Self-image and eating disorder symptoms in normal and clinical adolescents

Mantilla, Emma Forsén; Bergsten, Katja Lindert; Birgegård, Andreas

doi:10.1016/j.eatbeh.2013.11.008

Cited by 28 publications

(32 citation statements)

References 49 publications

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“…The association between self-image and ED symptoms for our healthy females looked similar to our previous results with healthy 12–15 year old girls [ 18 ]. The association was strongest in the 16–18 age group (compared to both the younger girls in our previous study and the 19–25 year olds in this study), suggesting a slightly elevated risk of valuing oneself based on bodily appearance at this age.…”

Section: Discussionsupporting

confidence: 90%

“…[ 15 , 4 ], is associated with poor outcome [ 16 ] and predicts dropout from treatment [ 17 ]. In a previous study [ 18 ], we found an association between ED symptoms and negative self-image in a sample of healthy, young adolescent girls. More specifically, self-blame and, negatively, self-affirmation related to symptoms typical of ED (body dissatisfaction, eating concern, food restriction etc.).…”

Section: Introductionmentioning

confidence: 77%

“…In our previous study [ 18 ], we speculated that ED symptoms could shape and be shaped by introject variables, due to the ED mimicking being treated critically by a significant other. People tend to seek confirmation of their self-image, whether positive or negative, in interactions with others [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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The enemy within: the association between self-image and eating disorder symptoms in healthy, non help-seeking and clinical young women

Mantilla

Birgegård

2015

J Eat Disord

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BackgroundPrevious research has shown self-image according to the interpersonal Structural Analysis of Social Behavior model, to relate to and predict eating disorder symptoms and outcomes.MethodsWe examined associations between self-reported self-image and ED symptoms in three groups of 16–25 year old females: healthy (N = 388), non help-seeking (N = 227) and clinical (N = 6384). Analyses were divided into age groups of 16–18 and 19–25 years, and the patient sample was divided into diagnostic groups.ResultsStepwise regressions with self-image aspects as independent variables and eating disorder symptoms as dependent showed that low self-love/acceptance and high self-blame were associated with more eating disorder symptoms in all groups, except older patients with bulimia nervosa where self-hate also contributed. Associations were generally weaker in the healthy groups and the older samples.ConclusionsWe put forward that older age, low desirability of symptoms, poorly working symptoms, and being acknowledged as ill, may weaken the association, with implications for treatment and prevention.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 77%

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The enemy within: the association between self-image and eating disorder symptoms in healthy, non help-seeking and clinical young women

Mantilla

Birgegård

2015

J Eat Disord

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“…Forsén Mantilla et al. () examined self‐criticism, assessed using the Self‐Hate subscale from the Structural Analysis of Social Behavior self‐report instrument (Benjamin, ) data on 855 young adolescents (ages 13–15) treated at these DE facilities. They found significantly higher self‐criticism in the clinical group compared to non‐DE adolescents.…”

Section: Self‐criticism Nssi and Dementioning

confidence: 99%

“…Other studies support the unique role of purging within DE insofar as it relates to other forms of self-harm. For example, Foulon et al (2007) identified switching from the restriction subtype of anorexia nervosa to the binge/purging subtype as a significant risk factor for later suicide attempt. Still others have emphasized the autonomic negative reinforcement function of bingeing and purging (e.g., Wedig & Nock, 2010).…”

mentioning

confidence: 99%

Self‐Criticism as a Transdiagnostic Process in Nonsuicidal Self‐Injury and Disordered Eating: Systematic Review and Meta‐Analysis

Zelkowitz

Cole

2018

Suicide & Life Threat Behav

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Nonsuicidal self-injury (NSSI) and disordered eating (DE) are highly comorbid and may be regarded as belonging to a spectrum of self-harm behaviors. We investigated self-criticism as a transdiagnostic correlate of these behaviors, in keeping with etiological theories of both NSSI and DE. We reviewed the literature and meta-analyzed the relation of self-criticism to both NSSI (15 studies; 17 effect sizes) and DE (24 studies; 29 effect sizes). Results showed equivalent, moderate-to-large effects for the relation of self-criticism to NSSI (r = .38; CI: .29-.46) and DE (r = .40; CI: .34-.45). The relation of NSSI to self-criticism generalized across multiple potential moderators. DE behavior type moderated the relation of self-criticism to DE, with a stronger relation emerging for purging than restriction. Findings support self-criticism as a possible candidate for transdiagnostic pathways to self-harm.

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Examination of bidirectional relationships between fear of negative evaluation and weight/shape concerns over 3 years: A longitudinal cohort study of Australian adolescents

Trompeter

Austen

Bussey

et al. 2023

Intl J Eating Disorders

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Objective: Adolescents commonly experience both fear of negative evaluation and weight/shape concerns. However, evidence concerning the prospective associations between these constructs during adolescence is limited. The current study examined the bidirectional relationships between fear of negative evaluation and weight/shape concerns over a 3-year period in adolescents.Method: Australian high school students (n = 2073; 55% girls) completed self-report measures at three timepoints, each 1 year apart.Results: Findings showed a bidirectional relationship, whereby increases in fear of negative evaluation predicted exacerbated weight/shape concerns, and vice versa.Results point towards a vicious maintenance cycle between fear of negative evaluation and weight/shape concerns.Discussion: Findings from the current study highlight the importance of considering both fear of negative evaluation and weight/shape concerns in the development of health promotion and prevention programs designed to reduce the occurrence and adverse effects of body dissatisfaction or improve general mental health.Public Significance: Many adolescents experience some level of fear of negative evaluation (i.e., worry about being judged by others) and worry about their weight and/or shape. This study examined the prospective relationship between both constructs. Findings showed a bidirectional relationship, whereby higher fear of negative evaluation predicted increased weight/shape concerns, and vice versa. Programs designed to reduce body dissatisfaction might be improved by targeting both fear of negative evaluation and weight/ shape concerns.

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Self-image and eating disorder symptoms in normal and clinical adolescents

Cited by 28 publications

References 49 publications

The enemy within: the association between self-image and eating disorder symptoms in healthy, non help-seeking and clinical young women

The enemy within: the association between self-image and eating disorder symptoms in healthy, non help-seeking and clinical young women

Self‐Criticism as a Transdiagnostic Process in Nonsuicidal Self‐Injury and Disordered Eating: Systematic Review and Meta‐Analysis

Examination of bidirectional relationships between fear of negative evaluation and weight/shape concerns over 3 years: A longitudinal cohort study of Australian adolescents

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