Restraint feeds stress: The relationship between eating disorder symptoms, stress generation, and the interpersonal theory of suicide

Dodd, Dorian R.; Smith, April R.; Bodell, Lindsay P.

doi:10.1016/j.eatbeh.2014.08.004

Cited by 23 publications

(20 citation statements)

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“…Present findings are in partially in line with this prediction and offer some initial support this hypothesis. Although the present findings can be interpreted through the IPTS, only a few initial studies have found support for the IPTS in disordered eating samples [43, 44]. Future research is needed to fully test the IPTS in clinical eating disorder samples in order to better understand mechanisms leading to suicide attempts in this population.…”

Section: Discussionmentioning

confidence: 85%

Is childhood trauma associated with lifetime suicide attempts in women with bulimia nervosa?

et al. 2015

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Purpose The purpose of this study was to explore the association between specific forms of childhood abuse and neglect with lifetime suicide attempts in women with bulimia nervosa (BN). Methods Two hundred and four women aged 18–65 (mean = 25.6 years, SD = 9.13) with full or subclinical BN were recruited in five US Midwestern communities and specialized eating disorder clinics. Participants completed questionnaires including the Childhood Trauma Questionnaire (CTQ) and self-reported whether they had ever had a lifetime suicide attempt. Logistic regression analyses were used to predict lifetime suicide attempts from each subscale of the CTQ. Results Childhood emotional, physical, and sexual abuse were significantly associated with the presence of a lifetime suicide attempt in women with BN. Childhood emotional and physical neglect were not associated with suicide attempts. Conclusions Individuals with BN who have experienced childhood emotional and sexual abuse are at increased risk of a lifetime suicide attempt. Future research is needed to understand the mechanism to address in treatment and prevention efforts. It is important for clinicians to be aware of the potential increased risk of suicide in individuals with BN with a history of childhood abuse.

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Section: Discussionmentioning

confidence: 85%

Is childhood trauma associated with lifetime suicide attempts in women with bulimia nervosa?

et al. 2015

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“…Work by Dodd et al. () found that ED symptoms did not directly predict longitudinal changes in TB. Instead, ED symptoms indirectly predicted greater TB through negative life events.…”

Section: Discussionmentioning

confidence: 97%

“…Although Dodd et al. () found support for a longitudinal relationship between initial dietary restraint and later TB and PB, this relationship was not direct, and flowed through increased negative life events. Their use of a nonclinical sample and the failure to test for the opposite direction of the relationship (i.e., that TB and PB lead to increases in ED symptoms) are additional limitations.…”

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confidence: 97%

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Assessing Longitudinal Relationships among Thwarted Belongingness, Perceived Burdensomeness, and Eating Disorder Symptoms

Trujillo

Forrest

Claypool

et al. 2019

Suicide & Life Threat Behav

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Objective Past work has documented a cross‐sectional relationship between eating disorders (ED) and suicidality, but few studies have examined the directionality of this relationship. Informed by the interpersonal–psychological theory of suicide (IPTS), this study examines the bidirectional, longitudinal relationship between ED symptoms and two determinants of suicide ideation—thwarted belongingness (TB) and perceived burdensomeness (PB). Method Ninety‐two treatment‐seeking individuals with ED (94.5% White, 95.6% female) completed baseline (T1) measures of ED symptoms along with TB and PB. Of those, 75 (81.5%) completed a follow‐up assessment eight weeks later (T2). Results Separate linear regression models revealed that T1 ED symptoms did not predict T2 TB (b = .03, p = .42) or T2 PB (b = −.01, p = .68). Similarly, T1 TB did not predict T2 ED symptoms (b = .25, p = .37). T1 PB did significantly predict T2 ED symptoms (b = 0.52, p = .04). Further, among participants with AN/sub‐AN, T1 TB and PB predicted T2 ED symptoms (p's ≤ .03). Conclusion Our results reveal the need for a nuanced understanding of the relationship between ED and suicidality. This study found that PB predicts greater ED symptoms and, among the AN/sub‐AN sample, TB does as well.

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“…Additional research has found that general eating psychopathology is related to suicide risk through both perceived burdensomeness and thwarted belongingness (Dodd, Smith, & Bodell, 2014;Kwan, Gordon, Carter, Minnich, & Grossman, 2017). Additional research has found that general eating psychopathology is related to suicide risk through both perceived burdensomeness and thwarted belongingness (Dodd, Smith, & Bodell, 2014;Kwan, Gordon, Carter, Minnich, & Grossman, 2017).…”

Section: Discussionmentioning

confidence: 98%

Body dissatisfaction and symptoms of bulimia nervosa prospectively predict suicide ideation in adolescents

Perkins

Brausch

2019

Intl J Eating Disorders

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Objective: Symptoms of eating disorders have been established as significant concurrent correlates with suicide ideation and behaviors in adolescent samples, but very few studies have examined eating disorder symptoms as prospective risk factors for suicide. The current study examined eating disorder symptoms as prospective risk factors for suicide ideation in an unselected community sample of adolescents.Method: Data were collected from 436 adolescents in middle and high school at baseline and 6-and 12-month follow-ups. Adolescents completed self-report measures assessing eating disorder symptoms and suicide ideation and behaviors at each time point during school hours.Results: Regression analyses found that body dissatisfaction was a significant prospective predictor of suicide ideation severity at the 6-and 12-month follow-ups, symptoms of bulimia nervosa (binge-eating disorder and purging) predicted suicide ideation severity at the 12-month follow-up only, and symptoms of anorexia nervosa (drive for thinness and restricting) were not significant predictors of suicide ideation at either follow-up. Exploratory analyses found the same pattern of results for the sample of girls only, while no significant predictors were found for boys only.Discussion: This is the first longitudinal study of disordered eating and suicide ideation in American adolescents. Symptoms of bulimia nervosa and body dissatisfaction seem to be true risk factors for suicidal ideation. The current study demonstrates the importance of disordered eating behaviors in the development of suicidal ideation in adolescents, particularly for adolescent girls. K E Y W O R D S adolescents, body dissatisfaction, bulimia nervosa, eating disorders, longitudinal, suicide ideation

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Restraint feeds stress: The relationship between eating disorder symptoms, stress generation, and the interpersonal theory of suicide

Cited by 23 publications

References 46 publications

Is childhood trauma associated with lifetime suicide attempts in women with bulimia nervosa?

Is childhood trauma associated with lifetime suicide attempts in women with bulimia nervosa?

Assessing Longitudinal Relationships among Thwarted Belongingness, Perceived Burdensomeness, and Eating Disorder Symptoms

Body dissatisfaction and symptoms of bulimia nervosa prospectively predict suicide ideation in adolescents

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