Examining a mediation model of body image-related cognitive fusion, intuitive eating, and eating disorder symptom severity in a clinical sample.

Autor: Barney JL; Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT, 84322, USA. jen.barney@usu.edu., Barrett TS; Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT, 84322, USA., Lensegrav-Benson T; Avalon Hills Eating Disorder Specialists, 175 E 100 N, Logan, UT, 84321, USA., Quakenbush B; Avalon Hills Eating Disorder Specialists, 175 E 100 N, Logan, UT, 84321, USA., Twohig MP; Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT, 84322, USA.
Jazyk: angličtina
Zdroj: Eating and weight disorders : EWD [Eat Weight Disord] 2022 Aug; Vol. 27 (6), pp. 2181-2192. Date of Electronic Publication: 2022 Feb 05.
DOI: 10.1007/s40519-021-01352-9
Abstrakt: Purpose: This study sought to explore the associations between Intuitive Eating (IE), eating disorder (ED) symptom severity, and body image-related cognitive fusion within a clinical sample. IE was also examined as a possible mediator in the relationship between body image-related fusion and ED symptoms.
Methods: This study includes cross-sectional analyses with data from 100 adult females and 75 adolescent females seeking residential treatment for an ED. Self-reported demographic information, ED symptoms, IE behaviors, and body image-related cognitive fusion were collected from participants within the first week of treatment following admission to the same residential ED treatment facility.
Results: ED symptom severity was significantly negatively associated with three of the four domains of IE; unconditional permission to eat, reliance on hunger and satiety cues, and body-food choice congruence. A significant mediational effect of IE on the relationship between body image-related fusion and ED symptoms through IE behaviors was observed (β = 11.3, SE = 0.003, p < 0.001). This effect was only observed for the unconditional permission to eat (β = 0.13, p = 0.003) and reliance on hunger and satiety cues (β = 0.10, p = 0.005) domains of IE when the domains were subsequently analyzed individually.
Conclusion: Unconditional permission to eat and reliance on hunger and satiety cues appear to be particularly influential domains of IE in the relationship between body image-related fusion and ED symptom severity. It is possible that changes in these IE domains may be mechanisms through which body image-related fusion influences ED symptoms. Future longitudinal research is needed to better understand the relationship between body image-related cognitive fusion and IE and the potential for targeting these constructs specifically in the context of ED treatment.
Level of Evidence: Level V, cross-sectional analysis from descriptive study.
(© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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