Identity Functioning and Eating Disorder Symptomatology: The Role of Cognitive Emotion Regulation Strategies

Verschueren, Margaux; Claes, Laurence; Palmeroni, Nina; Raemen, Leni; Buelens, Tinne; Moons, Philip; Luyckx, Koen

doi:10.3389/fpsyg.2021.667235

Cited by 10 publications

(21 citation statements)

References 99 publications

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“…There was no prospective association between identity confusion and drive for thinness. Finally, a recent study by Verschueren and colleagues in Belgian adolescents and emerging adults found that identity synthesis and confusion predicted eating disorder symptoms one and two years later (Verschueren et al, 2021 ).…”

Section: Resultsmentioning

confidence: 98%

“…There was some evidence that depression, anxiety and eating disorder symptoms impact identity development, such that elevated symptoms were associated with identity development difficulties (i.e., low identity synthesis/high identity confusion) later in adolescence (Hatano et al, 2020 ; Schwartz et al, 2012 ; van Doeselaar et al, 2018 ; Verschueren et al, 2018 ; Verschueren et al, 2021 ). Preliminary evidence indicated that effects may differ according to identity domain (i.e., depressive symptoms associated with later educational synthesis, but not interpersonal synthesis) (van Doeselaar et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

“…3 Forest plot of effect sizes in meta-analysis 2 (i.e., Change in identity confusion over adolescence/emerging adulthood) Fig. 4 Forest plot of effect sizes in meta-analysis 3 (i.e., change in depression and anxiety symptoms over adolescence/emerging adulthood) Schwartz et al, 2012;van Doeselaar et al, 2018;Verschueren et al, 2018;Verschueren et al, 2021). Preliminary evidence indicated that effects may differ according to identity domain (i.e., depressive symptoms associated with later educational synthesis, but not interpersonal synthesis) (van Doeselaar et al, 2018).…”

Section: Narrative Synthesismentioning

confidence: 99%

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Identity Development and Social-Emotional Disorders During Adolescence and Emerging Adulthood: A Systematic Review and Meta-Analysis

Potterton

Austin

Robinson

et al. 2021

J Youth Adolescence

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Depression, anxiety and eating disorders (“social-emotional disorders”) are common during adolescence/emerging adulthood, periods of intense identity development. Despite this, there are few reviews of existing research on the relationship between symptoms of these disorders and ongoing identity development. This study systematically reviewed, narratively synthesized and meta-analyzed longitudinal investigations of the relationship between identity synthesis/confusion and depression, anxiety and eating disorders symptoms during adolescence/emerging adulthood. Three databases (PsycInfo, Medline, Embase) were searched. Study quality was systematically appraised, findings were qualitatively synthesized and (where possible) meta-analyzed. 20 studies (55% “fair” quality, 45% “poor” quality) were identified, including 13,787 participants (54.2% female, mean age = 14.48 years, range 10–29 years). The narrative synthesis found evidence of bidirectional relationships between identity synthesis/confusion and depression, anxiety and eating disorder symptoms. Meta-analyses and meta-regressions of a sub-sample of studies (N = 9) indicated no significant associations between identity synthesis or confusion and anxiety or depression symptoms. More high-quality research is needed before firm conclusions can be drawn.

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Section: Resultsmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Narrative Synthesismentioning

confidence: 99%

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Identity Development and Social-Emotional Disorders During Adolescence and Emerging Adulthood: A Systematic Review and Meta-Analysis

Potterton

Austin

Robinson

et al. 2021

J Youth Adolescence

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“…In these cases, the patients' narrative memory about safety, emotional regulation, and loving kindness seems to be associated with the somatic memory of comfort through a special food. However, the perpetration of an uncontrolled mode of eating would seem to be connected to the lack of an emotional awareness about the meaning of that gesture and its compulsive search or to the underlying need for comfort and kindness (Verschueren et al, 2021). In these scenarios, communication is strongly connected to the feeding.…”

Section: Attachment and Eating Disorders: From Controlling Others To Self-regulationmentioning

confidence: 99%

“…Anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other eating disorders (EDs) are characterized by poor awareness and emotional regulation in the form of “embodied acts” used to cope with internal and external demands that are perceived as overwhelming and stressful ( Cook-Cottone, 2006 ; Verschueren et al, 2021 ). In some cases, self-assessment is dependent on body shape and weight, leading to persistent dissatisfaction and concerns about one’s worth and body image.…”

Section: Introductionmentioning

confidence: 99%

Narrative and Bodily Identity in Eating Disorders: Toward an Integrated Theoretical-Clinical Approach

Finzi

Veglia

et al. 2021

Front. Psychol.

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Eating disorders (EDs) can be viewed as “embodied acts” that help to cope with internal and external demands that are perceived as overwhelming. The maintenance of EDs affects the entire identity of the person; the lack of a defined; or valid sense of self is expressed in terms of both physical body and personal identity. According to attachment theory, primary relationships characterized by insecurity, traumatic experiences, poor mirroring, and emotional attunement lead to the development of dysfunctional regulatory strategies. Although the literature shows an association between attachment style or states of mind, trauma, behavioral strategies, and various EDs, the debate is still ongoing and the results are still conflicting. Therefore, we believe it is important to examine and treat EDs by understanding which narrative trajectory intercepts distress in relation to narrative and embodied self-concept. Drawing on clinical observation and a narrative review of the literature, we focus on the construction and organization of bodily and narrative identity. Because bodily representations are the primary tools for generating meaning, organizing experience, and shaping social identity from the earliest stages of life, we focus on the role that bodily interactions and sensorimotor and proprioceptive patterns have played in the development of EDs. We consider the role that lack of attunement, insecure attachment, and relational trauma play in mentalizing, affecting self-representation and emotion regulation strategies. The paper also considers a semantic mode of trauma in EDs that involves a top-down pathway through beliefs and narratives about oneself based on lack of amiability, on devaluation, and on humiliation memories. Finally, we would like to highlight the proposal of an integrated model with multiple access model to psychotherapy that takes into account the complexity of ED patients in whom aspects related to dysregulation, body image disintegration, and post-traumatic symptoms are associated with a suffering sense of self and a retraumatizing narrative.

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COVID‐19‐related stress exacerbates the effect of child maltreatment on negative affect via increased identity confusion during adolescence

Azarmehr,

Reck,

Zhang

et al. 2023

Journal of Adolescence

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IntroductionExposure to childhood maltreatment may undermine the crucial developmental task of identity formation in adolescence, placing them at risk for developing negative affect. The current study investigated whether COVID‐19‐related stress intensified the indirect link between child maltreatment and adolescents' negative affect through identity confusion.MethodUsing multidimensional assessments of child maltreatment (threat vs. deprivation), the study included a sample of 124 adolescents (Mage = 12.89, SD = 0.79; 52% female) assessed before (January 2018 to March 2020) and during the pandemic (May to October 2020) in Georgia, United States. The majority of the participants were European American (78.8%), followed by African American (11.5%), Hispanic (3.8%), Asian/Pacific Islander (1.0%), and other (4.8%). We used structural equation modeling to test (a) the mediating role of identity confusion in the link between childhood maltreatment and negative affect and (b) whether COVID‐19‐related stress moderated these indirect effects. Simple slopes and Johnson–Neyman plots were generated to probe regions of significant interaction effects.ResultsThreat and deprivation predicted an increase in adolescent identity confusion. Additionally, childhood threat and deprivation were indirectly linked to adolescents' negative affect through increased levels of identity confusion. COVID‐19‐related stress significantly exacerbated the link between identity confusion and negative affect.ConclusionIdentity confusion is a mechanism underlying the link between child maltreatment and the development of negative affect in adolescence. Our results inform prevention and intervention programs that aim to reduce negative affect among adolescents who experience threatening and depriving rearing environments.

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Identity Functioning and Eating Disorder Symptomatology: The Role of Cognitive Emotion Regulation Strategies

Cited by 10 publications

References 99 publications

Identity Development and Social-Emotional Disorders During Adolescence and Emerging Adulthood: A Systematic Review and Meta-Analysis

Identity Development and Social-Emotional Disorders During Adolescence and Emerging Adulthood: A Systematic Review and Meta-Analysis

Narrative and Bodily Identity in Eating Disorders: Toward an Integrated Theoretical-Clinical Approach

COVID‐19‐related stress exacerbates the effect of child maltreatment on negative affect via increased identity confusion during adolescence

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