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13-05-2020 | ORIGINAL PAPER

Body Dissatisfaction and Bulimic Symptoms: Moderator Roles of Compassionate and Uncompassionate Self-Responding

Auteurs: Ege Bicaker, Ayse Altan-Atalay

Gepubliceerd in: Mindfulness | Uitgave 7/2020

Abstract

Objectives

Previous studies suggest that emotion regulation difficulties are influential in body dissatisfaction’s relationship with bulimic symptoms. Likewise, self-compassion, which is explained through the factors of compassionate and uncompassionate self-responding, was also suggested to function as an effective emotion regulation strategy. However, research has not examined self-compassion’s moderating role in the link between body dissatisfaction and bulimic symptoms or the unique contribution of self-compassion to bulimic symptoms that is independent from its overlap with emotion regulation difficulties. The current study investigated the unique moderator functions of self-compassion, in the form of compassionate and uncompassionate self-responding, and emotion regulation difficulties in the association between body dissatisfaction and bulimic symptoms.

Methods

Participants were 154 females (M (SD) age = 23.89 (4.66) years) who completed questionnaires assessing body dissatisfaction, self-compassion, emotion regulation difficulties, and bulimic symptoms.

Results

Analyses showed that compassionate self-responding factor of self-compassion was a unique buffer against the negative consequences of body dissatisfaction even when controlling for emotion regulation difficulties, while emotion regulation difficulties did not have a moderating effect when self-compassion was accounted for. Results revealed that body dissatisfaction was significantly associated with bulimic symptoms in women with low and middle levels of compassionate self-responding, but not with high levels of compassionate self-responding.

Conclusions

Overall, results suggest that self-compassion buffers the negative impact of body dissatisfaction through mechanisms that are distinct from those of emotion regulation difficulties. These findings warrant further study of self-compassion to better understand its mechanisms of action.

vorige artikel Mediators of the Relationship Between Attachment and Dispositional Mindfulness in Adolescents

volgende artikel Trait and State Equanimity: The Effect of Mindfulness-Based Meditation Practice

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Adams, C. E., & Leary, M. R. (2007). Promoting self-compassionate attitudes toward eating among restrictive and guilty eaters. Journal of Social and Clinical Psychology, 26(10), 1120–1144. https://doi.org/10.1521/jscp.2007.26.10.1120.CrossRef

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004.CrossRefPubMed

Albertson, E. R., Neff, K. D., & Dill-Shackleford, K. E. (2015). Self-compassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation intervention. Mindfulness, 6(3), 444–454. https://doi.org/10.1007/s12671-014-0277-3.CrossRef

Akın, Ü., Akın, A., & Abacı, R. (2007). Öz-duyarlık Ölçeği: Geçerlik ve güvenirlik çalışması. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi, 33, 01–10.

Bardone-Cone, A. M., Abramson, L. Y., Vohs, K. D., Heatherton, T. F., & Joiner Jr., T. E. (2006). Predicting bulimic symptoms: An interactive model of self-efficacy, perfectionism, and perceived weight status. Behaviour Research and Therapy, 44(1), 27–42. https://doi.org/10.1016/j.brat.2004.09.009.CrossRefPubMed

Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, and interventions. Review of General Psychology, 15(4), 289–303.

Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L. G., Bjärehed, J., DiLillo, D., Messman-Moore, T., Gumpert, C. H., & Gratz, K. L. (2016). Development and validation of a brief version of the Difficulties in Emotion Regulation Scale: the DERS-16. Journal of Psychopathology and Behavioral Assessment, 38(2), 284–296. https://doi.org/10.1007/s10862-015-9514-x.CrossRefPubMed

Braun, T. D., Park, C. L., & Gorin, A. (2016). Self-compassion, body image, and disordered eating: A review of the literature. Body Image, 17, 117–131. https://doi.org/10.1016/j.bodyim.2016.03.003.CrossRefPubMed

Brenner, R. E., Heath, P. J., Vogel, D. L., & Credé, M. (2017). Two is more valid than one: Examining the factor structure of the Self-Compassion Scale (SCS). Journal of Counseling Psychology, 64(6), 696–707. https://doi.org/10.1037/cou0000211.CrossRefPubMed

Brockmeyer, T., Skunde, M., Wu, M., Bresslein, E., Rudofsky, G., Herzog, W., & Friederich, H. C. (2014). Difficulties in emotion regulation across the spectrum of eating disorders. Comprehensive Psychiatry, 55(3), 565–571. https://doi.org/10.1016/j.comppsych.2013.12.001.CrossRefPubMed

Carraça, E. V., Markland, D., Silva, M. N., Coutinho, S. R., Vieira, P. N., Minderico, C. S., Sardinha, L. B., & Teixeira, P. J. (2011). Dysfunctional body investment versus body dissatisfaction: Relations with well-being and controlled motivations for obesity treatment. Motivation and Emotion, 35(4), 423–434. https://doi.org/10.1007/s11031-011-9230-0.CrossRef

Cash, T. F. (2002). A “Negative Body Image”: Evaluating Epidemiological Evidence. In T. F. Cash & T. Pruzinsky (Eds.), Body Image: A handbook of theory, research, and clinical practice (pp. 269-276). The Guilford Press.

Costa, J., Marôco, J., Pinto-Gouveia, J., Ferreira, C., & Castilho, P. (2016). Validation of the psychometric properties of the Self-Compassion Scale. Testing the factorial validity and factorial invariance of the measure among borderline personality disorder, anxiety disorder, eating disorder and general populations. Clinical Psychology & Psychotherapy, 23(5), 460–468. https://doi.org/10.1002/cpp.1974.

Crow, S. J., Stewart Agras, W., Halmi, K., Mitchell, J. E., & Kraemer, H. C. (2002). Full syndromal versus subthreshold anorexia nervosa, bulimia nervosa, and binge eating disorder: A multicenter study. International Journal of Eating Disorders, 32(3), 309–318. https://doi.org/10.1002/eat.10088.CrossRefPubMed

Culbert, K. M., Racine, S. E., & Klump, K. L. (2015). Research Review: What we have learned about the causes of eating disorders–a synthesis of sociocultural, psychological, and biological research. Journal of Child Psychology and Psychiatry, 56(11), 1141–1164. https://doi.org/10.1111/jcpp.12441.CrossRefPubMed

Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16(4), 363–370.PubMed

Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41(5), 509–528. https://doi.org/10.1016/s0005-7967(02)00088-8.CrossRefPubMed

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94.CrossRef

Gross, J. J. (1998). The emerging field of emotion regulation: an integrative review. Review of General Psychology, 2(3), 271-299. 10.1037%2F1089-2680.2.3.271

Hart, E. A., Leary, M. R., & Rejeski, W. J. (1989). The measurement of social physique anxiety. Journal of Sport and Exercise Psychology, 11(1), 94–104. https://doi.org/10.1123/jsep.11.1.94.CrossRef

Hausenblas, H. A., Downs, D. S., Fleming, D. S., & Connaughton, D. P. (2002). Body image in middle school children. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 7(3), 244–248. https://doi.org/10.1007/bf03327463.CrossRef

Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Publications.

Heatherton, T. F., & Baumeister, R. F. (1991). Binge eating as escape from self-awareness. Psychological Bulletin, 110(1), 86–108. https://doi.org/10.1037/0033-2909.110.1.86.CrossRefPubMed

Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(2), 227–239. https://doi.org/10.1348/014466505X29657.CrossRefPubMed

Hughes, E. K., & Gullone, E. (2011). Emotion regulation moderates relationships between body image concerns and psychological symptomatology. Body Image, 8(3), 224–231. https://doi.org/10.1016/j.bodyim.2011.04.001.CrossRefPubMed

Joiner Jr., T. E., Heatherton, T. F., Rudd, M. D., & Schmidt, N. B. (1997). Perfectionism, perceived weight status, and bulimic symptoms: Two studies testing a diathesis-stress model. Journal of Abnormal Psychology, 106(1), 145–153. https://doi.org/10.1037/0021-843X.106.1.145.CrossRefPubMed

Kelly, A. C., Vimalakanthan, K., & Miller, K. E. (2014). Self-compassion moderates the relationship between body mass index and both eating disorder pathology and body image flexibility. Body Image, 11(4), 446–453. https://doi.org/10.1016/j.bodyim.2014.07.005.CrossRefPubMed

Koff, E., & Sangani, P. (1997). Effects of coping style and negative body image on eating disturbance. International Journal of Eating Disorders, 22(1), 51–56. https://doi.org/10.1002/(sici)1098-108x(199707)22:1%3C51::aid-eat6%3E3.0.co;2-1.CrossRefPubMed

Leary, M. R., Tate, E. B., Adams, C. E., Batts Allen, A., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of Personality and Social Psychology, 92(5), 887–904. https://doi.org/10.1037/0022-3514.92.5.887.CrossRefPubMed

Lipson, S. K., & Sonneville, K. R. (2017). Eating disorder symptoms among undergraduate and graduate students at 12 US colleges and universities. Eating Behaviors, 24, 81–88. https://doi.org/10.1016/j.eatbeh.2016.12.003.

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343.CrossRef

Luce, K. H., & Crowther, J. H. (1999). The reliability of the eating disorder examination-Self-report questionnaire version (EDE-Q). International Journal of Eating Disorders, 25(3), 349–351. https://doi.org/10.1002/(sici)1098-108x(199904)25:3%3C349::aid-eat15%3E3.0.co;2-m.CrossRefPubMed

MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552. https://doi.org/10.1016/j.cpr.2012.06.003.CrossRefPubMed

Masuda, A., Price, M., Anderson, P. L., & Wendell, J. W. (2010). Disordered eating-related cognition and psychological flexibility as predictors of psychological health among college students. Behavior Modification, 34(1), 3–15. https://doi.org/10.1177/0145445509351569.CrossRefPubMed

Mond, J. M., Hay, P. J., Rodgers, B., Owen, C., & Beumont, P. J. V. (2004). Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples. Behaviour Research and Therapy, 42(5), 551–567. https://doi.org/10.1016/S0005-7967(03)00161-X.CrossRefPubMed

Muris, P. (2016). A protective factor against mental health problems in youths? A critical note on the assessment of self-compassion. Journal of Child and Family Studies, 25(5), 1461-1465. 10.1007%2Fs10826-015-0315-3

Muris, P., & Petrocchi, N. (2017). Protection or vulnerability? A meta-analysis of the relations between the positive and negative components of self-compassion and psychopathology. Clinical Psychology & Psychotherapy, 24(2), 373–383. https://doi.org/10.1002/cpp.2005.CrossRef

Mülazımoğlu-Ballı, O. M., & Aşçı, F. H. (2006). "Sosyal Fizik Kaygi Envanteri" nin geçerlik ve güvenirlik çalişmasi. Spor Bilimleri Dergisi, 17(1), 11–19.

Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027.CrossRef

Racine, S. E., & Martin, S. J. (2016). Exploring divergent trajectories: Disorder-specific moderators of the association between negative urgency and dysregulated eating. Appetite, 103, 45–53. https://doi.org/10.1016/j.appet.2016.03.021.CrossRefPubMed

Rodin, J., Silberstein, L., & Striegel-Moore, R. (1984). Women and weight: A normative discontent. Nebraska Symposium on Motivation, 32, 267–307.PubMed

Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: preliminary evidence for independent and overlapping contributions. Behavior Therapy, 40(2), 142–154. https://doi.org/10.1016/j.beth.2008.04.001.CrossRefPubMed

Schoenefeld, S. J., & Webb, J. B. (2013). Self-compassion and intuitive eating in college women: Examining the contributions of distress tolerance and body image acceptance and action. Eating Behaviors, 14(4), 493–496. https://doi.org/10.1016/j.eatbeh.2013.09.001.CrossRefPubMed

Stice, E. (1994). Review of the evidence for a sociocultural model of bulimia nervosa and an exploration of the mechanisms of action. Clinical Psychology Review, 14(7), 633–661. https://doi.org/10.1016/0272-7358(94)90002-7.CrossRef

Stice, E., Marti, C. N., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. Journal of Abnormal Psychology, 122(2), 445–457. https://doi.org/10.1037/a0030679.

Stice, E., Shaw, H., & Nemeroff, C. (1998). Dual pathway model of bulimia nervosa: Longitudinal support for dietary restraint and affect-regulation mechanisms. Journal of Social and Clinical Psychology, 17(2), 129–149. https://doi.org/10.1521/jscp.1998.17.2.129.CrossRef

Svaldi, J., Griepenstroh, J., Tuschen-Caffier, B., & Ehring, T. (2012). Emotion regulation deficits in eating disorders: a marker of eating pathology or general psychopathology? Psychiatry Research, 197(1-2), 103–111. https://doi.org/10.1016/j.psychres.2011.11.009.CrossRefPubMed

Tylka, T. L., Russell, H. L., & Neal, A. A. (2015). Self-compassion as a moderator of thinness-related pressures' associations with thin-ideal internalization and disordered eating. Eating Behaviors, 17, 23–26. https://doi.org/10.1016/j.eatbeh.2014.12.009.

Wasylkiw, L., MacKinnon, A. L., & MacLellan, A. M. (2012). Exploring the link between self-compassion and body image in university women. Body Image, 9(2), 236–245. https://doi.org/10.1016/j.bodyim.2012.01.007.CrossRefPubMed

Webb, J. B., & Forman, M. J. (2013). Evaluating the indirect effect of self-compassion on binge eating severity through cognitive–affective self-regulatory pathways. Eating Behaviors, 14(2), 224–228. https://doi.org/10.1016/j.eatbeh.2012.12.005.CrossRefPubMed

Yılmaz, Ö., Boz, H., & Arslan, A. (2017). Depresyon Anksiyete Stres Ölçeğinin (Dass 21) Türkçe Kisa Formunun Geçerlilik-Güvenilirlik Çalişmasi. Finans Ekonomi ve Sosyal Araştırmalar Dergisi (FESA), 2(2), 92–104.

Yiğit, İ., & Guzey Yiğit, M. (2017). Psychometric Properties of Turkish Version of Difficulties in Emotion Regulation Scale-Brief Form (DERS-16). Current Psychology, 38, 1503–1511. https://doi.org/10.1007/s12144-017-9712-7.CrossRef

Yücel, B., Polat, A., Ikiz, T., Dusgor, B. P., Elif Yavuz, A., & Sertel Berk, O. (2011). The Turkish version of the eating disorder examination questionnaire: reliability and validity in adolescents. European Eating Disorders Review, 19(6), 509–511. https://doi.org/10.1002/erv.1104.CrossRefPubMed

Titel: Body Dissatisfaction and Bulimic Symptoms: Moderator Roles of Compassionate and Uncompassionate Self-Responding
Auteurs: Ege Bicaker
Ayse Altan-Atalay
Publicatiedatum: 13-05-2020
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 7/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-020-01396-5

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Abstract

Objectives

Methods

Results

Conclusions

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