Examining the association between deficits in self-concept clarity and eating disorder severity

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors Pub Date : 2023-09-07 DOI:10.1016/j.eatbeh.2023.101810

Sarrah I. Ali, Pamela K. Keel

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引用次数: 0

Abstract

Objective

We sought to (1) compare self-concept clarity (SCC; the degree to which a person possesses a confidently defined, internally consistent, and stable sense of self) between female participants with and without eating disorders, (2) examine associations between SCC deficits and severity of eating disorder specific and related psychopathology in individuals with eating disorders, and (3) determine if there is a unique association between SCC deficits and eating disorder severity, controlling for related psychopathology.

Method

Participants (M age = 23.16 years) with eating disorders (n = 121) and controls (n = 63) completed semi-structured clinical interviews and self-report assessments.

Results

SCC deficits were significantly greater in the eating disorder compared to the control group. In the eating disorder group, greater SCC deficits were significantly associated with greater severity of eating pathology, depression, impulsivity, and trait anxiety. In a hierarchical regression analysis, significant associations between SCC deficits and Eating Disorder Examination (EDE) Global scores were better accounted for by shared variance with anxiety.

Discussion

SCC deficits may reflect a transdiagnostic feature related to the severity of a range of mental health problems, suggesting potential benefit of transdiagnostic interventions.

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自我概念清晰度缺陷与进食障碍严重程度之间的相关性研究

目的：我们试图（1）比较有饮食障碍和没有饮食障碍的女性参与者的自我概念清晰度（SCC；一个人拥有自信定义、内部一致和稳定的自我感觉的程度），（2）研究SCC缺陷与饮食障碍个体的饮食障碍特异性和相关精神病理学严重程度之间的关系，以及（3）确定SCC缺陷与进食障碍严重程度之间是否存在独特的关联，控制相关的精神病理学。方法有饮食障碍的参与者（M年龄=23.16岁）（n=121）和对照组（n=63）完成了半结构化临床访谈和自我报告评估。结果与对照组相比，进食障碍组的SCC缺陷明显更大。在饮食障碍组中，SCC缺陷越大，饮食病理、抑郁、冲动和特质焦虑的严重程度越高。在一项分层回归分析中，SCC缺陷与饮食障碍检查（EDE）总分之间的显著关联可以更好地通过与焦虑的共同方差来解释。讨论SCC缺陷可能反映了与一系列心理健康问题严重程度相关的跨诊断特征，表明跨诊断干预的潜在益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Eating behaviors Multiple-

CiteScore

4.20

自引率

3.60%

发文量

审稿时长

60 days

期刊介绍： Eating Behaviors is an international peer-reviewed scientific journal publishing human research on the etiology, prevention, and treatment of obesity, binge eating, and eating disorders in adults and children. Studies related to the promotion of healthy eating patterns to treat or prevent medical conditions (e.g., hypertension, diabetes mellitus, cancer) are also acceptable. Two types of manuscripts are encouraged: (1) Descriptive studies establishing functional relationships between eating behaviors and social, cognitive, environmental, attitudinal, emotional or biochemical factors; (2) Clinical outcome research evaluating the efficacy of prevention or treatment protocols.