101667: Childhood maltreatment, depressive symptoms, and body dissatisfaction in patients with binge eating disorder: The mediating role of self-criticism

About the Course:

Objective: We examined the mediating role of self-criticism in the relation between childhood maltreatment and both depressive symptoms and body dissatisfaction in patients with binge eating disorder (BED).
Method: Participants were 170 BED patients who completed measures of childhood maltreatment, self-criticism, self-esteem, depressive symptoms, and body dissatisfaction.
Results: Specific forms of childhood maltreatment (emotional abuse, sexual abuse) were significantly associated with body dissatisfaction. Path analyses demonstrated that self-criticism fully mediated the relation between emotional abuse and both depressive symptoms and body dissatisfaction. Specificity for the mediating role of self-criticism was demonstrated in comparison to other potential mediators (low self-esteem) and alternative competing mediation models.
Conclusion: These results highlight self-criticism as a potential mechanism through which certain forms of childhood maltreatment may be associated with depressive symptoms and body dissatisfaction in BED patients.

Journal/Publisher:

International Journal of Eating Disorders/Wiley InterScience

Publication Date:

April 2010 EAT 43:3

Authors

David Dunkley, Ph.D.,; Robin M. Masheb; Carlos M. Grilo, PhD

About the Authors:

Dr. Dunkley was trained in clinical psychology at McGill University, receiving his Ph.D. in 2001. He then pursued postdoctoral training in longitudinal diagnostic assessment of psychiatric disorders at Yale University from 2001-2003, followed by a postdoctoral fellowship in psychotherapy studies in depression at the Institute of Community and Family Psychiatry at the Jewish General Hospital (ICFP-JGH) from 2003-2004. Since 2004, he has been a Researcher with the Lady Davis Institute, an associate with the Cognitive Behaviour Therapy (CBT) Service of the ICFP-JGH, and Assistant Professor of Psychiatry and Associate Member of Psychology at McGill. Dr. Dunkley is a FRSQ Chercheur-Boursier and the primary goal of his research has been to examine the mechanisms through which perfectionism is a personality vulnerability factor to depression. He has received numerous fellowships, obtained grants from federal and provincial agencies, and has published several articles in respected journals using structural equation modeling/path analysis and multilevel modeling as the primary data analytic techniques. In 2005, he received the Canadian Psychological Association President’s New Researcher Award.

Recommended For:

This course is recommended for Mental Health Professionals who seek knowledge about the potential mechanisms through which childhood abuse impacts on maladjustment. It is appropriate for all levels of participants’ knowledge.

Course Objectives:

  1. Consider self-criticism as a cognitive-personality construct that has broader relevance that extends beyond depression-related problems to various forms of eating disorder psychopathology

  2. Identify specific forms of childhood maltreatment (emotional abuse, sexual abuse) that are significantly associated with body dissatisfaction

  3. Identify self-criticism as a potential mechanism through which certain forms of childhood maltreatment may be associated with depressive symptoms and body dissatisfaction in BED patients

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