Eating disorders among middle-school students: The role of psychological inflexibility and self-esteem

Koushiou, Maria; Loutsiou, A.; Karekla, Maria

doi:10.1080/21683603.2020.1742259

Cited by 5 publications

(10 citation statements)

References 68 publications

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“…Third, the current study showed that self-esteem positively predicts psychological inflexibility, which is in line with the findings of Koushiou et al (2020). The current study also indicated that self-esteem and psychological inflexibility play a chain mediation role in the relationship between parenting style and mental health (Hypothesis 3).…”

Section: Discussionsupporting

confidence: 89%

“…Moreover, one's attachment to the conceptualized self plays a role in the formation of psychological inflexibility (Hayes et al, 2011). A recent study has shown that self-esteem can negatively predict psychological inflexibility, and psychological inflexibility plays a mediating role in self-esteem and eating disorders in adolescents (Koushiou et al, 2020). Psychological inflexibility thus could be a mediating variable between selfesteem and mental health, with parenting style also having an impact on adolescent mental health through chain mediation between self-esteem and psychological inflexibility.…”

Section: The Relationship Between Self-esteem and Psychological Inflexibilitymentioning

confidence: 99%

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Parenting Style and Adolescent Mental Health: The Chain Mediating Effects of Self-Esteem and Psychological Inflexibility

Peng

et al. 2021

Front. Psychol.

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Based on interpersonal acceptance–rejection theory, family systems theory, and psychological inflexibility theory, this study aimed to examine the mediating roles of a protective factor (self-esteem) and a risk factor (psychological inflexibility) on the influence of parenting style on adolescent mental health. A sample of Chinese adolescents (n = 916, 46% male, mean age = 14.44 years, SD = 1.84 years) completed the Short Egna Minnen Barndoms Uppfostran, the Rosenberg Self-esteem Scale, the Avoidance and Fusion Questionnaire for Youth, the Satisfaction with Life Scale, and the Depression Subscale of the Youth Self-Report. Results show that the self-esteem and psychological inflexibility play a chain mediating role in the relationship between parenting style and adolescent mental health. Specifically, parental emotional warmth had a positive effect on adolescent mental health through the chain mediating effects of self-esteem and psychological inflexibility. Parental rejection and parental over-protection had negative effects on adolescent mental health by lowering self-esteem but increasing psychological inflexibility. These results provide further guidance in the prevention of and intervention in adolescent mental health problems.

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Section: Discussionsupporting

confidence: 89%

Section: The Relationship Between Self-esteem and Psychological Inflexibilitymentioning

confidence: 99%

Parenting Style and Adolescent Mental Health: The Chain Mediating Effects of Self-Esteem and Psychological Inflexibility

Peng

et al. 2021

Front. Psychol.

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“…Self-esteem (Jones et al, 2020), body dissatisfaction and attitudes toward body (Boone et al, 2014;Teixeira et al, 2016) were also influenced by perfectionism (McCabe and Vincent, 2003;Fortes et al, 2015;Teixeira et al, 2016), psychological inflexibility (Koushiou et al, 2020) or obsessive-compulsive symptoms (Baylan et al, 2009;Sepúlveda et al, 2021). These associations could be related to establishing unrealistic goals or expectations.…”

Section: Discussionmentioning

confidence: 99%

“…Self-esteem also mediates the effect of family functioning and family preoccupation on weight and appearance, therefore participants with low self-esteem were more vulnerable to their family situation, and presented more negative eating behaviors (Leung et al, 1995). The association between self-esteem and EDs symptomatology was also mediated by psychological inflexibility, the adolescents with higher scores in this variable are the ones who presented a lower self-esteem and more likely to present disordered eating behaviors (Koushiou et al, 2020).…”

Section: Synthesis Of Primary Outcomesmentioning

confidence: 98%

“…Rosewall et al (2018) also observed an association of socially prescribed perfectionism, proving that social pressure could be a stronger predictor of EDs symptoms in women compared to men. It has also been observed that other personal characteristics, such as high psychological inflexibility (Koushiou et al, 2020), low emotional intelligence (Li and Li, 2021) and interoceptive awareness (Kerremans et al, 2010) are associated with EDs symptomatology for both genders. Ineffectiveness (McCabe and Vincent, 2003) and covert delinquency (Kerremans et al, 2010) were observed only for men, while inhibited behavior and low effortful control were presented only for women (Kerremans et al, 2010).…”

Section: Personal Characteristicsmentioning

confidence: 99%

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An update on the underlying risk factors of eating disorders onset during adolescence: a systematic review

Varela,

Hoyo,

Tapia-Sanz

et al. 2023

Front. Psychol.

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IntroductionEating disorders (EDs) are serious psychological problems that affect not only the individual, but also their entire environment. The prevalence rates of EDs are higher among the adolescent population. A better understanding of ED risk factors is essential to design effective prevention and intervention programs that focus beyond the areas of weight and appearance.MethodsThe main objective of this systematic review was to identify the risk factors of EDs and provide a comprehensive approach, analyzing the interplay between individuals, their inner circle, and the society characteristics. The Web of Science, Scopus, CENTRAL and PsycInfo databases were searched.ResultsThe initial search produced 8,178 references. After removing duplicates and performing the selection process by three independent reviewers, 42 articles were included in the systematic review according to the pre-specified inclusion criteria. The results suggest the relevance of society and the inner circle on the development of EDs.DiscussionThe internalization of the thin ideal, promoted by the current society, and living in an unsupportive, unaffectionate, non-cohesive environment were associated with the onset of EDs symptomatology. Other associated variables with this ED indicator were poor-quality relationships and feeling judged about appearance. These aspects seem to be essential for the development of individual characteristics like self-esteem or adaptative coping during adolescence. This systematic review has shown the complex etiology of EDs and the relevance of the interplay between the different areas involved. Furthermore, this information could be relevant to improve the design of innovative and more effective prevention and intervention programs.Systematic review registrationPROSPERO, identifier CRD42022320881.

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Exploring the moderating roles of dispositional mindfulness and body image flexibility in the association between body dissatisfaction and disordered eating in Chinese adolescents

Chen,

Wang,

Barnhart

et al. 2024

J Clin Psychol

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ObjectivesPrevious research suggests potential moderating roles of dispositional mindfulness and body image flexibility in the association between body dissatisfaction and disordered eating. However, relevant research is mainly conducted on adult women from Western countries, and limited evidence exists for adolescent samples, especially from non‐Western contexts (e.g., China). Thus, this study aimed to examine the moderating roles of dispositional mindfulness and body image flexibility in the relationship between body dissatisfaction and disordered eating in Chinese adolescents.MethodWe recruited 545 Chinese adolescents (53.9% boys, aged 12–16 years) who completed measures of body dissatisfaction, dispositional mindfulness, body image flexibility, and disordered eating. Moderation analyses were examined with PROCESS macro on SPSS.ResultsIn separate models, both higher dispositional mindfulness and body image flexibility weakened relationships between body dissatisfaction and disordered eating. However, when both dispositional mindfulness and body image flexibility were entered into the same moderation model, only body image flexibility showed a significant moderating effect.DiscussionBoth dispositional mindfulness and body image flexibility may weaken the association between body dissatisfaction and disordered eating in adolescents. However, body image flexibility might have a stronger effect than dispositional mindfulness. These findings suggest that interventions aimed at reducing body dissatisfaction to prevent disordered eating in adolescents may pay more attention to adolescents' body image flexibility.

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Eating disorders among middle-school students: The role of psychological inflexibility and self-esteem

Cited by 5 publications

References 68 publications

Parenting Style and Adolescent Mental Health: The Chain Mediating Effects of Self-Esteem and Psychological Inflexibility

Parenting Style and Adolescent Mental Health: The Chain Mediating Effects of Self-Esteem and Psychological Inflexibility

An update on the underlying risk factors of eating disorders onset during adolescence: a systematic review

Exploring the moderating roles of dispositional mindfulness and body image flexibility in the association between body dissatisfaction and disordered eating in Chinese adolescents

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