Cortés-García Laura, Martínez Calvo Carmen, Senra Carmen
PROMENTA Research Center, Department of Psychology, University of Oslo, Oslo, Norway.
Unit of Eating Disorders, Provincial Hospital of Conxo, Santiago de Compostela, Spain.
Front Psychol. 2022 Apr 18;13:852977. doi: 10.3389/fpsyg.2022.852977. eCollection 2022.
Research has supported a link between insecure attachment and eating disorders (EDs); however, little is known about how this influence is exerted in young female EDs patients. This study tested, for the first time, a multiple mediational model, wherein the four Fairburn's transdiagnostic mechanisms mediated the relationship between attachment to the mother and ED symptoms.
A total of 101 female young EDs patients aged 15-24 were administered the Inventory of Parent and Peer Attachment, Eating Disorder Inventory-3 and Eating Attitudes Test-26 to assess attachment, the four transdiagnostic maintaining mechanisms and ED symptoms, respectively.
Comparison analyses showed that there were no significant differences between the diagnostic groups in terms of attachment and the transdiagnostic variables. Multiple mediational analyses indicated that low self-esteem and clinical perfectionism were significant mediators between insecure attachment to the mother and ED symptoms, while controlling for depressive symptoms.
These findings suggest that the distal risk influence of insecure attachment to the mother in the development of ED symptoms might be explained by low self-esteem and high clinical perfectionism, controlling for depressive symptoms. Further investigation into the efficacy of cognitive-behavioral treatments targeting insecure attachment representations for young EDs patients is recommended.
研究支持不安全依恋与饮食失调（EDs）之间存在联系；然而，对于这种影响在年轻女性饮食失调患者中是如何发挥作用的，人们知之甚少。本研究首次测试了一个多重中介模型，其中费尔伯恩的四种跨诊断机制介导了与母亲的依恋关系和饮食失调症状之间的关系。
对101名年龄在15至24岁之间的年轻女性饮食失调患者分别进行了父母与同伴依恋量表、饮食失调量表-3和饮食态度测试-26，以评估依恋、四种跨诊断维持机制和饮食失调症状。
比较分析表明，在依恋和跨诊断变量方面，诊断组之间没有显著差异。多重中介分析表明，在控制抑郁症状的情况下，低自尊和临床完美主义是母亲不安全依恋与饮食失调症状之间的显著中介因素。
这些发现表明，在控制抑郁症状的情况下，母亲不安全依恋对饮食失调症状发展的远端风险影响可能由低自尊和高临床完美主义来解释。建议进一步研究针对年轻饮食失调患者不安全依恋表征的认知行为治疗的疗效。
