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Gepubliceerd in: Mindfulness 12/2019

13-11-2019 | ORIGINAL PAPER

Self-Compassion and Eating Pathology in Female Adolescents with Eating Disorders: The Mediating Role of Psychological Distress

Auteurs: Rachelle Pullmer, Shannon L. Zaitsoff, Jennifer S. Coelho

Gepubliceerd in: Mindfulness | Uitgave 12/2019

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Abstract

Objectives

A burgeoning literature demonstrates that self-compassion has widespread implications for numerous mental health problems, with recent research highlighting the role of self-compassion in body dissatisfaction and eating pathology. The primary purpose of this study was to investigate the relations between self-compassion, psychological distress, and eating pathology in a clinical sample of female adolescents. In addition, this study examined whether psychological distress emerged as a cross-sectional mediator of the relation between self-compassion and eating pathology.

Methods

Fifty-eight female adolescents with eating disorders (Mage = 15.45; SD = 1.49) completed the Self-Compassion Scale (SCS), Hopkins Symptom Checklist (SCL-5), and Eating Disorder Examination Questionnaire - Adolescent Version (EDE-Q).

Results

The SCS positive items (referred to as self-compassion) were negatively associated with psychological distress and eating pathology. The SCS negative items (referred to as self-criticism) were positively associated with psychological distress and eating pathology (all ps < .001). Notably, psychological distress mediated the link between self-compassion and eating pathology (ab = − 0.39, 95% percentile bootstrap confidence interval (PB CI): −0.78 to −0.09). Psychological distress also mediated the relation between self-criticism and eating pathology (ab = 0.30, 95% PB CI: 0.05 to 0.68).

Conclusions

This study supports the notion that interventions focused on increasing self-compassion and decreasing psychological distress may have important implications for eating disorder recovery in youth.
Literatuur
go back to reference Aardoom, J. J., Dingemans, A. E., Slof Op’t Landt, M. C., & Van Furth, E. F. (2012). Norms and discriminative validity of the Eating Disorder Examination Questionnaire (EDE-Q). Eating Behaviors, 13, 305–309. PubMed Aardoom, J. J., Dingemans, A. E., Slof Op’t Landt, M. C., & Van Furth, E. F. (2012). Norms and discriminative validity of the Eating Disorder Examination Questionnaire (EDE-Q). Eating Behaviors, 13, 305–309. PubMed
go back to reference Aasheim, V., Waldenstrom, U., Hjelmstedt, A., Rasmussen, S., Pettersson, H., & Schytt, E. (2012). Associations between advanced maternal age and psychological distress in primiparous women, from early pregnancy to 18 months postpartum. An International Journal of Obstetrics and Gynaecology, 119, 1108–1116. Aasheim, V., Waldenstrom, U., Hjelmstedt, A., Rasmussen, S., Pettersson, H., & Schytt, E. (2012). Associations between advanced maternal age and psychological distress in primiparous women, from early pregnancy to 18 months postpartum. An International Journal of Obstetrics and Gynaecology, 119, 1108–1116.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
go back to reference Baumeister, R. F., Bushman, J., & Campbell, W. K. (2000). Self-esteem, narcissism, and aggression: does violence result from low self-esteem from threatened egotism. Current Directions in Psychological Science, 9, 26–29. Baumeister, R. F., Bushman, J., & Campbell, W. K. (2000). Self-esteem, narcissism, and aggression: does violence result from low self-esteem from threatened egotism. Current Directions in Psychological Science, 9, 26–29.
go back to reference 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. PubMed 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. PubMed
go back to reference Brown, B., & Lohr, M. J. (1987). Peer-group affiliation and adolescent self-esteem: an integration of ego-identity and symbolic-interaction theories. Journal of Personality and Social Psychology, 52, 47–55. PubMed Brown, B., & Lohr, M. J. (1987). Peer-group affiliation and adolescent self-esteem: an integration of ego-identity and symbolic-interaction theories. Journal of Personality and Social Psychology, 52, 47–55. PubMed
go back to reference Costa, J., Maroco, 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, 460–468. Costa, J., Maroco, 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, 460–468.
go back to reference Crocker, J., & Park, L. E. (2004). The costly pursuit of self-esteem. Psychological Bulletin, 130, 392–414. PubMed Crocker, J., & Park, L. E. (2004). The costly pursuit of self-esteem. Psychological Bulletin, 130, 392–414. PubMed
go back to reference Cunha, M., Xavier, A., & Castilho, P. (2016). Understanding self-compassion in adolescents: validation study of the Self-Compassion Scale. Personality and Individual Differences, 93, 56–62. Cunha, M., Xavier, A., & Castilho, P. (2016). Understanding self-compassion in adolescents: validation study of the Self-Compassion Scale. Personality and Individual Differences, 93, 56–62.
go back to reference Erikson, E. (1968). Identity: youth and crisis. New York: Norton. Erikson, E. (1968). Identity: youth and crisis. New York: Norton.
go back to reference Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2013). Self-compassion in the face of shame and body image dissatisfaction: Implications for eating disorders. Eating Behaviours, 14, 207–210. Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2013). Self-compassion in the face of shame and body image dissatisfaction: Implications for eating disorders. Eating Behaviours, 14, 207–210.
go back to reference Ferrari, M., Hunt, C., Harrysunker, A., Abbott, M. J., Beath, A. P., & Einstein, D. A. (2019). Self-compassion interventions and psychosocial outcomes: a meta-analysis of RCTs. Mindfulness, 10, 1455–1473. Ferrari, M., Hunt, C., Harrysunker, A., Abbott, M. J., Beath, A. P., & Einstein, D. A. (2019). Self-compassion interventions and psychosocial outcomes: a meta-analysis of RCTs. Mindfulness, 10, 1455–1473.
go back to reference Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18, 233–239. PubMedPubMedCentral Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18, 233–239. PubMedPubMedCentral
go back to reference Gale, C., Gilbert, P., Read, N., & Goss, K. (2014). An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders. Clinical Psychology & Psychotherapy, 21, 1–12. Gale, C., Gilbert, P., Read, N., & Goss, K. (2014). An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders. Clinical Psychology & Psychotherapy, 21, 1–12.
go back to reference Graham, J. W. (2012). Missing data: Analysis and design. New York, NY: Springer. Graham, J. W. (2012). Missing data: Analysis and design. New York, NY: Springer.
go back to reference Gilbert, P. (2005). Compassion: conceptualizations, research and use in psychotherapy. London: Routledge. Gilbert, P. (2005). Compassion: conceptualizations, research and use in psychotherapy. London: Routledge.
go back to reference Goss, K., & Allan, S. (2009). Shame, pride and eating disorders. Clinical Psychology & Psychotherapy, 16, 303–316. Goss, K., & Allan, S. (2009). Shame, pride and eating disorders. Clinical Psychology & Psychotherapy, 16, 303–316.
go back to reference Gouveia, M. J., Canavarro, M. C., & Moreira, H. (2018). Associations between mindfulness, self-compassion, difficulties in emotion regulation, and emotional eating among adolescents with overweight/obesity. Journal of Child and Family Studies, 28, 273–285. Gouveia, M. J., Canavarro, M. C., & Moreira, H. (2018). Associations between mindfulness, self-compassion, difficulties in emotion regulation, and emotional eating among adolescents with overweight/obesity. Journal of Child and Family Studies, 28, 273–285.
go back to reference Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap) – a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Information, 42, 377–381. Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap) – a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Information, 42, 377–381.
go back to reference Harter, S. (1990). Self and identity development. In S. S. Feldman & G. R. Elliot (Eds.), At the threshold: the developing adolescent (pp. 352–387). Cambridge: Harvard University Press. Harter, S. (1990). Self and identity development. In S. S. Feldman & G. R. Elliot (Eds.), At the threshold: the developing adolescent (pp. 352–387). Cambridge: Harvard University Press.
go back to reference Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press. Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press.
go back to reference Kelly, A. C., & Tasca, G. A. (2016). Within-persons predictors of change during eating disorders treatment: an examination of self-compassion, self-criticism, shame, and eating disorder symptoms. International Journal of Eating Disorders, 49, 716–722. PubMed Kelly, A. C., & Tasca, G. A. (2016). Within-persons predictors of change during eating disorders treatment: an examination of self-compassion, self-criticism, shame, and eating disorder symptoms. International Journal of Eating Disorders, 49, 716–722. PubMed
go back to reference Kelly, A. C., Carter, J. C., & Borairi, S. (2013). Are improvements in shame and self-compassion early in eating disorders treatment associated with better patient outcomes? International Journal of Eating Disorders, 47, 54–64. PubMed Kelly, A. C., Carter, J. C., & Borairi, S. (2013). Are improvements in shame and self-compassion early in eating disorders treatment associated with better patient outcomes? International Journal of Eating Disorders, 47, 54–64. PubMed
go back to reference Kelly, A. C., Vimalakanthan, K., & Carter, J. C. (2014). 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. Eating Behaviours, 15, 388–391. Kelly, A. C., Vimalakanthan, K., & Carter, J. C. (2014). 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. Eating Behaviours, 15, 388–391.
go back to reference Kelly, A. C., Wisniewski, L., Martin-Wagar, C., & Hoffman, E. (2017). Group-based compassion-focused therapy as an adjunct to outpatient treatment for eating disorders: a pilot randomized controlled trial. Clinical Psychology & Psychotherapy, 24, 475–482. Kelly, A. C., Wisniewski, L., Martin-Wagar, C., & Hoffman, E. (2017). Group-based compassion-focused therapy as an adjunct to outpatient treatment for eating disorders: a pilot randomized controlled trial. Clinical Psychology & Psychotherapy, 24, 475–482.
go back to reference Lopez, A., Sanderman, R., & Schroevers, M. J. (2018). A close examination of the relationship between self-compassion and depressive symptoms. Mindfulness, 9, 1470–1478. PubMedPubMedCentral Lopez, A., Sanderman, R., & Schroevers, M. J. (2018). A close examination of the relationship between self-compassion and depressive symptoms. Mindfulness, 9, 1470–1478. PubMedPubMedCentral
go back to reference MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552. PubMed MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552. PubMed
go back to reference Marsh, I. C., Chan, S. W., & MacBeth, A. (2017). Self-compassion and psychological distress in adolescents – a meta-analysis. Mindfulness, 9, 1011–1027. PubMedPubMedCentral Marsh, I. C., Chan, S. W., & MacBeth, A. (2017). Self-compassion and psychological distress in adolescents – a meta-analysis. Mindfulness, 9, 1011–1027. PubMedPubMedCentral
go back to reference McNamara, N., & Parsons, H. (2016). ‘Everyone here wants everyone else to get better’: the role of social identity in eating disorder recovery. British Journal of Social Psychology, 4, 662–680. McNamara, N., & Parsons, H. (2016). ‘Everyone here wants everyone else to get better’: the role of social identity in eating disorder recovery. British Journal of Social Psychology, 4, 662–680.
go back to reference Mond, J., Hall, A., Bentley, C., Harrison, C., Gratwick-Sarll, K., & Lewis, V. (2014). Eating-disordered behaviour in adolescent boys: Eating Disorders Examination Questionnaire norms. International Journal of Eating Disorders, 47, 335–341. PubMed Mond, J., Hall, A., Bentley, C., Harrison, C., Gratwick-Sarll, K., & Lewis, V. (2014). Eating-disordered behaviour in adolescent boys: Eating Disorders Examination Questionnaire norms. International Journal of Eating Disorders, 47, 335–341. PubMed
go back to reference 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, 373–383. 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, 373–383.
go back to reference Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250.
go back to reference Neff, K. D. (2016). The Self-Compassion Scale is a valid and theoretically coherent measure of self-compassion. Mindfulness, 7, 264–274. Neff, K. D. (2016). The Self-Compassion Scale is a valid and theoretically coherent measure of self-compassion. Mindfulness, 7, 264–274.
go back to reference Neff, K. D., & Dahm, K. A. (2015). Self-compassion: What it is, what it does, and how it relates to mindfulness. In B. Ostafin, M. Robinson, & B. Meier (Eds.), Handbook of mindfulness and self-regulation. New York: Springer. Neff, K. D., & Dahm, K. A. (2015). Self-compassion: What it is, what it does, and how it relates to mindfulness. In B. Ostafin, M. Robinson, & B. Meier (Eds.), Handbook of mindfulness and self-regulation. New York: Springer.
go back to reference Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9, 225–240. Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9, 225–240.
go back to reference Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: two different ways of relating to oneself. Journal of Personality, 77, 23–50. PubMed Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: two different ways of relating to oneself. Journal of Personality, 77, 23–50. PubMed
go back to reference Neumark-Sztainer, D., Paxton, S. J., Hannan, P. J., Haines, J., & Story, M. (2006). Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviours in adolescent females and males. Journal of Adolescent Health, 39, 244–251. PubMed Neumark-Sztainer, D., Paxton, S. J., Hannan, P. J., Haines, J., & Story, M. (2006). Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviours in adolescent females and males. Journal of Adolescent Health, 39, 244–251. PubMed
go back to reference Onis, M., Onyango, A., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85, 660–667. PubMedPubMedCentral Onis, M., Onyango, A., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85, 660–667. PubMedPubMedCentral
go back to reference Pullmer, R., Chung, J., Samson, L., Balanji, S., & Zaitsoff, S. L. (2019a). A systematic review of the relation between self-compassion and depressive symptoms in adolescents. Journal of Adolescence, 74, 210–220. PubMed Pullmer, R., Chung, J., Samson, L., Balanji, S., & Zaitsoff, S. L. (2019a). A systematic review of the relation between self-compassion and depressive symptoms in adolescents. Journal of Adolescence, 74, 210–220. PubMed
go back to reference Pullmer, R., Coelho, J. S., & Zaitsoff, S. L. (2019b). Kindness begins with yourself: the role of self-compassion in adolescent body satisfaction and eating pathology. International Journal of Eating Disorders, 52, 809–816. PubMed Pullmer, R., Coelho, J. S., & Zaitsoff, S. L. (2019b). Kindness begins with yourself: the role of self-compassion in adolescent body satisfaction and eating pathology. International Journal of Eating Disorders, 52, 809–816. PubMed
go back to reference Quine, D. (2012). Eating disorders in childhood and adolescence: Assessment and treatment issues. In J. R. Fox & K. P. Goss (Eds.), Eating and its Disorders (pp. 442–466). Hoboken: Wiley-Blackwell. Quine, D. (2012). Eating disorders in childhood and adolescence: Assessment and treatment issues. In J. R. Fox & K. P. Goss (Eds.), Eating and its Disorders (pp. 442–466). Hoboken: Wiley-Blackwell.
go back to reference Rienecke, R. D. (2017). Family-based treatment of eating disorders in adolescence: current insights. Adolescent Health, Medicine and Therapeutics, 8, 69–79. PubMedPubMedCentral Rienecke, R. D. (2017). Family-based treatment of eating disorders in adolescence: current insights. Adolescent Health, Medicine and Therapeutics, 8, 69–79. PubMedPubMedCentral
go back to reference Rodgers, R. F., Donovan, E., Cousineau, T., Yates, K., McGowan, K., Cook, E., et al. (2018). BodiMojo: efficacy of a mobile-based intervention in improving body image and self-compassion among adolescents. Journal of Youth and Adolescence, 47, 1363–1372. PubMed Rodgers, R. F., Donovan, E., Cousineau, T., Yates, K., McGowan, K., Cook, E., et al. (2018). BodiMojo: efficacy of a mobile-based intervention in improving body image and self-compassion among adolescents. Journal of Youth and Adolescence, 47, 1363–1372. PubMed
go back to reference Skrove, M., Romundstad, P., & Indredavik, M. S. (2013). Resilience, lifestyle and symptoms of anxiety and depression in adolescence: the Young-HUNT study. Social Psychiatry and Psychiatric Epidemiology, 48, 407–416. PubMed Skrove, M., Romundstad, P., & Indredavik, M. S. (2013). Resilience, lifestyle and symptoms of anxiety and depression in adolescence: the Young-HUNT study. Social Psychiatry and Psychiatric Epidemiology, 48, 407–416. PubMed
go back to reference Stice, E., Gau, J. M., Rohde, P., & Shaw, H. (2017). Risk factors that predict future onset of each DSM-5 eating disorder: predictive specificity in high-risk adolescent females. Journal of Abnormal Psychology, 126, 38–51. PubMed Stice, E., Gau, J. M., Rohde, P., & Shaw, H. (2017). Risk factors that predict future onset of each DSM-5 eating disorder: predictive specificity in high-risk adolescent females. Journal of Abnormal Psychology, 126, 38–51. PubMed
go back to reference Swanson, S. A., Crow, S. J., Le Grange, D., Swendsen, J., & Merikangas, K. R. (2011). Prevalence and correlates of eating disorders in adolescents: results from the national comorbidity survey replication adolescent supplement. Archives of General Psychiatry, 68, 714–723. PubMedPubMedCentral Swanson, S. A., Crow, S. J., Le Grange, D., Swendsen, J., & Merikangas, K. R. (2011). Prevalence and correlates of eating disorders in adolescents: results from the national comorbidity survey replication adolescent supplement. Archives of General Psychiatry, 68, 714–723. PubMedPubMedCentral
go back to reference Thogersen-Ntoumani, C., Dodos, L., Chatzisarantis, N., & Ntoumanis, N. (2017). A diary study of self-compassion, upward social comparisons, and body image-related outcomes. Applied Psychology. Health and Well-Being, 9, 242–258. PubMed Thogersen-Ntoumani, C., Dodos, L., Chatzisarantis, N., & Ntoumanis, N. (2017). A diary study of self-compassion, upward social comparisons, and body image-related outcomes. Applied Psychology. Health and Well-Being, 9, 242–258. PubMed
go back to reference World Health Organization (2014). Adolescence: A period needing special attention. Geneva: Author. World Health Organization (2014). Adolescence: A period needing special attention. Geneva: Author.
go back to reference Zaitsoff, S. L., Pullmer, R., & Coelho, J. S. (submitted). A longitudinal examination of body checking behaviours and eating disorder pathology in community sample of adolescent males and females. Zaitsoff, S. L., Pullmer, R., & Coelho, J. S. (submitted). A longitudinal examination of body checking behaviours and eating disorder pathology in community sample of adolescent males and females.
Metagegevens
Titel
Self-Compassion and Eating Pathology in Female Adolescents with Eating Disorders: The Mediating Role of Psychological Distress
Auteurs
Rachelle Pullmer
Shannon L. Zaitsoff
Jennifer S. Coelho
Publicatiedatum
13-11-2019
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 12/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-019-01254-z