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Putting yourself down: The role of self-criticism, self-esteem and eating and shape concern for compensatory behavior in patients diagnosed with Bulimia

Musan, E. C. (2021) Putting yourself down: The role of self-criticism, self-esteem and eating and shape concern for compensatory behavior in patients diagnosed with Bulimia.

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Abstract:Aim: Investigation of the effect that self-criticism, self-esteem, shape and eating concern have on the frequency of compensatory behavior of patients with Bulimia Nervosa Background: BN is a serious eating disorder, and affected patients need better treatment. It is necessary to gain more insight into how the symptoms are associated and whether they are moderated by self-criticism and self-esteem. If the latter are regulating variables to symptom dynamic, they could be targeted in therapy and might improve treatment and remission rate. Methods: A cross-sectional survey study was conducted among 240 patients diagnosed with BN. Correlation analyses and multiple regression analyses were conducted, followed by moderator analyses with the Process Macro tool by Hayes. Results: Self-criticism, self-esteem, shape concern and eating concern were associated significantly with compensatory behavior. Inadequate self and eating concern were associated with compensatory behavior, however, no significant moderating effect of inadequate self was found. Shape concern was associated with eating concern. Inadequate self was a significant moderator in the relationship between shape concern and eating concern. Conclusion: The findings underline the relevance of addressing self-criticism in form of inadequate self in BN treatment because it was indicated to strengthen the relationship between shape concern and eating concern. Practice recommendations are to identify specific self-critical thoughts relating to eating and shape concern and to replace them with more helpful and healthier thoughts.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/88021
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