From childhood emotional maltreatment to disordered eating: A path analysis.

Musetti, Alessandro; Gagliardini, Giulia; Lenzo, Vittorio; Cella, Stefania

doi:10.1037/pap0000438

Cited by 6 publications

(4 citation statements)

References 70 publications

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“…The second facet is related to negative affect. Compulsive eating behaviors often aim to prevent or relieve emotional distress, such as anxiety and sadness, thus triggering a vicious circle between eating and negative affect [ 26 , 27 , 28 , 29 , 30 ]. The third facet is excessive eating despite the awareness that it can lead to several medical conditions that are associated with excessive weight (e.g., cardiovascular disease, type II diabetes, and cancer), as well as psychological issues, psychiatric disorders, and functioning impairment [ 31 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

Eating Compulsivity in Inpatients with Severe Obesity and the General Population: The Italian Version of the Measure of Eating Compulsivity (MEC10-IT)

et al. 2023

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This study aimed to validate and investigate the psychometric properties of the Italian version of the Measure of Eating Compulsivity-10 (MEC10-IT) in a sample of inpatients with severe obesity (Study 1), and to test the measurement invariance of the measure across non-clinical and clinical samples (Study 2). In the first study, a confirmatory factorial analysis (CFA) was conducted among 452 patients in order to confirm the factorial structure of the MEC10-IT. In the second study, the psychometric properties of the MEC10-IT were tested on 453 inpatients with severe obesity and a community sample of 311 participants. The CFA confirmed the factorial structure of the MEC10-IT among an Italian sample of adult inpatients with severe obesity (Study 1). The MEC10-IT was also demonstrated to be invariant between the clinical and the community sample and to possess good psychometric properties, as well as excellent screening abilities for classifying individuals with problematic eating behaviors (Study 2). In conclusion, the MEC10-IT could be considered as a valid and reliable tool for the assessment of compulsive eating in both non-clinical and clinical samples and represents a psychometrically sound measure for clinical and research purposes.

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Section: Introductionmentioning

confidence: 99%

Eating Compulsivity in Inpatients with Severe Obesity and the General Population: The Italian Version of the Measure of Eating Compulsivity (MEC10-IT)

et al. 2023

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“…Of note, due to the complex nature of EDs, measures of therapeutic change should also take into account pre-post data on other parameters such as BMI and number of dietary restrictions, inappropriate compensatory behaviors or binge eating episodes per week. Future studies should also investigate the potential role of other relevant baseline variables (e.g., duration of illness; Broomfield et al, 2017), as well as the influence of individual factors such as attachment patterns (e.g., Tasca, 2019) or early traumatic experiences (e.g., Musetti et al, 2023), on both PWB dimensions and early therapeutic alliance.…”

Section: Discussionmentioning

confidence: 99%

Direct and indirect effects of psychological well-being and therapeutic alliance on therapy outcome in eating disorders

Muzi,

Carone,

Mirabella

et al. 2024

Front. Psychol.

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IntroductionOutcome research in eating disorders (EDs) is commonly focused on psychopathological dysfunction. However, Ryff’s model of psychological well-being (PWB) has shown promising—yet preliminary—results with ED patients. Additionally, despite substantial evidence highlighting the association between the therapeutic alliance and treatment outcome, findings in ED samples remain unclear. The present study aimed at exploring the direct effect of PWB dimensions and the early therapeutic alliance on ED patients’ individual treatment responses, as well as the mediating role played by the early therapeutic alliance in the relationship between PWB dimensions and overall pre-post symptom change.MethodsA sample of N = 165 ED patients assigned female at birth, who were receiving treatment in a residential program, completed the Psychological Well-Being Scale at treatment intake and the Working Alliance Inventory after the first four psychotherapy sessions. Patients also completed the Outcome Questionnaire-45.2 at the same time point and during the week prior to discharge.ResultsThe PWB dimensions of autonomy, positive relations, and self-acceptance were associated with clinically significant change, while the dimensions of personal growth and self-acceptance were associated with reliable change. The early therapeutic alliance showed both direct and indirect effects on therapy outcome, predicting clinically significant and reliable symptom reduction. It also emerged as a significant mediator in the relationship between all PWB dimensions and overall symptomatic change.ConclusionThe identification of individual, adaptive characteristics in ED patients that might influence their development of an early therapeutic alliance may help therapists to predict relationship ruptures and tailor their interventions to enhance treatment effectiveness.

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“…Adverse childhood experiences, including emotional, physical, and sexual abuse, have been consistently linked to mental health problems in children and adults [1,2]. A review of 52 studies on in-patient care [3] found that more than 50% of the men and over 60% of the women were exposed to sexual or physical abuse in their childhood.…”

Section: Introductionmentioning

confidence: 99%

“…Note: Numbers do not add up to 100% due to missing data 1. Mean household income in Israel approximately 4000$ per month.…”

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confidence: 99%

Can I Leave the Past Behind? Associations between Childhood Abuse and Adult Psychopathology

Nagar,

Nakash

2024

Healthcare

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Background: Research consistently shows that abuse during childhood is related to adult psychopathology. Information regarding childhood abuse is frequently collected from either previous documentation or from participants’ self-reports. Objective: In the current study, we combined information on reports of childhood abuse from several informants (patients, treating clinicians, and independent interviewer), as well as diagnostic assessments of adult patients based on independent interviewer assessments based on structured diagnostic interviews (SCID) and clinician judgments, to better examine the association between exposure to abuse during childhood and adult psychopathology. Participants and Setting: A convenience sample of patients in community mental health and hospital-based clinics (N = 170) and their clinicians (N = 80) participated in the study. Methods: Patients and clinicians completed the Clinical Data Form. Patients also completed the Childhood Trauma Questionnaire. Independent interviewer-assessed patients and completed the Familial Experiences Interview. Clinicians completed a diagnostic assessment of their patients based on clinical judgment. Independent interviewers completed the Structured Clinical Interview (SCID). Results: Reports of exposure to physical, emotional, and sexual abuse during childhood from all informants correlated with the treating clinician’s diagnosis of borderline personality disorder (BPD; r range 0.23–0.37, p < 0.05), but not with SCID diagnosis of BPD. Clinician and SCID diagnosis of post-traumatic stress disorder (PTSD) correlated with patient and interviewer reports of childhood sexual abuse (r range 0.23–0.30, p < 0.05), but there were no correlations with treating clinician’s reports of sexual abuse. Conclusions: The association between BPD and childhood abuse is consistent across different ratings and measurements. The study raises questions of the ability of a structured interview to accurately capture BPD and highlights the connection between sexual abuse and PTSD, and the importance of treating clinicians’ examination of childhood sexual abuse among their patients.

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From childhood emotional maltreatment to disordered eating: A path analysis.

Cited by 6 publications

References 70 publications

Eating Compulsivity in Inpatients with Severe Obesity and the General Population: The Italian Version of the Measure of Eating Compulsivity (MEC10-IT)

Eating Compulsivity in Inpatients with Severe Obesity and the General Population: The Italian Version of the Measure of Eating Compulsivity (MEC10-IT)

Direct and indirect effects of psychological well-being and therapeutic alliance on therapy outcome in eating disorders

Can I Leave the Past Behind? Associations between Childhood Abuse and Adult Psychopathology

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