Bulimic symptoms in a sample of college women: disentangling the roles of body size, body shame and negative urgency
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ORIGINAL ARTICLE
Bulimic symptoms in a sample of college women: disentangling the roles of body size, body shame and negative urgency Simon E. Dalley1 · Glenda G. Bron1 · Iona F. A. Hagl1 · Frederic Heseding1 · Sabine Hoppe1 · Lotte Wit1 Received: 20 June 2019 / Accepted: 26 August 2019 © The Author(s) 2019
Abstract Purpose This study set out to disentangle the roles of body size, body shame and negative urgency on bulimic symptomatology in a sample of college women. We predicted that body shame would mediate the relationship between body size and bulimic symptomatology: with increasing body size, the greater would be the experience of body shame and, in turn, the greater the bulimic symptomatology. We also predicted that negative urgency would exacerbate this mediation pathway, and that the moderated mediation model would occur over and above current levels of depression. Method A convenience sample of 237 college women indicated their age, height and weight and then completed measures of body shame, negative urgency, depression and bulimic symptomatology. Bootstrap analysis was used to test the predicted moderation mediation model. Results The bootstrap analysis supported all predictions. Thus, with greater the increase in body size, the greater was the body shame and the more frequent bulimic symptomatology. Furthermore, negative urgency moderated the relationship between body shame and bulimic symptomatology, such that those with both higher negative urgency and body shame had more frequent bulimic symptomatology. Conclusions Results suggest that those college women higher in both BMI and negative urgency are likely to experience higher levels of bulimic symptoms. These women may benefit from emotion regulation interventions targeted at preventing, as well as coping effectively with, the experience of body shame. Level of evidence V: cross-sectional descriptive study. Keywords Body size · Body shame · Impulsivity · Negative urgency · Bulimic symptomatology
Introduction The binging and purging behaviors that characterize bulimia nervosa are highly prevalent on college campuses [1]. Unfortunately, bulimic symptomatology can have a significant negative impact on a student’s physical and psychological well-being, as well as on their academic performance [2, 3]. Since body shame is linked with bulimic symptoms [4–7], the aim of this paper is to elucidate a process by which body shame can influence the expression of those symptoms, and by so doing identify those individuals who are most at risk of manifesting bulimic pathology. Specifically, we propose that the extent of the bulimic symptoms arising from * Glenda G. Bron [email protected]; [email protected] 1
Rijksuniversiteit Groningen, Grote Kruisstraat 2/1, Groningen, The Netherlands
body shame occurs in the context of an increasing body size, such that body shame mediates the relationship between body size and bulimic symptomatology. We also propose that negative urgency, an individual difference variable associated with the maladaptive regulatio
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