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Does body shame mediate the relationship between parental bonding, self-esteem, maladaptive perfectionism, body mass index and eating disorders? A structural equation model
No full textPurpose: Body shame has been strongly associated with eating pathology. However, less is known about the predisposing factors linked to these feelings and how they interact with other variables in eating disorder development. Thus, the aim of the present study was to provide a preliminary understanding of the relationship between body shame and some of the major risk factors for eating disorder onset, identifying the possible mechanisms of action. Specifically, we tested a structural equation model in which perceived parental bonding, self-esteem, perfectionism, and body mass index are associated with eating disorder risk via body shame.
Methods: 1156 high school students aged 13-20 were screened by means of self-report measures of parental behavior, self-esteem, perfectionism, body shame and eating disorder risk. The height and weight of each individual were measured.
Results: In predicting eating disorder risk, parental protectiveness (β=0.09), body mass index (β=0.18), self-esteem (β=-0.14) and body shame (β=0.58) had a direct effect on this variable and overall our model accounted for 58% of its variance. The experience of shame related to one’s body appeared to have a considerably significant influence on eating disturbances vulnerability and it also serves as a mediator between other risk factors and eating disturbance risk. A series of multi-group analyses indicated no significant difference between males and females.
Conclusions: The emotion of shame may enhance our understanding of eating disorders, as well as being a salient factor for the development of preventive programs and treatment approaches
Self-esteem, body shame and eating disorder risk in obese and normal weight adolescents: a mediation model
No full textDoes Anger Expression Mediate the Relationship Between Parental Rejection and Direct and Indirect Forms of Non-suicidal Self-injury?
Full text linkNon-suicidal self-injury (NSSI) is defined as the intentional destruction of one’s own body without an intent to die (e.g., self-cutting). On the other hand, indirect forms of self-injury refer to behaviors in which people harm themselves in an indirect way (e.g., substance use). Existing literature suggests that a negative parent–child relationship may increase vulnerability to NSSI and indirect forms of self-injury. However, little is known about the potential mediators that intervene in the aforementioned relationship. Therefore, the present work tests a path model to investigate whether the manner of anger expression—anger-in (redirect anger inwardly) or anger-out (express anger outwardly)—mediates the association between parental rejection and direct (specifically self-cutting) and indirect (specifically substance use) forms of self-injury in a cross-sectional sample of Italian adolescents. We assessed self-injury, parental acceptance/rejection, and the expression of anger using self-report questionnaires in 2464 high school students, aged 13–20 years (Mage = 15.93, SD = 1.49). Additionally, characteristics of NSSI were also assessed using semi-structured interviews. We found that parental rejection was significantly positively associated with both self-cutting and substance use. The aforementioned relationship was mediated through anger-in for self-cutting, and through anger-out for substance use. The current work demonstrated that anger expression might work as a bridge between invalidating caregiving environment (i.e., rejecting), in which an individual feels unloved and uncared for, and the occurrence of self-cutting and substance use. The salient role of anger management in the development of prevention and intervention programs for NSSI and indirect self-injury among adolescents is discussed.sponsorship: Open access funding provided by Universita degli Studi della Campania Luigi Vanvitelli within the CRUI-CARE Agreement. (Universita degli Studi della Campania Luigi Vanvitelli)status: Publishe
Non-Suicidal Self-Injury: A School-Based Peer Education Program for Adolescents During COVID-19 Pandemic
Full text linkA network analysis approach to understand the relationship between online problematic gaming, defense mechanisms, and psychopathological symptoms
No full textProblematic gaming (PG) refers to a dysfunctional pattern of online gaming behaviour that negatively affects individual functioning. The present study adopted a network analysis approach to investigate the patterns of reciprocal associations between PG, defense mechanisms, and psychopathological symptoms. Participants were 1,036 adult Italian online video game players (Mage= 29.94, SD = 8.85; females = 388) who completed self-report questionnaires. We used a regularised partial correlation network analysis (EBICglasso) to investigate the network structure of the relationships among PG, defense mechanisms, and psychopathological symptoms. Centrality measures were computed. The highly influential nodes in the network concerned both psychological symptoms (anxiety and obsessive-compulsive symptoms) and defense mechanisms (projection and autistic fantasy). Furthermore, the escapism feature of PG was detected as a prominent bridge symptom in the network. Our findings suggest that negative affect and immature defense mechanisms might play a pivotal role in PG, and that withdrawal in the virtual world may also exacerbate psychological symptoms. Therefore, better understanding the role of escapism and related immature defenses in PG might have important implications for theory and clinical practice
Nonsuicidal Self-injury: A Systematic Review
Full text linkObjective: Nonsuicidal self-injury (NSSI) refers to the intentional self-inflicted destruction of body tissue without suicidal intention and for purposes not socially sanctioned. Our paper presents an up-to-date overview on nonsuicidal, self-injurious behaviors.Method: In accordance with PRISMA guidelines, a systematic literature search was conducted across two databases, PubMed and PsycARTICLES, regarding the main features of NSSI with a focus on epidemiological and etiologic data, diagnostic criteria, and functions. All English articles, published between 1998 and 2016, were considered, and screened against a priori inclusion/exclusion criteria. The search terms include: self-harm, self-injury, NSSI, epidemiology, comorbidity, gender, functions and DSM. We also examined the references of the retrieved articles.Results: NSSI is most common among adolescents and young adults, and the age of onset is reported to occur between 12 and 14 years. Comorbidity with borderline personality disorder (BPD) and eating disorders is often reported. DSM-5 includes NSSI as a condition requiring further study. This review gives an overview of the prevalence rates (7.5–46.5% adolescents, 38.9% university students, 4–23% adults) and main causes that appear to stem from childhood trauma, comorbidity with many other disorders and several functions of NSSI, and the potential independence of a NSSI disorder.Conclusion: Over the years, interest in NSSI grew to such an extent that an ongoing debate was instigated on whether NSSI should be considered as a diagnosis in its own right and given its own category. This paper provides an up-to-date overview on self-injury, what is known about it and what remains to be done. Clearly, our understanding of the main issues of NSSI has increased in last two decades. However, future researches is needed to examine the developmental trajectories, cultural backgrounds and shed light on the risk factors and functions as well as clarify its role as an independent diagnostic entity
Identifying predictors associated with the severity of eating concerns in females with eating disorders
Full text linkConsidering how to improve efficacy of therapeutic strategies, the overall objective of the present study was to investigate the extent of eating concerns and to identify predictors associated with the severity of disordered eating symptomatology among people with eating pathologies. We screened 80 female eating disordered patients, ranging from 13 to 40 years, by means of self-report measures of parental behavior as perceived by the offspring, self-esteem, perfectionism, body shame and eating disorder severity. Self-reported weight and height were obtained. The diagnosis of bulimia nervosa resulted to be associated with a greater severity of the eating symptomatology. Maladaptive perfectionism, body shame and self-esteem, significantly predicted the level of eating concerns. The recognition of potential maintaining factors may support the choice of particular therapeutic strategies to improve the treatment of eating pathologies and their outcomes
Self-compassion and body shame: Observing different pathways from body surveillance to eating disorders symptoms
No full textIntroduction: Eating disorders include a variety of symptoms related to concerns about body shape, weight, and food consumption, frequently manifesting as behaviors like restrictive eating, binge eating, and purging. Body surveillance and body shame have consistently been associated with the severity of these psychopathologies, while self-compassion has been suggested as a protective factor against these conditions. This study aims to test the hypothesis that there is a relationship between higher body surveillance and increased eating disorder symptoms, and to investigate whether self-compassion and body shame may act as mediators of this relationship. Methods: Questionnaires were administered to 386 emerging adults (M = 26.11; DS=4.29) to assess Body Surveillance, Self-compassion, Body Shame, and Eating disorders symptoms. Results: Body Surveillance is negatively linked with Self-Compassion, while positively correlated with Body Shame and Eating Disorders. Furthermore, negative correlations were found between Self-Compassion, Body Shame, and Eating Disorders. Moreover, there was a positive correlation between Body Shame and Eating Disorders. In addition, a statistically significant indirect association was found from Body Surveillance to Eating disorders symptoms by Body Shame, and from Self-compassion to Eating disorders symptoms by Body Shame. Conclusion: These results suggest that maladaptive eating patterns may be associated with Body Surveillance and Body Shame, while Self-compassion may serve as a protective factor against these maladaptive attitudes. The implications for clinicians are thoroughly discussed
Binge eating disorder and related features in bariatric surgery candidates
Full text linkThe present study sought to: 1) assess the prevalence of Binge Eating Disorder (BED) and abnormal eating behaviors in bariatric surgery candidates; 2) compare patients with and without BED as regards to eating disturbances, psychological characteristics, and health status; 3) individuate which factors were significantly related to binge eating severity. Sixty-three preoperative patients (17 males and 46 females) were screened by means of an ad hoc socio-demographic schedule, the Rosenberg Self-Esteem Scale, the Eating Disorders Inventory-3, the Binge Eating Scale, and the General Health Questionnaire-28. BED diagnosis was performed through a clinical interview. BED and disordered eating, such as episodes of binge eating, sense of lack of control over eating and inappropriate compensatory behaviors, appear common in patients undergoing weight loss surgery. Significant differences between BED and non-BED subjects in relation to eating disturbances and psychological characteristics emerged. Multiple regression analysis revealed that only emotional dys-regulation significantly predicted binge eating vulnerability. The recognition of factors involved in the development and maintenance of disordered eating in bariatric patients may support the choice of particular therapeutic strategies and improve bariatric surgery outcome. Further studies on this issue would be useful
The Long-Term Efficacy and Sustainability of the Tabby Improved Prevention and Intervention Program in Reducing Cyberbullying and Cybervictimization
No full textAlthough cyberbullying and cybervictimization prevention programs have proved effective in the short term, their effectiveness remains unclear in the long run. Thus, the present study evaluated the long-term effects of the Tabby Improved Prevention and Intervention Program (TIPIP). Participants were 475 middle and high school students (Mage = 12.38; SD = 1.45; F = 241, 51%), of whom, 167 were in the Experimental Group (EG; Mage = 13.15; SD = 1.52; M = 51.5%), and 308 were in the Control Group (CG; Mage = 13.47; SD = 1.35; M = 47.7%). Students completed measures assessing cyberbullying and cybervictimization at three time points: baseline (T1), immediately after the intervention (6 months, T2), and at 1 year (T3). The results showed no significant effects of the TIPIP in reducing both cyberbullying and cybervictimization over time. Overall, our results confirm the lack of effectiveness of long-term preventive programs and emphasize that different curricula should be implemented in future programs to prevent and manage cyberbullying and cybervictimization, also taking into account psychological mechanisms and processes involved in such behaviors. © 2023 by the authors
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