.A. van

doi:10.1080/08870446.2014.896463

Cited by 29 publications

(35 citation statements)

References 43 publications

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“…The severity of drive for thinness, body dissatisfaction, bulimia, and binge and purge symptoms were related to the degree of attachment insecurity in the SM group, which is in line with previous studies that evidenced the association between lower attachment security and stronger ED symptoms (Broberg et al, 2001) dysfunctional eating attitudes and behaviors, and an increased risk of EDs (Milan & Acker, 2014). The stronger association between ED symptoms and adult attachment dimensions then parental bonding features in SM individuals may suggest that SM adults consider their partner or close peer relationships as primary attachments rather than their parents.…”

Section: Characteristics Of Sine Morbo Individualssupporting

confidence: 78%

“…Mothers of SM ones reported higher security than mothers of anorexic patients, and were less avoidant than mothers of bulimic patients (Tereno et al, 2008). The quality of parental attachment can lead to dysfunctional eating attitudes; it may influence the quantity and quality of food eaten and moderate the risk of EDs (Faber & Dubé , 2015;Milan & Acker, 2014). From the opposite direction of influence, both the physical and psychological proximity needs can be increased in patients after the onset of EDs.…”

Section: Attachment and Eating Disordersmentioning

confidence: 99%

“…Secondly, since personality and family traits are central in ED's (Minuchin et al, 2009;Tasca et al, 2011), and attachment features contribute to both the ego functioning and object relations (Dozier et al, 2008), the role of attachment in patients with eating disorders may be viewed as a system mediating between intrapersonal experience and interpersonal actions that serve to maintain the symptoms.. Thirdly, both attachment anxiety and avoidance can be directly related to the increased risk o f ED symptoms (e.g., Szalai & Czeglé di, 2015;. Lastly, longitudinal studies evidenced that the role of attachment in EDs can be considered an important background variable, as its quality moderated the relationship between ED risk factors and later disordered eating attitudes and behaviors (Milan & Acker, 2014). The maturation of the self is interwoven with attachment functioning, so attachment dysfunctions can contribute to self-disturbances, and on the basis of disturbed neurobiological functioning, deficient self-functioning can be linked to ED symptomology (Amianto et al, 2015).…”

Section: Attachment and Eating Disorder Symptomologymentioning

confidence: 99%

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Parental and Adult Attachment and Eating Symptomology in Eating Disorder Patients and Sine Morbo Individuals

Szalai¹,

Czeglédi²

2017

IJSSS

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Attachment can contribute to eating disorder symptomology through various paths, including emotion regulation. However, the relationship between parental and adult attachment and emotional eating and other eating disorder symptoms have been barely investigated on comparative samples. This cross-sectional, questionnaire-based online survey aimed to assess the relationship between parental and adult attachment qualities with the eating behavior severity, emotional eating, and the level of depression in 67 female anorexia nervosa, bulimia nervosa, and binge eating disorder patients, compared to 67 female sine morbo individuals. Eating disorder patients less frequently had secure attachment, and were more often fearful or preoccupied than sine morbo individuals. In sine morbo individuals lower adult attachment security, but in patients, lower parental care was related to eating disorder symptoms. In sine morbo individuals, higher preoccupation, but in patients, higher fearfulness and lower care was related to emotional eating. Lower attachment security (OR = 0.54), younger age (OR = 0.93) and higher depression (OR = 1.04) explained 36.6% of the variance of diagnosed eating disorders. A complex interplay could be highlighted between dysfunctional attachment dimensions and eating symptomology in both groups-but with different patterns. Perceived parental care may be influential for eating disorder patients, whilst the degree of adult attachment security can be influential for sine morbo individuals. Lower attachment security was a predictor of eating disorders, which suggests the protective value of enhancing attachment security. However, further attachment-based interventions are required.

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Section: Characteristics Of Sine Morbo Individualssupporting

confidence: 78%

Section: Attachment and Eating Disordersmentioning

confidence: 99%

Section: Attachment and Eating Disorder Symptomologymentioning

confidence: 99%

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Parental and Adult Attachment and Eating Symptomology in Eating Disorder Patients and Sine Morbo Individuals

Szalai¹,

Czeglédi²

2017

IJSSS

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“…Kerns ve Brumariu da, benzer şekilde böyle bireylerin, duygu yönetiminde sorun yaşadıkları için akranlarla olan ilişkilerinin bozulduğunu ve bu durumun da uzun vadede anksiyeteyi arttırabileceğini bildirmiştir 33 . Güvensiz bağlanmanın ergenlik döneminde yeme bozukluğuna da yol açabileceğine dair çalışmalar vardır 34,35 .…”

Section: Güvensiz Bağlanma İle İlişkili Yetişkin Ruhsal Sorunlarunclassified

Bağlanma ve Yaşamdaki İzdüşümleri

Doksat

Ciftci

2016

Arşiv Kaynak Tarama Dergisi

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The term "attachment" is used to imply the bonding between mother and child or the relationship between parents and child. Establishment of secure attachment is the healthiest way for the mental and physical development of the child. Secure attachment system constitutes a protection mechanism from high levels of stress. Insecurely attached children are presented with mental and physical developmental delays and problems in identity formation and personality in the future. To avoid all these, all the requirements of the child by means of affection, nutrition, protection, shelter and health are required to be met in a consistent and healthy way by the caregiver. This review article discuss the term attachment; features associated with insecure attachment and its negative influences in adulthood. Key words: Attachment, secure attachment, outcome. ÖZÇocuk ve ebeveyni arasında kurulan bağ ilişkisine, "bağlanma" adı verilir. "Bağlanma" dendiğinde anne-çocuk arasındaki ilişki, ebeveyn-çocuk arasındaki ilişki veya temel bakım veren-çocuk arasındaki ilişki kast edilmektedir. Çocuğun ruhsal ve fiziksel gelişimi açısından en ideal ve sağlıklı olanı güvenli bir bağlanmanın temin edilmesidir. Güvenli bağlanma çocuğu yüksek düzey stresten koruyan bir mekanizma teşkil eder. Güvensiz bağlanma geliştirmiş olan bireyleri ilerleyen zamanda zihinsel ve fiziksel açıdan gelişimsel gerilikler, kimlik oluşmasında sorunlar, kişilik sorunları ve diğer ruhsal sorunlar beklemektedir. Güvenli bağlanma için, çocuğun temel şevkât, beslenme, korunma, barınma ve sağlık ihtiyaçlarının hepsinin sağlam, tutarlı şekilde karşılanması gereklidir. Bu gözden geçirme makalesinde, bağlanma kavramının özellikleri, çocukta güvensiz bağlanmanın özellikleri ve erişkin hayata olumsuz yansımaları ele alınacaktır. Anahtar kelimeler: Bağlanma, güvenli bağlanma, sonlanım.

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“…Importantly then, four of the longitudinal and prospective studies (Allen et al, 2009;Nicholls & Viner, 2009;Tanofsky-Kraff et al, 2011;Zerwas et al, 2014) lend equivocal support to the predictive validity of maternally reported childhood anxiety relative to eating disorder symptoms. One study (Milan & Acker, 2014) also found that an insecure attachment style mediated by an elevated pubertal BMI predicted eating disorder symptoms .…”

Section: Anxiety Disorders and Eating Disordersmentioning

confidence: 99%

Epidemiology of eating disorders part III: social epidemiology and case definitions revisited

Rosenvinge

Pettersen

2015

Advances in Eating Disorders

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The previous papers in this series (Rosenvinge & Pettersen, 2014a,b) outlined a historical panorama and presented knowledge about the distribution of eating disorders in various populations as well as about putative risk factors. This final paper focuses on social epidemiology, notably the current status of treatment dissemination and prevention research. We also discuss some comorbidity findings and transdiagnostic issues as an alternative to the DSM based definition of an epidemiological case, and how such an alternative definition may introduce new perspectives of prevention. Key words: eating disorders, epidemiology, reviewThe authors declare no conflict of interest in preparing this work 3 The present article is the final one of three about the epidemiology of eating disorders. The first one (Rosenvinge & Pettersen, 2014a) outlined basic epidemiological concepts, approaches and issues. In addition, it outlined a historical panorama of the epidemiology of eating disorders up to the early 1990s depicting, the evolvement of eating disorders from being one, curious and rare disorder (i.e., anorexia nervosa) to a set of disorders distributed in the population to an extent which has caught public concern and scientific effort for the past 30 or 40 years. This evolvement has resulted in case definitions through the DSM and ICD manuals, and being worldwide disseminated they haves had a major impact on case definition-and identification methods in epidemiological eating disorder research.The second paper in this series (Rosenvinge & Pettersen, 2014b) outlined recent knowledge about descriptive epidemiology; how many who actually have a DSM eating disorder or significant eating problems at a given point of time (i.e., the point prevalence), or in the past (i.e., the lifetime prevalence), as well as about the number of new cases appearing per year (i.e., the incidence). In addition, we focused on issues within analytic epidemiology, notably what is known about risk factors for developing eating disorders or for staying ill for a longer period of time.Case identification methods require a case definition which is useful for analytic and social epidemiological purposes, and not just for describing the prevalence or incidence.Traditionally, the DSM taxonomy has provided a gold standard. This may be questioned in view of mental disorders most likely to come along with eating disorders, most likely to affect their course, and where the comorbidity may point to transdiagnostic factors possibly relevant to epidemiological research. The first aim of this paper is to discuss the relevance and implications of such perspectives in constructing an epidemiological case definition.Social epidemiology becomes relevant when we have some answers from descriptive epidemiology to the "how many-questions", and from analytical epidemiology to the "who, and "why"-questions. One part of social epidemiology concerns prevention, and which may take the approach of health promotion at a universal (general population) level, i.e., by...

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Early attachment quality moderates eating disorder risk among adolescent girls

Abstract: Results delineate one way early attachment quality may contribute to EDs among some adolescent girls, and support recent efforts to incorporate relational components into obesity and ED prevention programmes.

Cited by 29 publications

References 43 publications

Parental and Adult Attachment and Eating Symptomology in Eating Disorder Patients and Sine Morbo Individuals

Parental and Adult Attachment and Eating Symptomology in Eating Disorder Patients and Sine Morbo Individuals

Bağlanma ve Yaşamdaki İzdüşümleri

Epidemiology of eating disorders part III: social epidemiology and case definitions revisited

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