Understanding the roles of self-esteem, self-compassion, and fear of self-compassion in eating disorder pathology: An examination of female students and eating disorder patients

Kelly, Allison C.; Vimalakanthan, Kiruthiha; Carter, Jacqueline C.

doi:10.1016/j.eatbeh.2014.04.008

Cited by 108 publications

(71 citation statements)

References 20 publications

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“…We favor the neural compensation hypothesis because outpatient treatment of AN typically includes individual psychotherapy and cognitive therapies that focus on self-perception, body-image, mentalization, and self-esteem (Lazaro et al , 2011; Brockmeyer et al , 2013; Watson and Bulik, 2013; Hay et al , 2014; Kelly et al , 2014), all constructs related to social self-evaluations. One area that differed during reflected third person evaluations compared to direct first person evaluations in the recovered women was the dACC, a region that has been directly related to the difficulty of a task (Shenhav et al , 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Although weight-restoration is essential for recovery from AN, more than half of adult patients relapse after treatment (Steinhausen, 2002; Keel and Brown, 2010). Therapies that consider body-image, identity, and self-esteem are typically utilized after weight-restoration but the specific cognitive, physiological, and emotional changes that result in sustained recovery have not been clearly identified (Murphy et al , 2010; Lazaro et al , 2011; Brockmeyer et al , 2013; Watson and Bulik, 2013; Hay et al , 2014; Kelly et al , 2014). Utilization of functional magnetic resonance imaging (fMRI) tasks to characterize specific neurocognitive problems in self-perception in AN may improve our ability to understand the disease and design targeted treatments.…”

Section: Introductionmentioning

confidence: 99%

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Neural differences in self-perception during illness and after weight-recovery in anorexia nervosa

McAdams¹,

Jeon–Slaughter

Evans

et al. 2016

Social Cognitive and Affective Neuroscience

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Anorexia nervosa (AN) is a severe mental illness characterized by problems with self-perception. Whole-brain neural activations in healthy women, women with AN and women in long-term weight recovery following AN were compared using two functional magnetic resonance imaging tasks probing different aspects of self-perception. The Social Identity-V2 task involved consideration about oneself and others using socially descriptive adjectives. Both the ill and weight-recovered women with AN engaged medial prefrontal cortex less than healthy women for self-relevant cognitions, a potential biological trait difference. Weight-recovered women also activated the inferior frontal gyri and dorsal anterior cingulate more for direct self-evaluations than for reflected self-evaluations, unlike both other groups, suggesting that recovery may include compensatory neural changes related to social perspectives. The Faces task compared viewing oneself to a stranger. Participants with AN showed elevated activity in the bilateral fusiform gyri for self-images, unlike the weight-recovered and healthy women, suggesting cognitive distortions about physical appearance are a state rather than trait problem in this disease. Because both ill and recovered women showed neural differences related to social self-perception, but only recovered women differed when considering social perspectives, these neurocognitive targets may be particularly important for treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Neural differences in self-perception during illness and after weight-recovery in anorexia nervosa

McAdams¹,

Jeon–Slaughter

Evans

et al. 2016

Social Cognitive and Affective Neuroscience

View full text Add to dashboard Cite

show abstract

“…For example, binge-eating behavior is associated with psychosocial factors such as negative affect and mood dysregulation (Micanti et al, 2016), weight cycling (Zwaan, Engeli, & Muller, 2015), body dissatisfaction (Goldschmidt, Wall, Choo, Becker, & Neumark-Sztainer, 2016), fear of self-compassion (Kelly, Vimalakanthan, & Carter, 2014), and neuroticism (Womble et al, 2001). Individuals who are underweight or normal weight report lower food consumption when experiencing negative emotions than when experiencing positive emotions.…”

Section: Factors That Lead To the Formation Of Famentioning

confidence: 99%

Psychological and Neurobiological Correlates of Food Addiction

Kalon

Hong

Tobin

et al. 2016

International Review of Neurobiology

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Food addiction (FA) is loosely defined as hedonic eating behavior involving the consumption of highly palatable foods (ie, foods high in salt, fat, and sugar) in quantities beyond homeostatic energy requirements. FA shares some common symptomology with other pathological eating disorders, such as binge eating. Current theories suggest that FA shares both behavioral similarities and overlapping neural correlates to other substance addictions. Although preliminary, neuroimaging studies in response to food cues and the consumption of highly palatable food in individuals with FA compared to healthy controls have shown differing activation patterns and connectivity in brain reward circuits including regions such as the striatum, amygdala, orbitofrontal cortex, insula, and nucleus accumbens. Additional effects have been noted in the hypothalamus, a brain area responsible for regulating eating behaviors and peripheral satiety networks. FA is highly impacted by impulsivity and mood. Chronic stress can negatively affect hypothalamic–pituitary–adrenal axis functioning, thus influencing eating behavior and increasing desirability of highly palatable foods. Future work will require clearly defining FA as a distinct diagnosis from other eating disorders.

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“…Some evidence suggests that self-compassion negatively predicts eating disorders symptoms (Geller, Srikameswaran, & Zelichowska, 2015;Kelly, Vimalakanthan, & Carter, 2014;Taylor, Daiss, & Krietsch, 2015).…”

Section: Introductionmentioning

confidence: 99%

Finding the link between internalized weight-stigma and binge eating behaviors in Portuguese adult women with overweight and obesity: The mediator role of self-criticism and self-reassurance

et al. 2017

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Literature has emphasized the negative role of internalized self-stigma in unhealthy eating behaviors in individuals with overweight and obesity. Still, less is known about the psychological processes that mediate this relationship. Self-criticism and the inability to reassure the self are considered to play crucial roles on eating behaviors. This study aims to: 1) explore the associations between BMI, weight self-stigma, self-criticism, self-reassurance and binge-eating; 2) explore differences in weight self-stigma and self-criticism tendencies between women with and without Binge Eating Disorder (BED); 3) test the mediator effect of selfcriticism and self-reassurance on the relationship between weight self-stigma and binge-eating severity. Participants were 125 Portuguese adult women with overweight and obesity (MBMI= 34.44; SD =5.51). Participants were weighted and completed a set of self-report measures. BED was assessed through a clinical structured interview. Results showed that women with BED display higher levels of weight self-stigma and self-criticism and lower tendencies to be selfreassuring, than women without BED. Additionally, the mediation model tested indicated that the effect of weight self-stigma on binge eating severity was in part partially mediated by a selfto-self-relationship that is critical, harsh and punitive and by a decreased ability to be reassuring when facing setbacks. Overall, the model accounted for 45% of binge eating symptoms severity. These findings may inform clinical practice with clients who present high levels of weight selfstigma. Results suggest the relevance of targeting self-criticism and promoting a self-to-self relationship that is caring and reassuring, as a way of diminishing binge eating behaviors.

show abstract

Understanding the roles of self-esteem, self-compassion, and fear of self-compassion in eating disorder pathology: An examination of female students and eating disorder patients

Cited by 108 publications

References 20 publications

Neural differences in self-perception during illness and after weight-recovery in anorexia nervosa

Neural differences in self-perception during illness and after weight-recovery in anorexia nervosa

Psychological and Neurobiological Correlates of Food Addiction

Finding the link between internalized weight-stigma and binge eating behaviors in Portuguese adult women with overweight and obesity: The mediator role of self-criticism and self-reassurance

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