Emotional Eating and Perfectionism as Predictors of Symptoms of Binge Eating Disorder: The Role of Perfectionism as a Mediator between Emotional Eating and Body Mass Index

Bernabéu-Brotóns, Elena; Giráldez, Carlos Alberto Marchena

doi:10.3390/nu14163361

Cited by 9 publications

(4 citation statements)

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“…Additionally, cognitive restraint levels have been inversely associated with weight loss in individuals with obesity, mediated by emotional eating and disinhibited eating [ 23 ]. Emotional eating serves as a potential predictor for binge eating and, through the mediation of perfectionism, is associated with BMI, as recently reported [ 59 ]. We may hypothesize that cognitive restraint, involving the use of cognitive control rather than physiological signals to regulate eating, may alter the habitual response of patients with obesity to food and hunger.…”

Section: Discussionmentioning

confidence: 74%

Mental Health Variables Impact Weight Loss, Especially in Patients with Obesity and Binge Eating: A Mediation Model on the Role of Eating Disorder Pathology

Pruccoli,

Mack,

Klos

et al. 2023

Nutrients

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Background: Various mental health and eating behavior variables have been independently associated with predicting weight loss in individuals with obesity. This study aims to investigate a mediation model that assesses the distinct contributions of these variables in predicting weight changes in patients with obesity following an outpatient behavioral weight loss intervention (BWLI). Methods: General mental health (depression, anxiety, stress, impulsivity), eating behavior (cognitive restraint, disinhibition, hunger), eating disorder pathology, and body mass index (BMI) were assessed in a group of 297 patients with obesity at the admission of a BWLI program. BMI was re-evaluated during the final treatment session. A mediation model was employed to examine whether mental health and eating behavior variables predicted BMI changes, with eating disorder pathology serving as a mediator. The model was tested both overall and within two patient subgroups: those with regular binge eating (≥four episodes/month) and those without. Results: In the overall sample (n = 238), the relationships between depression, impulsivity, and cognitive restraint with BMI change were mediated by eating disorder pathology. In the subgroup with regular binge eating (n = 99, 41.6%), the associations between stress and disinhibition with BMI change were additionally mediated by eating disorder pathology. In the subgroup without regular binge eating, eating disorder pathology showed no mediating effect. Discussion: Multiple mental health and eating behavior variables assessed at admission predicted BMI changes, particularly when mediated by eating disorder pathology in patients with regular binge eating. A comprehensive psychopathological assessment prior to starting BWLI may help identify multiple factors affecting prognosis and treatment outcomes. Long-term follow-up studies in this field are required.

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Section: Discussionmentioning

confidence: 74%

Mental Health Variables Impact Weight Loss, Especially in Patients with Obesity and Binge Eating: A Mediation Model on the Role of Eating Disorder Pathology

Pruccoli,

Mack,

Klos

et al. 2023

Nutrients

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“…Mükemmeliyetçilik, kişinin kendisi için aşırı yüksek standartlar koymasını ve kendi performansına yönelik eleştirel değerlendirmeler yapmasını içeren bir eğilimdir (25). Bir başka değişle mükemmeliyetçilik, olağanüstü yüksek standartlar oluşturma ve aşırı derecede eleştirel öz değerlendirmeler yapma eğilimidir (26).…”

Section: Sonuçunclassified

“…Mükemmeliyetçiliğin, YB'nin gelişmesine veya sürdürmesine yatkınlık oluşturan bir kişilik özelliği olduğu söylenmektedir (5,26,(29)(30)(31)(32).…”

Section: Sonuçunclassified

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Mükemmeliyetçiliğin, Yeme Bozukluğu ve Obsesif Kompulsif Bozukluk ile İlişkisi: Bir Gözden Geçirme

ÖZ

2024

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi

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Yeme bozuklukları ve obsesif kompulsif bozukluk yüksek oranda komorbiddir. Mükemmeliyetçilik, hem yeme bozukluğu hem de obsesif kompulsif bozukluk ile güçlü bir şekilde bağlantılı olan bir kişilik özelliğidir. Obsesif kompulsif bozukluk ve yeme bozukluğunun ortak yordayıcısının mükemmeliyetçilik olduğu ve mükemmeliyetçiliğin; obsesif kompulsif bozukluk ve yeme bozukluğu oluşmasında, önlenmesinde ve tedavisinde önemli bir yapı olduğu düşünülmektedir. Bu gözden geçirme makalesinin amacı mükemmeliyetçilik ile yeme bozukluğu ve obsesif kompulsif bozukluk arasındaki ilişkinin incelenmesidir. Mükemmeliyetçilik ile yeme bozukluğu ve obsesif kompulsif bozukluk arasındaki ilişkisi incelenirken mükemmeliyetçilik, yeme bozukluğu ve obsesif kompulsif bozukluk kavramları araştırılmıştır. Makaleler bulunurken “yeme bozukluğu”, “obsesif kompulsif bozukluk” ve “mükemmeliyetçilik” anahtar kelimeleri arama motoruna yazılarak tarama yapılmıştır. Bu bağlamda; Science Direct, Pubmed ve Google Scholar veri tabanları ve uluslararası dergilerden faydalanılarak mükemmeliyetçilik ile yeme bozukluğu ve obsesif kompulsif bozukluk arasındaki ilişkiyi araştıran makaleler incelenmiştir. İncelenen makaleler sonucunda mükemmeliyetçiliğin hem yeme bozukluğu hem de obsesif kompulsif bozukluk semptomlarının gelişmesine ve sürmesine aracılık ettiği doğrulanmıştır. Mükemmeliyetçilik için uygulanacak tedavi hem yeme bozukluğu hem de obsesif kompulsif bozukluk semptomlarının şiddetinin azalmasında ya da semptomların ortadan kalmasında etkili olacaktır.

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A meta‐analysis of disordered eating and its association with self‐criticism and self‐compassion

Paranjothy,

Wade

2024

Intl J Eating Disorders

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ObjectiveFuture treatments for eating disorders (ED) need to be enhanced by targeting maintaining mechanisms. Literature suggests self‐criticism and self‐critical perfectionism act as key mechanisms exacerbating ED, and self‐compassion protects against self‐criticism. This meta‐analysis examines associations between self‐criticism and self‐critical perfectionism on disordered eating (DE), and reviews how self‐compassion and self‐criticism relate to each other with respect to DE.MethodSearches across three databases yielded 135 studies across 42,952 participants. Heterogeneity, publication bias, and quality assessments were analyzed. Moderation analyses between self‐criticism measures, self‐compassion measures, between clinical and nonclinical samples, and between cross‐sectional and experimental studies were also conducted.ResultsRandom‐effects models showed a medium positive link between self‐criticism and DE (r = .37), and 10 subgroups pertaining to various measures of self‐criticism utilized in literature showed small to large positive links with DE (r = .20–.52). Preliminary evidence also suggests negative relationships between self‐compassion and DE (r = −.40 to −.43) and negative relationships between self‐compassion and self‐criticism (r = −.04 to −.88).DiscussionGreater levels of self‐criticism is linked with greater levels of DE and reduced levels of self‐compassion, suggesting a need to tackle self‐criticism and nurture self‐compassion in standard treatments for ED. Understanding these interactions better in conjunction with dismantling intervention studies can help develop more effective and efficient interventions targeting self‐criticism and self‐compassion for people with DE.Public Significance StatementHigher levels of self‐criticism are linked with higher levels of DE and lower self‐compassion. Self‐compassion interventions could be more effective and efficient in reducing ED symptoms if self‐criticism is tackled early in such treatments.

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Emotional Eating and Perfectionism as Predictors of Symptoms of Binge Eating Disorder: The Role of Perfectionism as a Mediator between Emotional Eating and Body Mass Index

Cited by 9 publications

References 59 publications

Mental Health Variables Impact Weight Loss, Especially in Patients with Obesity and Binge Eating: A Mediation Model on the Role of Eating Disorder Pathology

Mental Health Variables Impact Weight Loss, Especially in Patients with Obesity and Binge Eating: A Mediation Model on the Role of Eating Disorder Pathology

Mükemmeliyetçiliğin, Yeme Bozukluğu ve Obsesif Kompulsif Bozukluk ile İlişkisi: Bir Gözden Geçirme

A meta‐analysis of disordered eating and its association with self‐criticism and self‐compassion

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