Identifying predictors associated with the severity of eating concerns in females with eating disorders

Abstract

Considering how to improve efficacy of therapeutic strategies, the overall objective of the present study was to investigate the extent of eating concerns and to identify predictors associated with the severity of disordered eating symptomatology among people with eating pathologies. We screened 80 female eating disordered patients, ranging from 13 to 40 years, by means of self-report measures of parental behavior as perceived by the offspring, self-esteem, perfectionism, body shame and eating disorder severity. Self-reported weight and height were obtained. The diagnosis of bulimia nervosa resulted to be associated with a greater severity of the eating symptomatology. Maladaptive perfectionism, body shame and self-esteem, significantly predicted the level of eating concerns. The recognition of potential maintaining factors may support the choice of particular therapeutic strategies to improve the treatment of eating pathologies and their outcomes.

Self-Esteem and Binge Eating among Adolescent Boys and Girls: The Role of Body Disinvestment

“…Cognitive-behavioral framework [ 14 ] and escape theory [ 35 ] have also emphasized the role of low self-esteem in precipitating binge eating. Empirical findings further confirm that self-esteem is a vulnerability factor for the development of EDs [ 36 ]. In a recent study, Cella et al [ 37 ] have found that binge eating symptomatology was associated with a lower level of self-esteem.…”

Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review

“…Five studies directly compared AN and BN groups, but no significant differences were reported (See Table for summary; Cella, Cipriano, Iannaccone, & Cotrufo, ; Duarte, Ferreira, & Pinto‐Gouveia, ; Franzoni et al ., ; Grabhorn et al ., ; Kollei et al ., ). Those in AN and BN samples also did not differ from individuals diagnosed with body dysmorphic disorder (BDD; Kollei et al ., ) or binge eating disorder (Cella et al ., ; Duarte et al ., ). In one study, those with an EDNOS diagnosis reported greater shame than those diagnosed with AN (Franzoni et al ., ).…”

Binge eating disorder and related features in bariatric surgery candidates

“…Within eating disorder literature, self-esteem [31] and interoceptive awareness [32, 33] are considered very important vulnerability factors in the development of these diseases. In the present study, they hadn’t a direct effect on binge eating.…”