How can the recall of early affiliative memories with peers influence on disordered eating behaviours?

Feeding the inner critic: Self-criticism and shame in the association of affiliative memories with emotional and disordered eating in women

Emotional eating, defined as overeating in response to intense negative emotions, is considered part of a disordered eating continuum, as a milder form of binge eating. It is linked to high emotional dysregulation and risk factors like negative traumatic childhood memories, which have been associated with several negative psychopathological outcomes. Recent research has started to also highlight the negative impact of the lack of early positive memories on psychopathological outcomes, including eating-related disorders. This study explores the role of early affiliative memories on emotional eating, specifically examining whether self-criticism, a strategy to mitigate feelings of shame, is linked to women's tendencies towards emotional and disordered eating attitudes. The study involved 427 female participants. Results show that fluctuations in self-criticism levels are linked to differences in emotional and disordered eating, with higher self-criticism corresponding to more severe emotional and disordered eating. The path analysis showed that a lack of early affiliative memories was associated to emotional and disordered eating, through the mediating roles of internal shame and self-criticism. The model explained 44 % of disordered eating variance, showing an excellent model fit. These findings suggest that internal shame and self-criticism are defensive mechanisms tied to the absence of early affiliative experiences. Self-criticism strategies seem to amplify self-monitoring and negative self-evaluations, leading to emotional eating as a coping mechanism. Clinically, our study incites the development of compassion-focused interventions to address shame and self-criticism, and promote adaptive emotional regulation strategies, preventing emotional eating attitudes and reducing the risk for further disordered eating behaviours.

Relational bullying and disordered eating: Testing a moderated mediation model of the role of shame and self-compassion

Objective

Experiences of relational bullying (RB) in adolescence are associated with the development of disordered eating. This association may be related to heightened shame resulting from perceived social inferiority, low social rank, and/or negative evaluation by others. Self-compassion may act as a protective factor against the influence of RB on shame and disordered eating. In the current study, we investigated whether shame mediated the relationship between recalled RB and current disordered eating in a sample of young adults. Then, using conditional process analysis, we examined whether the observed mediation was moderated by self-compassion.

Method

Participants were 359 young adults (aged 17–25) who completed online self-report measures of recalled RB experiences and current disordered eating, shame, and self-compassion.

Results

Experiences of RB were positively related to current shame and disordered eating, and negatively related to current self-compassion, with small-to-medium effect sizes. The association between RB and disordered eating was partially mediated by shame, and this mediation was moderated by self-compassion.

Discussion

Our results suggest that young adults with lower self-compassion are more likely to demonstrate a relationship between recalled RB and disordered eating through the mechanism of shame. These findings have important implications for both anti-bullying awareness and eating disorder prevention programs.

Shame and eating disorders symptoms: A meta-analysis

OBJECTIVE

Numerous empirical studies and theoretical models posit that shame is a common experience among individuals across the eating disorder spectrum. In this study we aim to investigate the association between shame and eating disorders symptoms using a meta-analytical approach.

METHOD

In this meta-analysis, we synthesized findings from 195 studies to examine the proposed association between shame and eating disorders symptoms. We looked at the associations with both general eating disorders symptoms and with specific eating disorders symptoms (i.e., anorexic, bulimic, and binge-eating symptoms). Moderation analyses testing for the effect of type of shame, type of eating symptoms, clinical status, quality of the study, age, and gender were conducted.

RESULTS

Shame was significantly associated with a medium to large effect size with all types of eating disorders symptoms (rs between .40 and .52). Body shame (r = .55) and shame around eating (r = .59) were more strongly related with eating disorders pathology. Type of eating disorders symptoms did not moderate the relationship between shame and disturbed eating.

DISCUSSION

Overall, the magnitude of the effect size of the association between shame and eating disorders symptoms is a medium to large one. Body shame and shame around eating seem to be the types of shame most closely tied with eating disorders symptoms, suggesting that directly targeting them in interventions might be highly beneficial. Findings highlight current gaps in the literature (e.g., mostly correlational studies, low quality studies) with implications for future research.

Self-to-others and self-to-self relationships: paths to understanding the valence of body image and eating attitudes in emerging adult women

PURPOSE

Interpersonal and intrapersonal factors contributing to body appreciation in emerging adult women remain poorly explored. Thus, the present study aimed to test the impact of early memories of warmth and safeness with peers, self-compassion, and social safeness, in body appreciation and in disordered eating attitudes and behaviours.

METHODS

A total of 387 women aged between 18 and 25 completed a set of self-report questionnaires. Data were analysed through descriptive and correlation statistics, and the suitability of a theoretical model was explored via path analysis. Self-report instruments assessed participants' weight and height, early memories of warmth and safeness with peers, self-compassion, social safeness, body appreciation, as well as disordered eating.

RESULTS

Early memories of warmth and safeness with peers associated with higher self-compassion and feelings of social safeness, which were both positively linked to body appreciation. Body appreciation associated with a lower display of disordered eating.

CONCLUSION

It seems that childhood and adolescent experiences may have an important influence on the development of self-to-self and self-to-others secure relationships, with consequences on the way women behave and relate with their unique body characteristics. The pertinence of developing self-compassion and affiliative skills to promote positive body image among females is suggested, as well as of applying compassion-based strategies when clinically approaching symptoms of eating disorders.

LEVEL OF EVIDENCE

Cross-sectional descriptive study, Level V.

Verbal emotional expressiveness in women with eating disorders: recalling autobiographical memories

PURPOSE

This study aimed to study autobiographical memories in women with eating disorders regarding emotional verbal expression, according to age. Our hypotheses are threefold: due to the emotional avoidance that occurs in women with eating disorders, in the younger ages, it was hypothesized that younger participants with anorexia and bulimia nervosa will present a lower number of emotional expressions in the descriptions of their memories than women without eating disorders; that older participants with anorexia and bulimia nervosa will present a greater number of negative verbal expressions in the reports of their memories than women without eating disorders, given the development of negative bias that occurs with age in women with eating disorders; and that women with eating disorders will use more words in a description of their sad memories than women without eating disorders because of the existence of negative bias.

METHODS

With a sample of 90 women and combining age and the presence or absence of eating disorders, we formed four groups. The task that they had to perform was to recall a sad and a happy life event.

RESULTS

The younger women used more words than the older women to describe their memories, and women with eating disorders used more words in their descriptions of the sad memories. However, there were no differences in terms of the number of positive and negative expressions.

CONCLUSIONS

Women with eating disorders exhibit higher levels of cognitive reappraisal and thus use more positive expressions and fewer negative expressions.

LEVEL OF EVIDENCE

Level V, Descriptive study.

Explaining male body attitudes: the role of early peer emotional experiences and shame

PURPOSE

The current study tested a path model that examined the association between early emotional experiences with peers and male body attitudes and whether general feelings of shame and body-focused shame mediate this relationship, while controlling for the effect of body mass index.

METHODS

The sample comprised 241 men from the general community, aged from 18 to 60, who completed an online survey.

RESULTS

Correlation analyses showed that the recall of positive early emotional experiences with peers is inversely linked to shame and negative body attitudes. Path analysis results indicated that early emotional experiences with peers had a direct effect on external shame, and an indirect effect on male negative body attitudes mediated by external shame and body-focused shame. Results confirmed the plausibility of the tested model, which accounted for 40% of the variance of male body attitudes. Findings suggested that men who recall fewer positive early peer emotional experiences tend to perceive that they are negatively viewed by others and present more body image-focused shame experiences. This in turn seems to explain a negative self-appreciation of one's muscularity, body fat and height.

CONCLUSIONS

This study contributes to a better understanding of male body attitudes. Findings suggest that the link between early emotional experiences and male body attitudes may depend on the experience of shame feelings and, particularly, on the extent to which one's body image becomes a source of shame. These data support the relevance of addressing shame experiences when working with men with body image-related difficulties.

LEVEL OF EVIDENCE

Level V-cross-sectional descriptive study.

How do warmth, safeness and connectedness-related memories and experiences explain disordered eating?

Literature suggested that the recall of early positive experiences have a major impact on the promotion of feelings of connectedness and social safeness, and seems to protect individuals against psychopathology. Recent research has also demonstrated that the absence of these positive rearing memories play a key role on disordered eating-related behaviours. The impact of early affiliative memories on disordered eating do not seem to be direct, and the mechanisms underlying this relationship are scarcely investigated. The present study aimed to clarify how memories of warmth and safeness explain the adoption of disordered eating attitudes, and tested the mediator role of social safeness, external shame and appearance-focused social comparison on aforementioned relationship, in a sample of 277 young women. The tested model explained 36% of eating psychopathology's variance and presented an excellent fit. Path analysis results indicated that the impact of rearing memories on eating psychopathology was fully mediated through the mechanisms of social safeness, external shame and appearance-focused social comparison. Specifically, these findings suggested that the extent to which positive rearing memories are associated with lower levels of disordered eating attitudes is influenced by the current feelings of social safeness and connectedness, which in turn are totally carried by decreased feelings of external shame and by lower endorsement on unfavourable comparison based on physical appearance with proximal targets (peers). These results seem to offer important insights for research and clinical work on body image and eating-related difficulties, suggesting the relevance of promoting warm and safe interactions with others.

LEVEL OF EVIDENCE

Level V, descriptive study.