A vicious cycle among cognitions and behaviors enhancing risk for eating disorders

© 2017 The Author(s). Background: Establishing the sequence in which risk factors for eating disorders (ED) emerge would enable more effective ED prevention. Thus, in our study we investigated reciprocal and indirect associations between three cognitive and behavioral ED determinants (appearance ori...

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Main Authors: Zarychta, K., Mullan, Barbara, Kruk, M., Luszczynska, A.
Format: Journal Article
Published: BioMed Central Ltd. 2017
Online Access:http://hdl.handle.net/20.500.11937/63210
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author Zarychta, K.
Mullan, Barbara
Kruk, M.
Luszczynska, A.
author_facet Zarychta, K.
Mullan, Barbara
Kruk, M.
Luszczynska, A.
author_sort Zarychta, K.
building Curtin Institutional Repository
collection Online Access
description © 2017 The Author(s). Background: Establishing the sequence in which risk factors for eating disorders (ED) emerge would enable more effective ED prevention. Thus, in our study we investigated reciprocal and indirect associations between three cognitive and behavioral ED determinants (appearance orientation, appearance worries, and dieting) emphasized in the transdiagnostic model of ED. Methods: Data were collected in a non-clinical group of adolescents at Time 1 (T1),and then 2-months (Time 2, T2) and 13-months later(Time 3, T3). Participants (N=1260) aged 13-19 completed a questionnaire encompassing their nutrition behaviors, beliefs about appearance, health and well-being. Weight and height were measured objectively. Results: Higher levels of appearance orientation (T1) were associated with higher levels of appearance worries (T2) which in turn predicted dieting (T3). Dieting (T1) predicted higher levels of appearance orientation (T2) which in turn predicted higher levels of appearance worries (T3). Higher levels of appearance worries (T1) were associated with higher levels of appearance orientation (T2) which in turn predicted dieting (T3). Also, higher levels of appearance worries (T1) were associated with dieting (T2), and higher levels of appearance orientation (T3). Conclusions: The three transdiagnostic model variables formed a vicious cycle. Therefore, higher levels of one of ED determinants (appearance orientation, appearance worries or dieting) increase the likelihood of the elevated levels of two other ED determinants at follow-ups and thus enhances the risk for ED.
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spelling curtin-20.500.11937-632102018-04-05T01:22:25Z A vicious cycle among cognitions and behaviors enhancing risk for eating disorders Zarychta, K. Mullan, Barbara Kruk, M. Luszczynska, A. © 2017 The Author(s). Background: Establishing the sequence in which risk factors for eating disorders (ED) emerge would enable more effective ED prevention. Thus, in our study we investigated reciprocal and indirect associations between three cognitive and behavioral ED determinants (appearance orientation, appearance worries, and dieting) emphasized in the transdiagnostic model of ED. Methods: Data were collected in a non-clinical group of adolescents at Time 1 (T1),and then 2-months (Time 2, T2) and 13-months later(Time 3, T3). Participants (N=1260) aged 13-19 completed a questionnaire encompassing their nutrition behaviors, beliefs about appearance, health and well-being. Weight and height were measured objectively. Results: Higher levels of appearance orientation (T1) were associated with higher levels of appearance worries (T2) which in turn predicted dieting (T3). Dieting (T1) predicted higher levels of appearance orientation (T2) which in turn predicted higher levels of appearance worries (T3). Higher levels of appearance worries (T1) were associated with higher levels of appearance orientation (T2) which in turn predicted dieting (T3). Also, higher levels of appearance worries (T1) were associated with dieting (T2), and higher levels of appearance orientation (T3). Conclusions: The three transdiagnostic model variables formed a vicious cycle. Therefore, higher levels of one of ED determinants (appearance orientation, appearance worries or dieting) increase the likelihood of the elevated levels of two other ED determinants at follow-ups and thus enhances the risk for ED. 2017 Journal Article http://hdl.handle.net/20.500.11937/63210 10.1186/s12888-017-1328-9 BioMed Central Ltd. fulltext
spellingShingle Zarychta, K.
Mullan, Barbara
Kruk, M.
Luszczynska, A.
A vicious cycle among cognitions and behaviors enhancing risk for eating disorders
title A vicious cycle among cognitions and behaviors enhancing risk for eating disorders
title_full A vicious cycle among cognitions and behaviors enhancing risk for eating disorders
title_fullStr A vicious cycle among cognitions and behaviors enhancing risk for eating disorders
title_full_unstemmed A vicious cycle among cognitions and behaviors enhancing risk for eating disorders
title_short A vicious cycle among cognitions and behaviors enhancing risk for eating disorders
title_sort vicious cycle among cognitions and behaviors enhancing risk for eating disorders
url http://hdl.handle.net/20.500.11937/63210