The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Isabel Krug - One of the best experts on this subject based on the ideXlab platform.
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social rank and rejection sensitivity as mediators of the relationship between Insecure Attachment and disordered eating
European Eating Disorders Review, 2017Co-Authors: Tara De Paoli, Matthew Fullertyszkiewicz, Emma Halliwell, Francis Puccio, Isabel KrugAbstract:AIM The current study assessed a new interpersonal model for eating disorders (EDs), in which interpersonal rejection sensitivity (RS), appearance-based RS and social rank were hypothesised to mediate the relationship between Insecure Attachment and disordered eating. METHOD The sample comprised a clinical ED group (N = 122) and a control group (N = 622). Participants were asked to complete a number of self-report measures related to the variables of interest. RESULTS Invariance testing indicated that the model was structurally non-invariant (different across groups). For the ED group, appearance-based RS and social rank were significant mediators of the relationship between Insecure Attachment and disordered eating. For the controls, the relationship between Insecure Attachment and disordered eating was mediated through multiple pathways involving interpersonal RS, appearance-based RS and social rank. CONCLUSION These findings may inform existing therapies such as interpersonal psychotherapy for EDs, by emphasising the role of sensitivity to rejection in the development and maintenance of disordered eating. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
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Insecure Attachment and maladaptive schema in disordered eating: The mediating role of rejection sensitivity
Clinical Psychology & Psychotherapy, 2017Co-Authors: Tara De Paoli, Matthew Fuller-tyszkiewicz, Isabel KrugAbstract:Aim The current study aimed to assess Insecure Attachment and the disconnection and rejection domain of maladaptive schema in the context of disordered eating. Rejection sensitivity (RS) was proposed as a mediator between maladaptive schema and disordered eating. Method The sample consisted of 108 female participants with a lifetime eating disorder diagnosis and 508 female control participants. Participants were asked to complete a number of self-report measures related to Insecure Attachment (anxious and avoidant), maladaptive schema (emotional deprivation, abandonment, mistrust, social isolation, and defectiveness), RS (interpersonal and appearance-based), and disordered eating. Results Path analysis indicated that anxious Attachment was associated with disordered eating through multiple pathways involving emotional deprivation, abandonment, interpersonal RS, and appearance-based RS. Avoidant Attachment was not related to disordered eating behaviours. Conclusion The results indicate that both interpersonal and appearance-based RS are important mediators for the relationships between Insecure Attachment, maladaptive schema, and disordered eating. Key Practitioner Message The results from the current study suggest that Insecure Attachment leads to maladaptive schema, which in turn leads to sensitivity to rejection and subsequent disordered eating behaviour. Attachment anxiety, but not Attachment avoidance, was related to greater endorsement of all five schemas in the disconnection and rejection domain. Path analysis revealed that, of the schema in the disconnection and rejection domain, only emotional deprivation and abandonment were related to disordered eating. Interpersonal and appearance-based rejection sensitivity were significant mediators of the relationship between emotional deprivation and disordered eating as well as the relationship between abandonment and disordered eating. Differentiating between schemas within schema domains has clinical value in further understanding the pathway to disordered eating. The schemas of emotional deprivation and abandonment are implicated in disordered eating, suggesting the need to target these schemas in schema therapy.
Antonios Dakanalis - One of the best experts on this subject based on the ideXlab platform.
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narcissistic vulnerability and grandiosity as mediators between Insecure Attachment and future eating disordered behaviors a prospective analysis of over 2 000 freshmen
Journal of Clinical Psychology, 2016Co-Authors: Antonios Dakanalis, Massimo Clerici, Giuseppe CarraAbstract:Objective This study aimed to build on existing literature by examining the potential mediating role of two variants of narcissism (grandiosity and vulnerability) in explaining part of the underlying mechanism by which Insecure (avoidant and anxiety) Attachment affects behavioral elements of eating pathology (dieting and bulimic behaviors). Method Longitudinal data collected from 2,055 freshman college students (52.2% women; mean age 18.34 years) were analysed using a latent variable structural equation modelling approach, controlling for initial levels of the endogenous (i.e., dependent) latent variables and holding body mass index, anxiety, stress, depression, and self-esteem levels as time-varying covariates. Results The effect of Attachment anxiety on future bulimic behaviors was fully mediated through vulnerable narcissism (i.e., no significant direct link between Attachment anxiety and bulimic behaviors), whereas grandiose narcissism fully mediated the association between Attachment avoidance and future dieting behaviors. Dieting also predicted future bulimic behaviors and served as an additional (full) mediator between grandiose narcissism and bulimic behaviors. Differences in the strength of these associations across gender were not observed, and all indirect effects were statistically significant. Conclusion Overall, the findings (a) seem to support the theoretical postulations linking different Insecure Attachment experiences to different narcissistic tendencies, (b) imply that specific Insecure Attachment patterns may pass through different mediating pathways (narcissistic grandiosity and vulnerability) to specific behavioral elements of eating pathology (dieting and bulimic behaviors) regardless of gender, and (c) suggest that individuals with high grandiose narcissistic levels may not be protected from bulimic behaviors as previously indicated.
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Attachment insecurities maladaptive perfectionism and eating disorder symptoms a latent mediated and moderated structural equation modeling analysis across diagnostic groups
Psychiatry Research-neuroimaging, 2014Co-Authors: A Prunas, Antonios Dakanalis, Giuseppe Carra, Alix C Timko, Assunta M Zanetti, Lucio Rinaldi, Giuseppe Riva, Massimo ClericiAbstract:Abstract Although 96–100% of individuals with eating disorders (EDs) report Insecure Attachment, the specific mechanisms by which adult Insecure Attachment dimensions affect ED symptomatology remain to date largely unknown. This study examined maladaptive perfectionism as both a mediator and a moderator of the relationship between Insecure Attachment (anxiety and avoidance) and ED symptomatology in a clinical, treatment seeking, sample. Insecure anxious and avoidant Attachment, maladaptive perfectionism, and ED symptomatology were assessed in 403 participants from three medium size specialized care centres for EDs in Italy. Structural equation modeling indicated that maladaptive perfectionism served as mediator between both Insecure Attachment patterns and ED symptomatology. It also interacted with Insecure Attachment to predict higher levels of ED symptoms – highlighting the importance of both Insecure Attachment patterns and maladaptive aspects of perfectionism as treatment targets. Multiple-group comparison analysis did not reveal differences across diagnostic groups (AN, BN, EDNOS) in mediating, main and interaction effects of perfectionism. These findings are consistent with recent discussions on the classification and treatment of EDs that have highlighted similarities between ED diagnostic groups and could be viewed through the lens of the Trans-theoretical Model of EDs. Implications for future research and intervention are discussed.
Tara De Paoli - One of the best experts on this subject based on the ideXlab platform.
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social rank and rejection sensitivity as mediators of the relationship between Insecure Attachment and disordered eating
European Eating Disorders Review, 2017Co-Authors: Tara De Paoli, Matthew Fullertyszkiewicz, Emma Halliwell, Francis Puccio, Isabel KrugAbstract:AIM The current study assessed a new interpersonal model for eating disorders (EDs), in which interpersonal rejection sensitivity (RS), appearance-based RS and social rank were hypothesised to mediate the relationship between Insecure Attachment and disordered eating. METHOD The sample comprised a clinical ED group (N = 122) and a control group (N = 622). Participants were asked to complete a number of self-report measures related to the variables of interest. RESULTS Invariance testing indicated that the model was structurally non-invariant (different across groups). For the ED group, appearance-based RS and social rank were significant mediators of the relationship between Insecure Attachment and disordered eating. For the controls, the relationship between Insecure Attachment and disordered eating was mediated through multiple pathways involving interpersonal RS, appearance-based RS and social rank. CONCLUSION These findings may inform existing therapies such as interpersonal psychotherapy for EDs, by emphasising the role of sensitivity to rejection in the development and maintenance of disordered eating. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
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Insecure Attachment and maladaptive schema in disordered eating: The mediating role of rejection sensitivity
Clinical Psychology & Psychotherapy, 2017Co-Authors: Tara De Paoli, Matthew Fuller-tyszkiewicz, Isabel KrugAbstract:Aim The current study aimed to assess Insecure Attachment and the disconnection and rejection domain of maladaptive schema in the context of disordered eating. Rejection sensitivity (RS) was proposed as a mediator between maladaptive schema and disordered eating. Method The sample consisted of 108 female participants with a lifetime eating disorder diagnosis and 508 female control participants. Participants were asked to complete a number of self-report measures related to Insecure Attachment (anxious and avoidant), maladaptive schema (emotional deprivation, abandonment, mistrust, social isolation, and defectiveness), RS (interpersonal and appearance-based), and disordered eating. Results Path analysis indicated that anxious Attachment was associated with disordered eating through multiple pathways involving emotional deprivation, abandonment, interpersonal RS, and appearance-based RS. Avoidant Attachment was not related to disordered eating behaviours. Conclusion The results indicate that both interpersonal and appearance-based RS are important mediators for the relationships between Insecure Attachment, maladaptive schema, and disordered eating. Key Practitioner Message The results from the current study suggest that Insecure Attachment leads to maladaptive schema, which in turn leads to sensitivity to rejection and subsequent disordered eating behaviour. Attachment anxiety, but not Attachment avoidance, was related to greater endorsement of all five schemas in the disconnection and rejection domain. Path analysis revealed that, of the schema in the disconnection and rejection domain, only emotional deprivation and abandonment were related to disordered eating. Interpersonal and appearance-based rejection sensitivity were significant mediators of the relationship between emotional deprivation and disordered eating as well as the relationship between abandonment and disordered eating. Differentiating between schemas within schema domains has clinical value in further understanding the pathway to disordered eating. The schemas of emotional deprivation and abandonment are implicated in disordered eating, suggesting the need to target these schemas in schema therapy.
Patrick Luyten - One of the best experts on this subject based on the ideXlab platform.
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Alexithymia Mediates the Relationship Between Insecure Attachment and Eating Disorder Symptoms
Journal of Rational-Emotive & Cognitive-Behavior Therapy, 2020Co-Authors: Iratxe Redondo, Patrick LuytenAbstract:Insecure Attachment and alexithymia have traditionally been associated with eating disorders. However, research has recently started to examine the specific mechanisms by which Attachment insecurity affect disordered eating. The aim of this study was therefore to investigate the hypothesis that alexithymia mediates the relationships between Insecure Attachment patterns and eating disorders (EDs) and to test the relative contribution of each component of alexithymia. 323 female university students and 38 anorexic patients completed questionnaires on Attachment, alexithymia and ED symptoms within a structural equation modeling approach. Insecure Attachment was related to alexithymia, specifically difficulty identifying feelings (DIF) and difficulty describing feelings (DDF) subscales of the Toronto Alexithymia Scale. Furthermore, alexithymia scores were associated with eating disorder symptoms. However, only DIF mediated the relationship between Attachment insecurity and ED symptoms. Despite the limitations of the cross-section design, Attachment and alexithymia seem to be an important focus when preventing and treating EDs.
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Attachment and reflective functioning in women with borderline personality disorder
Journal of Personality Disorders, 2018Co-Authors: Deborah Myriam Badoud, Patrick Luyten, Paco Boris Prada, Rosetta Nicastro, Charlotte Germond, Nader Perroud, Martin DebbaneAbstract:Insecure Attachment and impairments in reflective functioning (RF) are thought to play a critical role in borderline personality disorder (BPD). In particular, the mentalization-based model argues that Insecure Attachment indirectly accounts for increased BPD features, notably via disruption of RF capacities. Although the mediation relationship between Attachment, RF, and BPD is supported by previous evidence, it remains to be directly tested in adults with BPD. In the current study, a sample of 55 female adult BPD patients and 105 female healthy controls completed a battery of self-report measures to investigate the interplay between Attachment, RF capacities, and BPD clinical status. Overall, the results showed that BPD patients pre- dominantly reported Insecure Attachment, characterized by negative internal working models of the self as unlovable and unimportant to others, and decreased RF abilities. Our findings further indicated that actual RF capacities mediated the relationships between adult Insecure Attachment and BPD clinical status.
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Insecure Attachment strategies are associated with cognitive alexithymia in patients with severe somatoform disorder
International Journal of Psychiatry in Medicine, 2015Co-Authors: Jurrijn Koelen, Patrick Luyten, Elisabeth H M Eurelingsbontekoe, Frauke StukeAbstract:ObjectiveIn light of interpersonal difficulties and their relation to alexithymia in patients with somatoform disorder, the primary aim of this study was to explore the association between two Insecure Attachment strategies (deactivation and hyperactivation strategies), and affective and cognitive alexithymia in a sample of 128 patients with severe somatoform disorder, over and above the levels of negative affectivity and personality pathology.MethodIn a cross-sectional study among patients with somatoform disorder, self-report data were obtained using measures for alexithymia (Bermond-Vorst Alexithymia Questionnaire), Attachment (Experiences in Close Relationships Questionnaire), personality pathology (Inventory of Personality Organization), and negative affectivity (Dutch Short Form of the MMPI). We used hierarchical regression analyses to test main effects of Attachment deactivation and hyperactivation strategies in the prediction of both cognitive and affective alexithymia, while controlling for the l...
Natacha Godbout - One of the best experts on this subject based on the ideXlab platform.
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disengaged parenting structural equation modeling with child abuse Insecure Attachment and adult symptomatology
Child Abuse & Neglect, 2017Co-Authors: John Briere, Marsha Runtz, Erin M Eadie, Noemie Bigras, Natacha GodboutAbstract:Based on Attachment theory, we hypothesized that self-reported childhood experiences of disengaged parenting (DP) would predict adults' psychological symptoms even more than, on average, childhood sexual, physical, or psychological abuse. In a large (N=640) university sample, bootstrapped multiple regression analyses indicated that although various forms of child maltreatment were correlated with symptomatology at the univariate level, DP was the primary multivariate predictor. Structural equation modeling indicated significant direct paths from (a) DP to both nonsexual child maltreatment and sexual abuse, (b) DP and nonsexual child maltreatment to Insecure Attachment, and (c) sexual abuse and Insecure Attachment to symptomatology. There were significant indirect effects of DP on psychological symptoms through sexual and nonsexual abuse, as well as through Attachment. These results suggest that although child abuse has direct and indirect impacts on psychological symptoms, exposure to DP may be especially detrimental, both by increasing the risk of child abuse and by virtue of its impacts on Attachment insecurity. They also support the potential use of Attachment-oriented intervention in the treatment of adults maltreated as children.