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Experiential avoidance versus decentering abilities: the role of different emotional processes on disordered eating

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Abstract

In modern western societies, the female body is a predominantly used dimension in self and social evaluations. In fact, the perceived discrepancy between one’s current and ideal body image may act as a pathogenic phenomenon on women’s well-being. Furthermore, significant differences in the tendency to engage in disordered eating attitudes and behaviours have been verified between women sharing similar characteristics and perceptions about body's weight and shape, which suggests  that different emotion regulation processes may be involved in this association. This study thus aims to clarify the mediational effect of two different emotional regulation processes, experiential avoidance and decentering, on the association of weight and body shape-related variables  and shame with disordered eating, in a sample of 760 women. The tested path model explained 44 % of disordered eating attitudes and behaviours, and showed an excellent model fit. Results demonstrated that body mass index had a direct effect, albeit weak, on disordered eating behaviours, and that body-image discrepancy and shame presented indirect effects through the mechanisms of experiential avoidance and decentering. Results also revealed that experiential avoidance and decentering showed significant mediator effects on the relationship of weight and body shape and shame with disordered eating behaviours. These findings suggested that while experiential avoidance exacerbates the impact of weight and body shape and shame on disordered eating attitudes and behaviours, decentering seems to attenuate this association. Our findings appear to offer significant clinical and research implications, highlighting the importance of targeting maladaptive emotion processes and of the development of decentering abilities.

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References

  1. Blowers LC, Loxton NJ, Grady-Flesser M, Occhipinti S, Dawe S (2003) The relationship between sociocultural pressure to be thin and body dissatisfaction in preadolescent girls. Eat Behav 4(3):229–244. doi:10.1016/S14710153(03)00018-7

    Article  PubMed  Google Scholar 

  2. Mond J, Mitchison D, Latner J, Hay P, Owen C, Rodgers B (2013) Quality of life impairment associated with body dissatisfaction in a general population sample of women. BMC Public Health. doi:10.1186/1471-2458-13-920

    Article  PubMed  PubMed Central  Google Scholar 

  3. Stice E, Shaw HE (2002) Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. J Psychosom Res 53(5):985–993. doi:10.1016/S0022-3999(02)00488-9

    Article  PubMed  Google Scholar 

  4. Furnham A, Badmin N, Sneade I (2002) Body image dissatisfaction: gender differences in eating attitudes, self-esteem, and reasons for exercise. J Psychol 136(6):581–596. doi:10.1080/00223980209604820

    Article  PubMed  Google Scholar 

  5. Gilliard TS, Lackland DT, Mountford WK, Egan BM (2007) Concordance between self-reported heights and weights and current and ideal body images in young adult African American men and women. Ethn Dis 17(4):617–623

    PubMed  Google Scholar 

  6. Gilbert P (2007) The evolution of shame as a marker for relationship security: a biopsychosocial approach. In: Tracy J, Robin R, Tangney J (eds) The self-conscious emotions: theory and research. Guilford, New York, pp 283–309

    Google Scholar 

  7. Tangney JP, Dearing RL (2002) Shame and guilt. Guilford Press, New York

    Google Scholar 

  8. Gilbert P (2002) Body shame: A biopsychosocial conceptualization and overview with treatment implications. In: Gilbert P, Miles J (eds) Body shame: conceptualisation, research and treatment. Brunner Routledge, New York, pp 3–54

    Google Scholar 

  9. Ferreira C, Trindade IA, Ornelas L (2015) Exploring drive for thinness as a perfectionistic strategy to escape from shame experiences. Span J Psychol. doi:10.1017/sjp.2015.27

    Article  PubMed  Google Scholar 

  10. Hewitt PL, Flett GL, Sherry SB, Habke M, Parkin M, Lam RW, McMurtry B, Ediger E, Stein M, Fairlie P (2003) The interpersonal expression of perfectionism: perfectionistic self-presentation and psychological distress. J Pers Soc Psychol 84(6):1303–1325. doi:10.1037/0022-3514.84.6.1303

    Article  PubMed  Google Scholar 

  11. Lamont JM (2015) Trait body shame predicts health outcomes in college women: a longitudinal investigation. J Behav Med. doi:10.1007/s10865-015-9659-9

    Article  PubMed  Google Scholar 

  12. Goss KP, Gilbert P (2002) Eating disorders, shame and pride: a cognitive-behavioural functional analysis. In: Gilbert P, Miles J (eds) Body shame: conceptualization, research and treatment. Brunner-Routledge, Hove, pp 219–255

    Google Scholar 

  13. Pinto-Gouveia J, Ferreira C, Duarte C (2014) Thinness in the pursuit for social safeness: an integrative model of social rank mentality to explain eating psychopathology. Clin Psychol Psychother 21(2):154–165. doi:10.1002/cpp.1820

    Article  PubMed  Google Scholar 

  14. Troop NA, Allan S, Treasure JL, Katzman M (2003) Social comparison and submissive behaviour in eating disorders. Psychol Psychother: Theory, Res Pract 76:237–249. doi:10.1348/147608303322362479

    Article  Google Scholar 

  15. Ferreira C, Pinto-Gouveia J, Duarte C (2013) Drive for thinness as a women´s strategy to avoid inferiority. Int J Psychol Psychol Ther 13(1):15–29

    Google Scholar 

  16. Cockell SJ, Hewitt PL, Seal B, Sherry S, Goldner EM, Flett GL, Remick RA (2002) Trait and self-presentational dimensions of perfectionism among women with anorexia nervosa. Cogn Ther Res 26(6):745–758. doi:10.1023/A:102123741636

    Article  Google Scholar 

  17. Strahan EJ, Wilson AE, Cressman KE, Buote VM (2006) Comparing to perfection: how cultural norms for appearance affect social comparisons and self-image. Body Image 3:211–227. doi:10.1016/j.bodyim.2006.07.004

    Article  PubMed  Google Scholar 

  18. Hayes SC, Strosahl K, Wilson KG (1999) Acceptance and commitment therapy: an experiential approach to behavior change. Guilford Press, New York

    Google Scholar 

  19. Hayes SC, Strosahl K, Wilson KG (2012) Acceptance and commitment therapy: the process and practice of mindful change, 2nd edn. Routledge, London

    Google Scholar 

  20. Hayes SC, Luoma JB, Bond F, Masuda A, Lillis J (2006) Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther 44:1–25. doi:10.1016/j.brat.2005.06.006

    Article  PubMed  Google Scholar 

  21. Hayes SC, Gifford EV (1997) The trouble with language: experiential avoidance, rules and the nature of verbal events. Psychol Sci 8:170–173

    Article  Google Scholar 

  22. Campbell-Sills L, Barlow DH, Brown TA, Hofmann SG (2006) Effects of suppression and acceptance on emotional responses on individuals with anxiety and mood disorders. Behav Res Ther 23:1037–1046. doi:10.1016/j.brat.2005.10.001

    Article  Google Scholar 

  23. Nolen-Hoeksema S, Harrel ZA (2002) Rumination, depression, and alcohol use: tests of gender differences. J Cognit Psychother: Int Quart 16:391–403. doi:10.1891/jcop.16.4.391.52526

    Article  Google Scholar 

  24. Santanello AW, Gardner FL (2007) The role of experiential avoidance in the relationship between maladaptive perfectionism and worry. Cogn Ther Res 31:319–332. doi:10.1007/s10608-006-9000-6

    Article  Google Scholar 

  25. Kashdan TB, Barrios V, Forsyth JP, Steger MF (2006) Experiential avoidance as a generalized psychological vulnerability: comparisons with coping and emotion regulation strategies. Behav Res Ther 9:1301–1320. doi:10.1016/j.brat.2005.10.003

    Article  Google Scholar 

  26. Heffner M, Eifert GH (2004) The anorexia workbook: how to accept yourself, heal your suffering, and reclaim your life. New Harbinger Publications, Oakland

    Google Scholar 

  27. Claes L, Vandereycken W, Vertommen H (2001) Self-injurious behaviours in eating-disordered patients. Eat Behav 2:263–272

    Article  CAS  PubMed  Google Scholar 

  28. Fairburn CG, Cooper Z, Shafran R (2003) Cognitive-behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behav Res Ther 41:509–528. doi:10.1016/S0005-7967(02)00088-8

    Article  PubMed  Google Scholar 

  29. Sauer S, Baer RA (2010) Mindfulness and decentering as mechanisms of change in mindfulness and acceptance-based interventions. In: Baer RA (ed) Assessing mindfulness and acceptance processes in clients: Illuminating the theory and practice of change. New Harbinger, Oakland, pp 25–50

    Google Scholar 

  30. Fresco DM, Moore MT, Dulmen MH, Segal ZV, Ma SH, Teasdale JD et al (2007) Initial psychometric properties of the experiences questionnaire: validation of a self-report measure of decentering. Behav Ther 38:234–246

    Article  PubMed  Google Scholar 

  31. Safran JD, Segal ZV (1990) Interpersonal process in cognitive therapy. Basic Books, New York

    Google Scholar 

  32. Fresco DM, Segal ZV, Buis T, Kennedy S (2007) Relationship of posttreatment decentering and cognitive reactivity to relapse in major depression. J Consult Clin Psychol 75(3):447–455. doi:10.1037/0022-006X.75.3.447

    Article  PubMed  Google Scholar 

  33. Lara P, Trindade IA, Ferreira C (2014) Can the impact of body dissatisfaction on disordered eating be weakened by one’s decentering abilities? Eat Behav 5(3):392–396. doi:10.1016/j.eatbeh.2014.04.012

    Article  Google Scholar 

  34. WHO (1995) Physical status: the use and interpretation of anthropometry. Reports of a WHO Expert Committee. WHO Technical Report series 854. Geneva, World Health Organization

  35. Poínhos R, Franchini B, Afonso C, Correia F, Teixeira VH, Moreira P, Durão C, Pinho O, Silva D, Lima Reis JP, Veríssimo T, de Almeida MDV (2009) Alimentação e estilos de vida da população Portuguesa: metodologia e resultados preliminares [Alimentation and life styles of the Portuguese population: methodology and preliminary results]. Alimentação Humana 15(3):43–60

    Google Scholar 

  36. Thompson JK, Altabe MN (1991) Psychometric qualities of the figure rating scale. Int J Eat Disord 10(5):615–619. doi:10.1002/1098-108X(199109)10:5<615:AID-EAT2260100514>3.0.CO;2-K

    Article  Google Scholar 

  37. Ferreira C (2003) Anorexia Nervosa: A expressão visível do invisível. Contributos para a avaliação de atitudes e comportamentos em relação ao peso e à imagem corporal [Anorexia Nervosa: The visible expression of the invisible. Contributions for the assessment of attitudes and behaviors in relation to weight and body image]. (Unpublished master´s thesis). University of Coimbra, Coimbra

  38. Matos M, Pinto-Gouveia J, Gilbert P, Duarte C, Figueiredo C (2015) The other as shamer scale—2: development and validation of a short version of a measure of external shame. Personal Individ Differ 74:6–11. doi:10.1016/j.paid.2014.09.037

    Article  Google Scholar 

  39. Goss K, Gilbert P, Allan S (1994) An exploration of shame measures: I: the ‘other as shamer’scale. Personal Individ Differ 17(5):713–717. doi:10.1016/0191-8869(94)90149-X

    Article  Google Scholar 

  40. Pinto-Gouveia J, Gregório S, Duarte C, Simões L (2012) Decentering: psychometric properties of the Portuguese version of the experiences questionnaire (EQ). In: Quevedo-Blasco R, Quevedo-Blasco V (eds) Avances en psicología clínica, pp 445–449. Santander: Asociación Española de Psicología Conductual (AEPC). http://www.ispcs.es/xcongreso/portugues/livroresumos.html

  41. Bond FW, Hayes SC, Baer RA, Carpenter KC, Guenole N, Orcutt HK, Waltz T, Zettle RD (2011) Preliminary psychometric properties of the acceptance and action questionnaire-II: a revised measure of psychological flexibility and acceptance. Behav Ther 42:676–688. doi:10.1016/j.beth.2011.03.007

    Article  PubMed  Google Scholar 

  42. Pinto-Gouveia J, Gregório S, Dinis A, Xavier A (2012) Experiential avoidance in clinical and non-clinical samples. Int J Psychol Psychol Ther 12:139–156

    Google Scholar 

  43. Fairburn CG, Beglin SJ (1994) Assessment of eating disorders: interview of self-report questionnaire? Int J Eat Disord 16(4):363–370. doi:10.1002/1098-108X(199412)

    Article  CAS  PubMed  Google Scholar 

  44. Machado PP, Martins C, Vaz AR, Conceição E, Bastos AP, Gonçalves S (2014) Eating disorder Examination questionnaire: psychometric properties and norms for the Portuguese population. Eur Eat Disord Rev 22(6):448–453. doi:10.1002/erv.2318

    Article  PubMed  Google Scholar 

  45. Fairburn CG, Cooper Z (1993) The eating disorder examination. In: Fairburn CG, Wilson GT (eds) Binge eating: nature, assessment, and treatment, 12th edn. Guilford, New York, pp 317–360

    Google Scholar 

  46. Arbuckle JL (2006) Amos (Version 7.0) [Computer Program]. Chicago: SPSS

  47. Cohen J, Cohen P, West SG, Aiken LS (2003) Applied multiple regression/correlation analysis for the behavioral sciences, 3rd edn. Erlbaum, Hillsdale

    Google Scholar 

  48. Hu L, Bentler P (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model 6(1):1–55

    Article  Google Scholar 

  49. Hair J, Anderson R, Tatham R, Black W (1998) Multivariate data analysis, 5th edn. Prentice Hall International, London

    Google Scholar 

  50. Hopper D, Coughlan J, Mullen M (2008) Structural equation modelling: guidelines for determining model fit. Electron J Bus Res Methods 6(1):53–60

    Google Scholar 

  51. Byrne BM (2010) Structural equation modeling with AMOS: basic concepts, applications, and programming, 2nd edn. Erlbaum, Mahwah, NJ

    Google Scholar 

  52. Kline RB (2005) Principles and practice of structural equation modeling, 2nd edn. Guilford Press, New York

    Google Scholar 

  53. Field A (2004) Discovering statistics using SPSS, 3rd edn. Sage Publications, London

    Google Scholar 

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Correspondence to Ana Laura Mendes.

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Mendes, A.L., Ferreira, C. & Marta-Simões, J. Experiential avoidance versus decentering abilities: the role of different emotional processes on disordered eating. Eat Weight Disord 22, 467–474 (2017). https://doi.org/10.1007/s40519-016-0291-7

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