Mentalizing Subtypes in Eating Disorders: A Latent Profile Analysis

Gagliardini, Giulia; Gullo, Salvatore; Tinozzi, Valeria; Baiano, Monica; Balestrieri, Matteo; Todisco, Patrizia; Schirone, Tiziana; Colli, Antonello

doi:10.3389/fpsyg.2020.564291

Cited by 19 publications

(22 citation statements)

References 63 publications

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“…In addition, lower RF was associated with external and emotional eating in both female and male subjects. These data partially confirm previous findings of the association between insecure attachment and RF in adulthood (e.g., Bouchard et al, 2008) and highlight the potential role of deficits in mentalizing capacity in the development of eating symptomatology (Gagliardini et al, 2020). More specifically, the mediating role of attachment anxiety and mentalizing failures in the development of DE is in line with the results of previous studies on the relationship between attachment and psychopathology (e.g., Santoro et al, 2021).…”

Section: Discussionsupporting

confidence: 91%

“…Moreover, deficient RF could lead to a “teleological stance,” a specific way of experiencing reality in which patients tend to act and cope with painful feelings by using their bodies (e.g., by refusing food or by intensive vomiting). Previous studies enlightened the presence of failures in mentalization in people with DE and eating disorders (e.g., Gagliardini et al, 2020; Sacchetti et al, 2019; Simonsen et al, 2020). The aforementioned studies are mostly focused on women or mixed samples, and this limits their generalizability to men with DE.…”

Section: The Present Studymentioning

confidence: 99%

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From childhood emotional maltreatment to disordered eating: A path analysis.

Musetti¹,

Gagliardini²,

Lenzo³

et al. 2023

Psychoanalytic Psychology

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Childhood emotional maltreatment (i.e., emotional abuse and emotional neglect), attachment, reflective functioning (RF), defense styles, and disordered eating (DE) are associated with each other. However, no study has yet investigated all these variables simultaneously. The present study aimed to test the mediating role of attachment, RF, and defense styles in the relationship between childhood emotional abuse and neglect and DE. Self-report questionnaires were completed by 769 Italian adults (48.1% females; mean age = 28.89; SD = 7.28). DE, childhood emotional abuse and neglect, attachment (anxiety and avoidance), RF, and defense styles were assessed. Bivariate correlations and path analysis were run separately for males and females. We found significant indirect effects between emotional abuse and neglect and DE via attachment insecurities (anxiety and avoidance), low RF, and neurotic and immature defense styles in females. In addition, neurotic and immature defense styles and RF mediated the relationship between emotional neglect, attachment anxiety, and DE, in males. The findings supported the hypothesized model of risk factors for DE and provided additional insight into mechanisms underlying the relationship between childhood emotional maltreatment and DE. Prevention and intervention programs should be targeted at improving attachment security, defensive functioning maturity, and RF in people with a history of childhood emotional maltreatment.

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Section: Discussionsupporting

confidence: 91%

Section: The Present Studymentioning

confidence: 99%

From childhood emotional maltreatment to disordered eating: A path analysis.

Musetti¹,

Gagliardini²,

Lenzo³

et al. 2023

Psychoanalytic Psychology

Self Cite

View full text Add to dashboard Cite

show abstract

“…For example, Durham et al (2022) identified three classes of participants with posttraumatic stress disorder who endorsed a posttraumatic sequelae but differed in terms of the level of exposure to trauma (i.e., high, moderate, and low). Similar results were found for eating disorders ( Gagliardini et al, 2020 ), suicidal ideation and behavior ( Love and Durtschi, 2021 ), and intolerance of uncertainty ( Boelen and Lenferink, 2018 ).…”

Section: Introductionsupporting

confidence: 80%

The heterogeneity of negative problem orientation in Chinese adolescents: A latent profile analysis

et al. 2022

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Negative problem orientation (NPO) has become an essential construct for comprehending social problem-solving deficits. However, the heterogeneity of NPO has not yet been explored. With a sample of Chinese adolescents (N = 2,174), four latent profiles were identified as lower NPO, moderate NPO, self-inefficacy and negative outcome expectancy (SI&NOE), and dysfunctional NPO. Compared to the lower NPO and moderate NPO, a greater percentage of boys in the SI&NOE and dysfunctional NPO profiles than were girls. In addition, lower grades and younger adolescents tended to engage in the moderate NPO and SI&NOE profiles. The dysfunctional NPO reported higher levels of worry, depressive symptoms, anxiety, and stress, and worse sleep quality than the other profiles. The implications of these findings are discussed herein.

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“…Ideally, mental health promotion and prevention interventions would be tailored to the differing needs of distinct student subgroups rather than treating all students as a homogeneous group [ 7 , 9 ]. There is a substantial body of evidence regarding subgroup identification in mental health [ 10 – 12 ]. However, these studies seldom focus on adolescents.…”

Section: Introductionmentioning

confidence: 99%

Use of latent profile analysis and k-means clustering to identify student anxiety profiles

et al. 2022

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Background Anxiety disorders are often the first presentation of psychopathology in youth and are considered the most common psychiatric disorders in children and adolescents. This study aimed to identify distinct student anxiety profiles to develop targeted interventions. Methods A cross-sectional study was conducted with 9738 students in Yingshan County. Background characteristics were collected and Mental Health Test (MHT) were completed. Latent profile analysis (LPA) was applied to define student anxiety profiles, and then the analysis was repeated using k-means clustering. Results LPA yielded 3 profiles: the low-risk, mild-risk and high-risk groups, which comprised 29.5, 38.1 and 32.4% of the sample, respectively. Repeating the analysis using k-means clustering resulted in similar groupings. Most students in a particular k-means cluster were primarily in a single LPA-derived student profile. The multinomial ordinal logistic regression results showed that the high-risk group was more likely to be female, junior, and introverted, to live in a town, to have lower or average academic performance, to have heavy or average academic pressure, and to be in schools that have never or occasionally have organized mental health education activities. Conclusions The findings suggest that students with anxiety symptoms may be categorized into distinct profiles that are amenable to varying strategies for coordinated interventions.

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Mentalizing Subtypes in Eating Disorders: A Latent Profile Analysis

Cited by 19 publications

References 63 publications

From childhood emotional maltreatment to disordered eating: A path analysis.

From childhood emotional maltreatment to disordered eating: A path analysis.

The heterogeneity of negative problem orientation in Chinese adolescents: A latent profile analysis

Use of latent profile analysis and k-means clustering to identify student anxiety profiles

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