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Following the theoretical propositions of the Emotion Regulation model of attachment, the current study investigated whether attachment anxiety and attachment avoidance might play a differential contributing role in the development of bulimic symptoms, through assumed differences in adopting specific maladaptive emotion regulation strategies in a sample of adolescents. Developmentally appropriate self-report questionnaires were administered to a community sample of 397 adolescents (Mean age: 14.02; 62.7% female) and this at 2 time points with a 1-year time lag. Results provided longitudinal evidence for the Emotion Regulation model of attachment in confirming the differential contributing role of the attachment dimensions on the development of bulimic symptoms in a sample of adolescents. More specifically, attachment anxiety seemed to be related to bulimic symptoms through rumination, while attachment avoidance through emotional control. These results may have clinical implications for assessment and treatment of bulimic symptoms in adolescents.
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Article Synopsis
- Childhood emotional abuse (EA) is a major risk factor for developing eating disorders (EDs), prompting a study to explore how EA relates to ED symptoms through various mediators.
- The research involved 374 participants, including patients with Anorexia Nervosa (AN) or Bulimia Nervosa (BN) and healthy controls, assessing factors such as ineffectiveness and impulsivity to understand the impact of EA on ED symptoms.
- Results revealed that impulsivity mediated the link between EA and desire for thinness in AN, while sensitivity to punishment was significant for body dissatisfaction in BN, highlighting potential treatment targets focusing on emotional processing for those affected by childhood trauma.
Web-Based Cognitive Behavioral Treatment for Bulimia Nervosa: A Randomized Clinical Trial.
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July 2024
Department of Psychology, Heidelberg University, Germany.
Importance: Despite the existence of effective treatments, many individuals with bulimia nervosa (BN) do not receive evidence-based therapies. Integrating digital interventions into routine care might reach more patients and reduce the clinical burden of BN.
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