Werklund School of Education, University of Calgary, Calgary, Alberta, Canada.
Department of Psychology, University of North Texas, Denton, Texas, USA.
J Clin Psychol. 2024 Jul;80(7):1673-1688. doi: 10.1002/jclp.23685. Epub 2024 Apr 4.
Literature on eating disorder (ED) symptoms of Black, Indigenous, and People of Color (BIPOC) group is extremely scarce. This study aimed to understand the mechanisms underlying the associations between insecure attachment and ED symptoms and examine whether these mechanisms differed between White and BIPOC groups.
The study investigated direct and indirect relationship between attachment anxiety/avoidance and ED symptoms via intolerance of uncertainty (IU) and emotion regulation strategies of suppression and reappraisal. Further, we examined whether the proposed mechanisms equally represented White versus BIPOC using Multigroup Structural Equation Model (MG-SEM). A total of 1227 college students (48.50% BIPOC and 51.50% White) completed research questionnaires.
Results showed that IU and suppression mediated the relations between insecure attachment and ED symptoms for both White and BIPOC groups. Uniquely, reappraisal mediated the relations between insecure attachment and ED symptoms for the White group, but not for the BIPOC group.
The implications of the findings for culturally informed practice are discussed, including targeting increasing tolerability of uncertainties and improving emotion regulation to mitigate ED symptoms for those with insecure attachment.
关于黑人、原住民和有色人种（BIPOC）群体饮食障碍（ED）症状的文献极其匮乏。本研究旨在了解不安全依恋与 ED 症状之间关联的潜在机制，并检验这些机制在白人和 BIPOC 群体之间是否存在差异。
该研究通过不确定性容忍度（IU）和抑制与重新评价情绪调节策略，调查了依恋焦虑/回避与 ED 症状之间的直接和间接关系。此外，我们还使用多群组结构方程模型（MG-SEM）检验了所提出的机制在白人和 BIPOC 群体中是否同样适用。共有 1227 名大学生（48.50%为 BIPOC，51.50%为白人）完成了研究问卷。
结果表明，IU 和抑制在白人和 BIPOC 群体中都介导了不安全依恋与 ED 症状之间的关系。独特的是，重新评价在白人组中调节了不安全依恋与 ED 症状之间的关系，但在 BIPOC 组中没有。
讨论了这些发现对文化知情实践的意义，包括针对增加对不确定性的容忍度和改善情绪调节，以减轻不安全依恋者的 ED 症状。
