Self-differentiation and eating disorders in early and middle adolescence: A cross-sectional path analysis

Doba, Karyn; Berna, Guillaume; Constant, Emilie; Nandrino, Jean‐Louis

doi:10.1016/j.eatbeh.2018.03.003

Cited by 21 publications

(20 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This fits with the presentation described: a person with AN unsure of their own internal world, seeking to meet the needs of others over their own. Indeed, adolescents with EDs have lower levels of self-differentiation, indicating high emotional reactivity, emotional cut-off, and greater fusion with others, causing confusion between one’s own emotional and mental states and those of others (Doba et al, 2018). Consequently, people with AN report a longing for independence seen as a reaction to helplessness (Karwautz et al, 2001b).…”

Section: Development Of Anmentioning

confidence: 99%

Anorexia Nervosa and a Lost Emotional Self: A Psychological Formulation of the Development, Maintenance, and Treatment of Anorexia Nervosa

2019

View full text Add to dashboard Cite

In this paper, we argue that Anorexia Nervosa (AN) can be explained as arising from a ‘lost sense of emotional self.’ We begin by briefly reviewing evidence accumulated to date supporting the consensus that a complex range of genetic, biological, psychological, and socio-environmental risk and maintenance factors contribute to the development and maintenance of AN. We consider how current interventions seek to tackle these factors in psychotherapy and potential limitations. We then propose our theory that many risk and maintenance factors may be unified by an underpinning explanation of emotional processing difficulties leading to a lost sense of ‘emotional self.’ Further, we discuss how, once established, AN becomes ‘self-perpetuating’ and the ‘lost sense of emotional self’ relentlessly deepens. We outline these arguments in detail, drawing on empirical and neuroscientific data, before discussing the implications of this model for understanding AN and informing clinical intervention. We argue that experiential models of therapy (e.g., emotion-focused therapy; schema therapy) be employed to achieve emergence and integration of an ‘emotional self’ which can be flexibly and adaptively used to direct an individual’s needs and relationships. Furthermore, we assert that this should be a primary goal of therapy for adults with established AN.

show abstract

Section: Development Of Anmentioning

confidence: 99%

Anorexia Nervosa and a Lost Emotional Self: A Psychological Formulation of the Development, Maintenance, and Treatment of Anorexia Nervosa

2019

View full text Add to dashboard Cite

show abstract

“…This ability of an individual to strike a balance between autonomy and connectedness is termed differentiation of the self (Peleg & Zoabi, 2014), a central concept in the Bowen's (1978) Family Systems Theory (Sloan & Dierendonck, 2016). According to this theory, individuals with high differentiation of self, have the ability to maintain the I-positon, the capacity to stand up for oneself and independently express one's will despite being pressured to do otherwise, while individuals with low differentiation of self either overreact to negative feelings in interpersonal relationships becoming "fused" with others or tend to be more emotionally cut off, emotionally distancing themselves from others (Doba, Berna, Constant & Nandrino, 2018). Differentiation of self has been found to be positively associated with better mental health (Yao, Yu-Hong, Liu, Zhao, 2011;Sandage & Jankowski, 2010;Frederick, 2016;Ross, 2014).…”

Section: Introductionmentioning

confidence: 99%

Differentiation of Self and Hope Mediated by Resilience: Gender Differences

Sadeghi¹,

Barahmand²,

Roshannia³

2019

CJFY

View full text Add to dashboard Cite

The intent of the present study was to examine the associations among differentiation of self, resilience and hope. Extending Bowen’s family systems theory to adolescents in a middle eastern culture, we anticipated age and gender-based differences in the level of the constructs as well as in the associations among them. Employing a multistage cluster sampling procedure, a sample of 300 adolescents (132 girls and 168 boys) ranging in age from 14 to 19 years old (M = 16.36 years; SD = 1.24) were recruited from junior and senior high schools in Khoramabad. Data were collected through self-report measures, Differentiation of Self Inventory, Connor-Davidson Resilience Scale and Snyder Hope Scale, and analyzed via descriptive statistics, correlations and bootstrap analyses. Higher scores of differentiation were related to greater resilience and hope. Scores on I-position, emotional cutoff and fusion with others were also associated with resilience and hope. Age and gender differences emerged in certain components of differentiation. However, a moderated mediation analysis revealed no moderating effects of age and gender in the association between differentiation and resilience. Separate gender based bootstrapping results for mediation highlighted the specific indirect paths that resilience has in the relationship between I-position and hope in adolescent boys and between emotional closeness (low emotional cutoff) and hope in adolescent girls. Findings are discussed with regard to the cross-cultural validity of Bowen family systems theory.

show abstract

“…ER difficulties seem to be associated with behavioural maladaptive outcomes. ED1 reported more difficulties in scales related to internalizing issues, such as anxiety, depression, recursive thoughts and difficulties in managing behaviours in the social context [46]. Further analysis on larger samples that also take into account time, in terms of years of persistence, and treatment of the symptoms, are needed in order to better understand the link between these characteristics and whether it is possible to actually state a bi-directional relation between symptoms, and the connected effects on the body and the brain, e.g.…”

Section: Discussionmentioning

confidence: 99%

Cognitive and emotional regulation in adolescents and young women with eating disorders

et al. 2020

View full text Add to dashboard Cite

Background: Eating disorders (EDs) are associated with a reduced ability to regulate emotion and impulses during the lifespan. Working memory (WM) and executive functions (EF) are cognitive regulatory systems supported by networks involving the pre-frontal cortex. Studies in EDs found impaired functioning in these domains, showing an association between EDs and the reduced ability to control emotions and impulses.Objective: Investigate EF in adolescents and young women with eating disorders (ED) using a quasi-experimental design, focusing on cognitive efficiency, emotional regulation (ER) and behavioural outcomes also taking into account pharmacological treatment and duration of illness.Methods: A sample of 151 females belonging to two groups took part in this study. Twentysix girls and young women (Mage 22;8 years) with ED and 125 typically developed girls and young women (Mage 17;4 years) completed a battery of cognitive tasks (Go-No-Go, Stop-Signal task, Symmetry span, Reading Span) and the Youth Self-Report and the Difficulties in Emotional Regulation Scale Performance. A series of ANOVA with the Brown-Forsythe test was used to compare the groups Results: Participants with ED and controls did not show significant differences in EF tasks, whereas differences between younger and older participants with ED emerged. Moreover, ER difficulties seem to be associated with mainly internalizing problems in EDs. Further analysis on the full ED sample did not reveal any significant differences associated with the disorder Running Head: COGNITIVE AND EMOTIONAL REGULATON IN EATING DISORDERS 3 persistence. Considering pharmacological treatment effects over cognitive, emotional and behavioural measures emerged.Conclusions: The present study documented no specific differences in EF between control and participants with EDs. Whereas important differences emerged in ER and behavioural outcomes perception in the clinical sample, together with a partial influence of pharmacological treatment..

show abstract

Self-differentiation and eating disorders in early and middle adolescence: A cross-sectional path analysis

Cited by 21 publications

References 35 publications

Anorexia Nervosa and a Lost Emotional Self: A Psychological Formulation of the Development, Maintenance, and Treatment of Anorexia Nervosa

Anorexia Nervosa and a Lost Emotional Self: A Psychological Formulation of the Development, Maintenance, and Treatment of Anorexia Nervosa

Differentiation of Self and Hope Mediated by Resilience: Gender Differences

Cognitive and emotional regulation in adolescents and young women with eating disorders

Contact Info

Product

Resources

About