The relationship between childhood emotional maltreatment and disordered eating behaviors among students: Mediating role of emotion dysregulation; A cross-sectional study
DOI:
https://doi.org/10.22122/cdj.v8i3.520Keywords:
Eating Disorders, Emotional Maltreatment, Emotion DysregulationAbstract
BACKGROUND: Previous studies have shown that childhood emotional maltreatment (CEM) plays a role in development of disordered eating behaviors (DEBs). Difficulty in emotion regulation is another factor influencing disordered eating. This study was directed to examine the association between CEM and DEB among students, by considering the emotion dysregulation as a mediator.
METHODS: This correlational study was conducted in form of a cross-sectional design, using structural equation modeling (SEM) to analyze the data collected from 401 non-native undergraduate students through convenience sampling method. Childhood Trauma Questionnaire (CTQ) was used to assess childhood emotional abuse and neglect. Emotion dysregulation and DEB were respectively measured using the Difficulties in Emotion Regulation Scale (DERS) and Eating Attitude Test (EAT).
RESULTS: The partial mediation model of difficulties in emotion regulation in the association between CEM and DEB among male and female students had a good fit to the data. The outcomes of the gender specificity of structural relations in the model confirmed gender invariance of the structural model. All regression weights in the model were statistically significant and the CEM and emotion dysregulation variables accounted for 22%, 17%, and 35% of the variance of DEB among the entire sample, female students, and male students, respectively.
CONCLUSION: The outcomes are in line with research findings suggesting a relationship between CEM and DEB and confirm the role of emotion dysregulation as a mediator. The results highlight the importance of assessment
of childhood experiences in treatment of eating disorders and introduce emotion regulation as a significant target for intervention.
References
Eisenberg D, Nicklett EJ, Roeder K, Kirz NE. Eating disorder symptoms among college students: Prevalence, persistence, correlates, and treatment-seeking. J Am Coll Health 2011; 59(8): 700-7.
Lipson SK, Sonneville KR. Eating disorder symptoms among undergraduate and graduate students at 12 U.S. colleges and universities. Eat Behav 2017; 24: 81-8.
Ortega-Luyando M, Alvarez-Rayon G, Garner DM, Amaya-Hernandez A, Bautista-Diaz ML, Mancilla-Diaz JM. Systematic review of disordered eating behaviors: Methodological considerations for epidemiological research. Rev Mex Trastor Aliment 2015; 6(1): 51-63.
Seko Y, Mizuno N, Okishio S, Takahashi A, Kataoka S, Okuda K, et al. Clinical and pathological features of sarcopenia-related indices in patients with non-alcoholic fatty liver disease. Hepatol Res 2019; 49(6): 627-36.
Larsen JT, Munk-Olsen T, Bulik CM, Thornton LM, Koch SV, Mortensen PB, et al. Early childhood adversities and risk of eating disorders in women:
A Danish register-based cohort study. Int J Eat Disord 2017; 50(12): 1404-12.
Bakalar JL, Barmine M, Druskin L, Olsen CH, Quinlan J, Sbrocco T, et al. Childhood adverse life events, disordered eating, and body mass index in US Military service members. Int J Eat Disord 2018; 51(5): 465-9.
Bernstein DP, Fink L. Childhood trauma questionnaire: A retrospective self-report (CTQ). New York, NY: Psychological Corporation; 1998.
Mills P, Newman EF, Cossar J, Murray G. Emotional maltreatment and disordered eating in adolescents: Testing the mediating role of emotion regulation. Child Abuse Negl 2015; 39: 156-66.
Weiss NH, Tull MT, Lavender J, Gratz KL. Role of emotion dysregulation in the relationship between childhood abuse and probable PTSD in a sample of substance abusers. Child Abuse Negl 2013; 37(11): 944-54.
Moulton SJ, Newman E, Power K, Swanson V, Day K. Childhood trauma and eating psychopathology: A mediating role for dissociation and emotion dysregulation? Child Abuse Negl 2015; 39: 167-74.
Dvir Y, Ford JD, Hill M, Frazier JA. Childhood maltreatment, emotional dysregulation, and psychiatric comorbidities. Harv Rev Psychiatry 2014; 22(3): 149-61.
Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 2004; 26(41): 54.
Khosravani V, Kamali Z, Jamaati Ardakani R, Samimi Ardestani M. The relation of childhood trauma to suicide ideation in patients suffering from obsessive-compulsive disorder with lifetime suicide attempts. Psychiatry Res 2017; 255: 139-45.
Cancian ACM, Souza LAS, Silva VHPE, Machado WL, Oliveira MDS. Psychometric properties of the Brazilian version of the Difficulties in Emotion Regulation Scale (DERS). Trends Psychiatry Psychother 2019; 41(1): 18-26.
Hund AR, Espelage DL. Childhood emotional abuse and disordered eating among undergraduate females: Mediating influence of alexithymia and distress. Child Abuse Negl 2006; 30(4): 393-407.
Corstorphine E. Cognitive emotional behavioural therapy for the eating disorders: Working with beliefs about emotions. Eur Eat Disord Rev 2006; 14(6): 448-61.
Kimber M, McTavish JR, Couturier J, Boven A, Gill S, Dimitropoulos G, et al. Consequences of child emotional abuse, emotional neglect and exposure to intimate partner violence for eating disorders: A systematic critical review. BMC Psychol 2017; 5(1): 33.
Ergang BC, Molle RD, Reis RS, Rodrigues DM, Mucellini AB, Toazza R, et al. Perceived maternal care is associated with emotional eating in young adults. Physiol Behav 2019; 201: 91-4.
Mallorqui-Bague N, Vintro-Alcaraz C, Sanchez I, Riesco N, Aguera Z, Granero R, et al. Emotion Regulation as a Transdiagnostic Feature Among Eating Disorders: Cross-sectional and Longitudinal Approach. Eur Eat Disord Rev 2018; 26(1): 53-61.
Aguera Z, Paslakis G, Munguia L, Sanchez I, Granero R, Sanchez-Gonzalez J, et al. Gender-related patterns of emotion regulation among patients with eating disorders. J Clin Med 2019; 8(2).
Anderson LK, Claudat K, Cusack A, Brown TA, Trim J, Rockwell R, et al. Differences in emotion regulation difficulties among adults and adolescents across eating disorder diagnoses. J Clin Psychol 2018; 74(10): 1867-73.
