Childhood trauma and disordered eating: Exploring the role of alexithymia and beliefs about emotions

Strodl, Esben; Wylie, Lauren

doi:10.1016/j.appet.2020.104802

Cited by 25 publications

(18 citation statements)

References 72 publications

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“…Regarding the direct effect of DDF on drive for thinness and body dissatisfaction, these findings are consistent with previous studies reporting links between DDF and restrained eating (Strodl & Wylie, 2020) and body dissatisfaction (De Berardis et al, 2009;Fenwick & Sullivan, 2011;Hund & Espelage, 2006). However, they are inconsistent with other studies (Quinton & Wagner, 2005), which have reported no evidence of links between DDF and drive for thinness and body dissatisfaction.…”

Section: Discussionsupporting

confidence: 76%

Direct and indirect effects of alexithymia on eating disorder symptoms in a non-clinical female sample: determining the role of negative affect

Wallis¹,

Ridout²

2021

Preprint

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Alexithymia, a multifaceted personality construct, characterised by difficulties identifying and describing one’s feelings, and by an externally focused cognitive style. Alexithymia is risk factor for negative affect and disordered eating. Previous work involving patients with anorexia nervosa revealed that high levels of alexithymia were directly linked to eating disorder symptoms and also indirectly linked via negative affect. Our aim was to establish if these findings generalised to subclinical disordered eating symptoms. A non-clinical sample of females (n=206) completed measures of depression, anxiety, alexithymia, and disordered eating. As expected, negative affect (combined depression and anxiety) mediated the effect of alexithymia (difficulty identifying feelings and difficulty describing feelings) on disordered eating symptoms (drive for thinness, bulimia, and body dissatisfaction). However, also as expected, direct effects of these alexithymia facets on disordered eating were still evident after controlling for negative mood. Our findings confirm that the relationships observed in patients with clinically diagnosed eating disorders are also evident in those with subclinical disordered eating. Targeted interventions to reduce deficits in recognising and describing one’s feelings could potentially ameliorate disordered eating in ‘at risk’ participants.

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Section: Discussionsupporting

confidence: 76%

Direct and indirect effects of alexithymia on eating disorder symptoms in a non-clinical female sample: determining the role of negative affect

Wallis¹,

Ridout²

2021

Preprint

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“…According to Banks 29 , mind is an impersonal spiritual constant, a universal organizing phenomenon, a driving force from within-be it a cosmic consciousness, a supreme being, or Mother Nature-that provides innate capacity for resilience, health, and insight 5 . This innate capacity-wisdom-or driving force was described by Kessel et al 33 as "something beyond our human comprehension" and "can be seen to be behind the extraordinary human capabilities that reside within all of us: to love, to nurture, to empathize, to connect with others, creativity, resilience and the ability to be inspired" (p. 170).…”

Section: Phr Theorymentioning

confidence: 99%

“…The second question we asked was: "How knowledgeable are you about the three principles?" This was scored on a 5-point rating scale, ranging from not knowledgeable at all (0) to extremely knowledgeable (5).…”

Section: Expertise Scalementioning

confidence: 99%

“…Stimulating higher ordered metacognitions, or "abstract beliefs about our thinking" 1 such as knowledge or skills 2 , was found to be strongly related to effective coping and well-being [3][4][5] . While the content of metacognition is much debated within the literature 6,7 , previous studies have shown that such meaning making (mental representation of possible relationships 8 ) play a signi cant role in psychological outcomes, including subjective experiences of well-being 9,10 .…”

Section: Introductionmentioning

confidence: 99%

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Three Principles, Expertise and Well-being: Introducing the 3PHR-scale

Denkers¹,

Catherine-Gray

2021

Preprint

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The popularity of Three Principles of Health Realization (3PHR) interventions among mental health professionals is increasing. We developed a scale to measure the core theoretical beliefs that underlie 3PHR interventions: Thought, Consciousness, and Mind. To test the scale, we surveyed 282 participants enrolled in an annual 3PHR conference (n = 238). We examined the construct validity using confirmatory factor analyses and investigated its associations with 3PHR expertise on one side and well-being—in particular, purpose in life and affect—on the other. We also examined the mediating effect of the 3PHR scale in explaining the relationship between 3PHR expertise and well-being. The factor analyses confirmed the three-factor structure. Results further demonstrated strong positive interrelations between 3PHR expertise, the 3PHR scale and subscales, and levels of well-being. The relationship between expertise and well-being measures was found to be fully mediated by scores on the 3PHR scale. Both the new measurement tool and the results contribute to furthering the knowledge about potentially important drivers of well-being.

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“…Beliefs about emotion are evaluated on continuums of attributes such as helpful or unhelpful, and controllable or uncontrollable (Ford & Gross, 2019). Negative beliefs about emotions are related to eating disordered pathology (Vann et al, 2013) and disordered eating (Strodl & Wylie, 2020). They may be formed during childhood (Manser et al, 2012), particularly in environments where communication about emotion has been ignored or responded to negatively (Ivanova & Watson, 2014).…”

mentioning

confidence: 99%

The Role of Beliefs About Emotions in Emotion-Focused Therapy for Binge-Eating Disorder

Glisenti

Strodl

King

2022

J Contemp Psychother

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Individuals with binge-eating disorder (BED) often experience emotion regulation deficits, including negative beliefs about emotions and low emotional expressivity. The current exploratory study examined whether emotion-focused therapy (EFT) for BED could change negative beliefs about emotions and emotional expressivity. Twenty participants were randomly allocated to either immediate treatment of 12 weekly one-hour sessions of EFT for BED, or a waitlist control group. Beliefs about emotions and emotional expressivity were assessed before and after 12 sessions of EFT or 12 weeks on the waitlist. A repeated measures ANOVA was used to examine beliefs about emotions and emotional expressivity changes. EFT for BED resulted in significant changes in particular beliefs about emotions (Overwhelming and uncontrollable, shameful and irrational, invalid and meaningless, and total score on the beliefs about emotions questionnaire) but not emotional expressivity treatment outcomes. This pilot study provides preliminary evidence that EFT may be effective in improving maladaptive beliefs about emotions in adults with BED.Trial registration ACTRN12620000563965, 14 May 2020, retrospectively registered.

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Childhood trauma and disordered eating: Exploring the role of alexithymia and beliefs about emotions

Cited by 25 publications

References 72 publications

Direct and indirect effects of alexithymia on eating disorder symptoms in a non-clinical female sample: determining the role of negative affect

Direct and indirect effects of alexithymia on eating disorder symptoms in a non-clinical female sample: determining the role of negative affect

Three Principles, Expertise and Well-being: Introducing the 3PHR-scale

The Role of Beliefs About Emotions in Emotion-Focused Therapy for Binge-Eating Disorder

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