Attachment, Emotion Regulation Difficulties, and Disordered Eating Among College Women and Men

In this study, we examined a structural equation model in which attachment anxiety and avoidance were associated with binge eating and restricted eating behaviors through distinct emotion regulation difficulties of emotional reactivity and emotional cutoff among college women ( n = 744) and men ( n = 200). As predicted, attachment anxiety was associated with emotional reactivity which, in turn, was associated with binge eating. Attachment avoidance was associated with emotional cutoff which, in turn, was associated with restricted eating, both in college women and men. Two gender differences were found: the association between emotional cutoff and binge eating was statistically significant only for women, and the association between emotional reactivity and binge eating was stronger for men than for women. Clinical implications are suggested, specifically the importance of addressing attachment insecurities and distinct emotion regulation difficulties related to serving college women and men with binge eating and/or restricted eating behaviors.

Positive Body Image and Sexual Functioning in Dutch Female University Students: The Role of Adult Romantic Attachment

This study focused on links between romantic attachment, positive body image, and sexual functioning. Dutch female university students (N = 399) completed an online survey that included self-report items about body appreciation, sexual functioning, and romantic attachment. A proposed conceptual model was tested using structural equation modeling and a good fit to the data was found. Results revealed that attachment avoidance in a romantic context was negatively related to sexual arousal, vaginal lubrication, the ability to reach orgasm, and sexual satisfaction. Attachment anxiety was negatively related to body appreciation which, in turn, was positively related to sexual desire and arousal. Findings indicated that romantic attachment is meaningfully linked to body appreciation and sexual functioning. Therefore, the concept of adult attachment may be a useful tool for the treatment of sexual problems of young women.

The effect of academic stress and attachment stress on stress-eaters and stress-undereaters

It is well established that stress is related to changes in eating patterns. Some individuals are more likely to increase their overall food intake under conditions of stress, whereas others are more likely to consume less food when stressed. Attachment style has been linked to disordered eating and eating disorders; however, comparisons of eating behaviors under attachment versus other types of stress have yet to be explored. The present laboratory study examined the eating patterns in self-identified stress-undereaters and stress-eaters under various types of stress. More specifically, the study examined the effects of academic and attachment stress on calorie, carbohydrate and sugar consumption within these two groups. Under the guise of critiquing student films, university students viewed either one of two stress-inducing videos (academic stress or attachment stress, both designed to be emotionally arousing) or a control video (designed to be emotionally neutral), and their food intake was recorded. Results demonstrated that the video manipulations were effective in inducing stress. Differential patterns of eating were noted based on group and stress condition. Specifically, stress-undereaters ate fewer calories, carbohydrates and sugars than stress-eaters in the academic stress condition, but not in the attachment stress or control condition. Findings suggest that specific types of stressors may influence eating behaviors differently.

Anorexia and attachment: dysregulated defense and pathological mourning

The role of defensive exclusion (Deactivation and Segregated Systems) in the development of early relationships and related to subsequent manifestations of symptoms of eating disorders was assessed using the Adult Attachment Projective Picture System (AAP). Fifty-one DSM-IV diagnosed women with anorexia participated in the study. Anorexic patients were primarily classified as dismissing or unresolved. Quantitative and qualitative analyses of defensive exclusion were carried out. Results showed potential benefits of using the AAP defense exclusion coding system, in addition to the main attachment classifications, in order to better understand the developmental issues involved in anorexia. Discussion concerned the processes, such as pathological mourning, that may underlie the associations between dismissing and unresolved attachment and anorexia. Implications for developmental research and clinical nosology are discussed.

Body Dissatisfaction and Eating Disorder Symptomatology: A Latent Structural Equation Modeling Analysis of Moderating Variables in 18-to-28-Year-Old Males

Although body dissatisfaction is recognized as the strongest risk factor for eating disturbances, a majority of young males are body dissatisfied, but do not concomitantly report severe levels of eating disorder symptomatology. The present investigation was designed to examine five theoretically relevant variables (i.e., body checking, emotional dysregulation, perfectionism, insecure-anxious attachment, and self-esteem) as potential moderators of the relationship between body dissatisfaction and two critical components of male eating disorder symptomatology: drive for muscularity and bulimic behaviors. Data collected from 551 Italian males between 18 and 28 years old were analyzed using latent structural equation modeling. The authors found that emotional dysregulation, body checking, insecure-anxious attachment and perfectionism intensified the relationship between body dissatisfaction and each criterion variable representing male eating disorder symptomatology; the interactions accounted respectively for an additional 2%, 7%, 4% and 5% of variance in drive for muscularity and for an additional 6%, 4%, 5%, and 2% of the variance in bulimic behaviors. By contrast self-esteem weakened this relationship and the interactions accounted for an additional 3% of the variance in both drive for muscularity and bulimic behaviors. Implications of these findings for prevention and treatment of male eating disturbances are discussed.

Compensatory weight control behaviors of women in emerging adulthood: associations between childhood abuse experiences and adult relationship avoidance

OBJECTIVE

To examine correlates of compensatory weight control behaviors among women in transition between adolescence and adulthood.

PARTICIPANTS

The authors recruited a sample of undergraduate women (N = 759) at a large northwestern university during the 2009-2010 academic year.

METHODS

Logistic regression was used to assess relations among childhood abuse, psychosocial functioning, adult dating relationship factors, and women's endorsement of compensatory weight control behaviors.

RESULTS

The final model reliably distinguished between participants who endorsed versus denied use of compensatory behaviors (χ(2)[5, N = 747] = 36.37, p < .001), with global psychosocial functioning and relationship avoidance accounting for the most variance.

CONCLUSIONS

These findings illustrate the importance of considering childhood abuse histories and adult relationships while assessing young women's compensatory weight control behaviors.

Attachment, the tripartite influence model, and the development of body dissatisfaction

The tripartite model of influence proposes that three primary core sources of influence-parents, peers and media-contribute to the development of body dissatisfaction and disordered eating. In the current study, this model was examined in a sample of 205 undergraduate women. This study added to previous research by investigating mother and father criticism separately and by examining the potential moderating effects of parental attachment in the pathway to body dissatisfaction. Results indicated partial support for the tripartite model of influence. Sociocultural influences (media) were found to be a significant predictor of body dissatisfaction, but not parental or peer criticism. Anxious attachment was found to be a significant moderator on the effects of sociocultural attitudes in body dissatisfaction. Limitations and future research implications are discussed.

Eating psychopathology amongst athletes: links to current attachment styles

The aims of the study were two-fold; first to determine the associations between current attachment styles, and eating psychopathology amongst athletes, and second to simultaneously assess the mediating effects of self-esteem, perfectionism, and depression in this association. Four hundred and eleven British athletes completed self-report instruments pertaining to eating psychopathology, attachment styles, self-esteem, depression, and perfectionism. Athletes who scored highly on both avoidant and anxious attachment styles, reported elevated eating psychopathology scores. However, such associations were indirect and mediated via athletes' levels of self-esteem, self-critical perfectionism, and depression, with self-esteem and depression identified as more salient mediators than self-critical perfectionism. The current findings provide evidence to suggest that insecure attachment styles influence athletes' eating psychopathology via their impact on self-esteem, depression, and self-critical perfectionism. Moreover, self-esteem and depression may play more significant role in transferring the impact of insecure attachment styles on elevated eating psychopathology.

The effect of attachment insecurity in the development of eating disturbances across gender: the role of body dissatisfaction

The present study examined the effects of insecure attachment on the development of negative body image as a contributing factor to the development of disturbed eating patterns in male and female university students. Participants were nonclinical male (n = 100) and female (n = 381) university students. Administering self-report questionnaires, the authors assessed demographic information (gender, age), anthropometric data (Body Mass Index [BMI], age), romantic attachment (ECRS-R; R. C. Fraley, N. G. Waller, & K. A. Brennan, 2000), body dissatisfaction (BSQ), and disturbed eating (EAT-26). The authors found body dissatisfaction to fully mediate the relationship between attachment anxiety and disordered eating in women. Body dissatisfaction mediated anxious attachment and dieting in men. In addition, attachment avoidance had a direct impact on eating behaviors for both genders, without the mediation of any variables measured in this study. The findings of the present study suggest that the anxiety and avoidance dimensions of attachment insecurity affect eating behaviors differently, and the effects are different across genders. The authors discuss results in the context of therapeutic interventions design.

Feelings of insecurity: review of attachment and eating disorders

OBJECTIVE

Attachment theory has received increasing attention from clinicians and researchers in the field of eating disorders. This paper is an updated review on theoretical approaches in the field, and of studies employing the Adult Attachment Interview.

METHOD

We searched the major databases such as PsycInfo and Science Direct for empirical and theoretical studies on attachment and eating disorders, and these are reviewed.

RESULTS

Theoretical approaches on attachment and eating disorders highlight either retrospective, general risk or attachment theoretical statements. There is greater prevalence of insecure attachment in the eating disordered population than in non-clinical samples. However, there is no sufficient evidence to conclude about specific mechanisms for this connection.

DISCUSSION

The theoretical approaches vary in their theoretical grounding, specificity and empirical support. AAI-based research on attachment and eating disorders is still at an early stage. More advanced studies are required for the field to move forward.

Individual, demographic, and family correlates of romantic attachments in a group of American young adults

Relationship avoidance and anxiety scores were obtained for 590 American young adults (M age = 23.1 yr.). Canonical correlation yielded two orthogonal patterns between the avoidance and anxiety scores with individual, demographic, and family variables. Relationship avoidance was most parsimoniously related to unresolved issues with one's family of origin, having been sexually abused, and being male (canonical correlation = .33). Relationship anxiety was most parsimoniously related to unresolved issues with one's family of origin, lack of personal income, having a strong libido, being young, and being female (canonical correlation = .25). Relationship avoidance was also correlated with not having affectionate and available parents, not having a secure and loving family, high parental conflict, low parental education and income, not having grown up with both parents, family violence, and low libido. Relationship anxiety was also correlated with low personal education. Marital status, ethnicity, and religious denomination were unrelated to either construct.