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01-10-2013 | Original Article

Anxiety, Appearance Contingent Self-Worth, and Appearance Conversations with Friends in Relation to Disordered Eating: Examining Moderator Models

Auteurs: Anna M. Bardone-Cone, Lisa M. Brownstone, Mary K. Higgins, Ellen E. Fitzsimmons-Craft, Megan B. Harney

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2013

Abstract

This study examined whether anxiety, combined with a focus on appearance, would identify individuals most likely to exhibit eating pathology, conceptualized as safety behaviors/avoidance strategies. In particular, we examined appearance contingent self-worth and appearance conversations with friends as possible moderators of the anxiety-disordered eating relation. Participants were 441 women attending a Southeastern university who completed an online survey. Results indicated that those with the three-way combination of high anxiety, high appearance contingent self-worth, and frequent appearance conversations exhibited the most frequent binge eating. While no significant three-way interactions emerged for broad eating pathology and dietary restraint, in both models it was the anxiety × appearance contingent self-worth interaction that accounted for unique variance in these eating patterns. Results provide researchers and clinicians with a better understanding of who experiences various types of disordered eating in association with anxiety and possible points of intervention.

vorige artikel Associations Between Fear of Negative Evaluation and Eating Pathology During Intervention and 12-Month Follow-up

volgende artikel Commentary on Empirical Examinations of the Association Between Anxiety and Eating Disorders

Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage Publications.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.—Text Revision). Washington, DC: Author.

Anderson, D. A., & Williamson, D. A. (2002). Outcome measurement in eating disorders. In W. W. IsHak, T. Burt, & L. I. Sederer (Eds.), Outcome measurement in psychiatry: A critical review (pp. 289–301). Washington, DC: American Psychiatric Press.

Arnow, B., Kenardy, J., & Agras, W. S. (1992). Binge eating among the obese: A descriptive study. Journal of Behavioral Medicine, 15, 155–170. doi:10.1007/BF00848323.PubMedCrossRef

Beck, A. T., Emery, G., & Greenberg, R. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

Cain, A. S., Bardone-Cone, A. M., Abramson, L. Y., Vohs, K. D., & Joiner, T. E. (2010). Prospectively predicting dietary restraint: The role of interpersonal self-efficacy, weight/shape self-efficacy, and interpersonal stress. International Journal of Eating Disorders, 43, 505–512. doi:10.1002/eat.20740.PubMedCrossRef

Carter, P. I., & Moss, R. A. (1984). Screening for anorexia and bulimia nervosa in a college population: Problems and limitations. Addictive Behaviors, 9, 417–419. doi:10.1016/0306-4603(84)90045-5.PubMedCrossRef

Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Mahwah, NJ: Lawrence Erlbaum.

Crocker, J., Luhtanen, R. K., Cooper, M. L., & Bouvrette, A. (2003). Contingencies of self-worth in college students: Theory and measurement. Journal of Personality and Social Psychology, 85, 894–908. doi:10.1037/0022-3514.85.5.894.PubMedCrossRef

Crocker, J., & Wolfe, C. T. (2001). Contingencies of self-worth. Psychological Review, 108, 593–623. doi:10.1037/0033-295X.108.3.593.PubMedCrossRef

Fairburn, C. G., & Beglin, S. J. (2008). Eating Disorder Examination-Questionnaire (EDE-Q 6.0). In C. G. Fairburn (ed.). Cognitive behavior therapy and eating disorders. New York: Guilford Press. Appendix II.

Fitzsimmons, E. E., & Bardone-Cone, A. M. (2011). Coping and social support as potential moderators of the relation between anxiety and eating disorder symptomatology. Eating Behaviors, 12, 21–28. doi:10.1016/j.eatbeh.2010.09.002.PubMedCrossRef

Forbush, K. T., South, S. C., Krueger, R. F., Iacono, W. G., Clark, L. A., Keel, P., et al. (2010). Locating eating pathology within an empirical diagnostic taxonomy: Evidence from a community-based sample. Journal of Abnormal Psychology, 119, 282–292. doi:10.1037/a0019189.PubMedCrossRef

Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51, 115–134. doi:10.1037/0022-0167.51.1.115.CrossRef

Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The Eating Attitudes Test: Psychometric features and clinical correlates. Psychological Medicine, 12, 871–878. doi:10.1017/S0033291700049163.PubMedCrossRef

Geller, J., Johnston, C., Madsen, K., Goldner, E. M., Remick, R. A., & Birmingham, C. L. (1998). Shape- and weight-based self-esteem and the eating disorders. International Journal of Eating Disorders, 24, 285–298. doi:10.1002/(SICI)1098-108X(199811)24:3<285:AID-EAT6>3.0.CO;2-I.PubMedCrossRef

Gillen, M. M., & Lefkowitz, E. S. (2012). Gender and racial/ethnic differences in body image development among college students. Body Image, 9, 126–130. doi:10.1016/j.bodyim.2011.09.004.PubMedCrossRef

Grabe, S., & Hyde, J. S. (2006). Ethnicity and body dissatisfaction among women in the United States: A meta-analysis. Psychological Bulletin, 132, 622–640. doi:10.1037/0033-2909.132.4.622.PubMedCrossRef

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

Hedberg, A. G. (1972). Review of state-trait anxiety inventory. Professional Psychology, 3, 389–390. doi:10.1037/h0020743.CrossRef

Helbig-Lang, S., & Petermann, F. (2010). Tolerate or eliminate? A systematic review on the effects of safety behavior across anxiety disorders. Clinical Psychology: Science and Practice, 17, 218–233. doi:10.1111/j.1468-2850.2010.01213.x.CrossRef

Hoerr, S. L., Bokram, R., Lugo, B., Bivins, T., & Keast, D. R. (2002). Risk for disordered eating relates to both gender and ethnicity for college students. Journal of the American College of Nutrition, 21, 307–314.PubMedCrossRef

Joinson, A. N. (2001). Self-disclosure in computer-mediated communication: The role of self- awareness and visual anonymity. European Journal of Social Psychology, 31, 177–192. doi:10.1002/ejsp.36.CrossRef

Jones, D. C. (2004). Body image among adolescent girls and boys: A longitudinal study. Developmental Psychology, 40, 823–835. doi:10.1037/0012-1649.40.5.823.CrossRef

Jones, D. C., & Crawford, J. K. (2006). The peer appearance culture during adolescence: Gender and body mass variations. Journal of Youth and Adolescence, 35, 257–269. doi:10.1007/s10964-005-9006-5.CrossRef

Jones, D. C., Vigfusdottir, T. H., & Lee, Y. (2004). Body image and the appearance culture among adolescent girls and boys: An examination of friend conversations, peer criticism, appearance magazines, and the internalization of appearance ideals. Journal of Adolescent Research, 19, 323–339. doi:10.1177/0743558403258847.CrossRef

Kaye, W. H., Bulik, C. M., Thornton, L., Barbarich, N., Masters, K., & the Price Foundation Collaborative Group. (2004). Comorbidity of anxiety disorders with anorexia and bulimia nervosa. The American Journal of Psychiatry, 161, 2215–2221. doi:10.1176/appi.ajp.161.12.2215.PubMedCrossRef

King, M. B. (1989). Eating disorders in general practice population: Prevalence, characteristics and follow-up at 12 to 18 months. Psychological Medicine, Monograph, Suppl 14, 1–34. doi:10.1017/S0264180100000515.CrossRef

King, M. B. (1991). The natural history of eating pathology in attenders to primary medical care. International Journal of Eating Disorders, 10, 379–387. doi:10.1002/1098-108X(199107)10:4<379:AID-EAT2260100402>3.0.CO;2-I.CrossRef

Krahn, D. D., Kurth, C. L., Gomberg, E., & Drewnowski, A. (2005). Pathological dieting and alcohol use in college women—a continuum of behaviors. Eating Behaviors, 6, 43–52. doi:10.1016/j.eatbeh.2004.08.004.PubMedCrossRef

Lawler, M., & Nixon, E. (2011). Body dissatisfaction among adolescent boys and girls: The effects of body mass, peer appearance culture an internalization of appearance ideals. Journal of Youth and Adolescence, 40, 59–71. doi:10.1007/s10964-009-9500-2.PubMedCrossRef

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, 349–351. doi:10.1002/(SICI)1098-108X(199904)25:3<349:AID-EAT15>3.0.CO;2-M.PubMedCrossRef

Mathews, A., & Macleod, C. (1994). Cognitive approaches to emotion and emotional disorders. Annual Review of Psychology, 45, 25–50. doi:10.1146/annurev.ps.45.020194.000325.PubMedCrossRef

Metzger, R. L. (1976). A reliability and validity study of the State-Trait Anxiety Inventory. Journal of Clinical Psychology, 32, 276–278. doi:10.1002/1097-4679(197604)32:2<276:AID-JCLP2270320215>3.0.CO;2-G.CrossRef

Neumark-Sztainer, D. R., Wall, M. W., Haines, J. I., Story, M. T., Sherwood, N. E., & van den Berg, P. A. (2007). Shared risk and protective factors for overweight and disordered eating in adolescents. American Journal of Preventive Medicine, 33, 359–369. doi:10.1016/j.amepre.2007.07.031.PubMedCrossRef

Pallister, E., & Waller, G. (2008). Anxiety in the eating disorders: Understanding the overlap. Clinical Psychology Review, 28, 366–386. doi:10.1016/j.cpr.2007.07.001.PubMedCrossRef

Ramanaiah, N. V., Franzen, M., & Schill, T. (1983). A psychometric study of the State-Trait Anxiety Inventory. Journal of Personality Assessment, 47, 531–535. doi:10.1207/s15327752jpa4705_14.PubMedCrossRef

Rose, A. J. (2002). Co-rumination in the friendships of girls and boys. Child Development, 73, 1830–1843. doi:10.1111/1467-8624.00509.PubMedCrossRef

Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, 19, 6–19. doi:10.1017/S0141347300011472.CrossRef

Spencer, J. A., & Fremouw, W. J. (1979). Binge eating as a function and restraint and weight classification. Journal of Abnormal Psychology, 88, 262–267. doi:10.1037/0021-843X.88.3.262.PubMedCrossRef

Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). STAI manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.

Stice, E. (2002). Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin, 128, 825–848. doi:10.1037/0033-2909.128.5.825.PubMedCrossRef

Swinbourne, J. M., & Touyz, S. W. (2007). The comorbidity of eating disorders and anxiety disorders: A review. European Eating Disorders Review, 15, 253–274. doi:10.1002/erv.784.PubMedCrossRef

Taylor, J. Y., Caldwell, C. H., Baser, R. E., Faison, N., & Jackson, J. S. (2007). Prevalence of eating disorders among Blacks in the National Survey of American Life. International Journal of Eating Disorders, 40, S10–S14.PubMedCrossRef

Taylor, S., Koch, W. J., & McNally, R. J. (1992). How does anxiety sensitivity vary across the anxiety disorders? Journal of Anxiety Disorders, 6, 249–259. doi:10.1016/0887-6185(92)90037-8.CrossRef

Watson, D., & Clark, L. A. (1984). Negative affectivity: The disposition to experience aversive emotional affects. Psychological Bulletin, 55, 465–490. doi:10.1037/0033-2909.96.3.465.CrossRef

Wonderlich-Tierney, A. L., & Vander Wal, J. S. (2010). The effects of social support and coping on the relationship between social anxiety and eating disorders. Eating Behaviors, 11, 85–91. doi:10.1016/j.eatbeh.2009.10.002.PubMedCrossRef

Titel: Anxiety, Appearance Contingent Self-Worth, and Appearance Conversations with Friends in Relation to Disordered Eating: Examining Moderator Models
Auteurs: Anna M. Bardone-Cone
Lisa M. Brownstone
Mary K. Higgins
Ellen E. Fitzsimmons-Craft
Megan B. Harney
Publicatiedatum: 01-10-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 5/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-013-9520-9

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