Self-compassion and body image inflexibility as mediators of outcomes in a residential eating disorder sample

References

• Aardoom, J. J., Dingemans, A. E., Op’t Landt, M. C. S., & Van Furth, E. F. (2012). Norms and discriminative validity of the eating disorder examination questionnaire (EDE- Q). Eating Behaviors, 13(4), 305–309. https://doi.org/10.1016/j.eatbeh.2012.09.002
   PubMed Web of Science ®Google Scholar
• American Psychiatric Association. (2006). Practice guideline for the treatment of patients with eating disorders (3rd ed.).
   Google Scholar
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Publishing.
   Google Scholar
• Berg, K. C., Peterson, C. B., Frazier, P., & Crow, S. J. (2012). Psychometric evaluation of the eating disorder examination and eating disorder examination‐questionnaire: A systematic review of the literature. International Journal of Eating Disorders, 45(3), 428–438. https://doi.org/10.1002/eat.20931
   PubMed Web of Science ®Google Scholar
• Bluett, E. J., Lee, E. B., Simone, M., Lockhart, G., Twohig, M. P., Lensegrav-Benson, T., & Quakenbush-Roberts, B. (2016). The role of body image psychological flexibility on the treatment of eating disorders in a residential facility. Eating Behaviors, 23, 150–155. https://doi.org/10.1016/j.eatbeh.2016.10.002
   PubMed Web of Science ®Google Scholar
• Brownley, K. A., Berkman, N. D., Sedway, J. A., Lohr, K. N., & Bulik, C. M. (2007). Binge eating disorder treatment: A systematic review of randomized controlled trials. International Journal of Eating Disorders, 40(4), 337–348. https://doi.org/10.1002/eat.20370
   PubMed Web of Science ®Google Scholar
• DeJong, H., Oldershaw, A., Sternheim, L., Samarawickrema, N., Kenyon, M. D., Broadbent, H., Lavender, A., Startup, H., Treasure, J., & Schmidt, U. (2013). Quality of life in anorexia nervosa, bulimia nervosa and eating disorder not-otherwise-specified. Journal of Eating Disorders, 1(1). https://doi.org/10.1186/2050-2974-1-43
   PubMedGoogle Scholar
• DiSante, J., Akeson, B., Gossack, A., & Knäuper, B. (2022). Efficacy of ACT-based treatments for dysregulated eating behaviours: A systematic review and meta-analysis. Appetite, 171, 105929. https://doi.org/10.1016/j.appet.2022.105929
   PubMed Web of Science ®Google Scholar
• Duncan, A. E., Ziobrowski, H. N., & Nicol, G. (2017). The prevalence of past 12-month and lifetime DSM-IV eating disorders by BMI category in US men and women. European Eating Disorders Review, 25(3), 165–171. https://doi.org/10.1002/erv.2503
   PubMed Web of Science ®Google Scholar
• Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. The Guilford Press.
   Google Scholar
• Fairburn, C. G., & Beglin, S. J. (2008). Eating disorder examination questionnaire. In C. G. Fairburn (Ed.), Cognitive behavior therapy and eating disorders (pp. 309–313). Guilford Press.
   Google Scholar
• Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41(5), 509–528. https://doi.org/10.1016/S0005-7967(02)00088-8
   PubMed Web of Science ®Google Scholar
• Halmi, K. A. (2013). Perplexities of treatment resistance in eating disorders. BMC Psychiatry, 13(1). https://doi.org/10.1186/1471-244x-13-292
   PubMedGoogle Scholar
• Hay, P., Girosi, F., & Mond, J. (2015). Prevalence and sociodemographic correlates of DSM-5 eating disorders in the Australian population. https://doi.org/10.1186/s40337-015-0056-0
   Google Scholar
• Hofmann, S. G., & Hayes, S. C. (2018). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7(1), 1–14. https://doi.org/10.1177/2167702618772296
   Web of Science ®Google Scholar
• Homan, K. J., & Tylka, T. L. (2015). Self-compassion moderates body comparison and appearance self-worth’s inverse relationships with body appreciation. Body Image, 15, 1–7. https://doi.org/10.1016/j.bodyim.2015.04.007
   PubMed Web of Science ®Google Scholar
• Kelly, A. C., Carter, J. C., Zuroff, D. C., & Borairi, S. (2012). Self-compassion and fear of self-compassion interact to predict response to eating disorders treatment: A preliminary investigation. Psychotherapy Research, 23(3), 252–264. https://doi.org/10.1080/10503307.2012.717310
   PubMed Web of Science ®Google Scholar
• Kelly, N. R., Cotter, E. W., Lydecker, J. A., & Mazzeo, S. E. (2017). Missing and discrepant data on the eating disorder examination questionnaire (EDE-Q): Quantity, quality, and implications. Eating Behaviors, 24, 1–6. https://doi.org/10.1016/j.eatbeh.2016.11.002
   PubMed Web of Science ®Google Scholar
• Kelly, A. C., Vimalakanthan, K., & Carter, J. C. (2014). Understanding the roles of self-esteem, self-compassion, and fear of self-compassion in eating disorder pathology: An examination of female students and eating disorder patients. Eating Behaviors, 15(3), 388–391. https://doi.org/10.1016/j.eatbeh.2014.04.008
   PubMed Web of Science ®Google Scholar
• Kelly, A. C., Wisniewski, L., Martin-Wagar, C., & Hoffman, E. (2017). Group-based compassion-focused therapy as an adjunct to outpatient treatment for eating disorders: A Pilot randomized controlled trial. Clinical Psychology and Psychotherapy, 24(2), 475–487. https://doi.org/10.1002/cpp.2018
   PubMed Web of Science ®Google Scholar
• Klump, K. L., Bulik, C. M., Kaye, W. H., Treasure, J., & Tyson, E. (2009). Academy for eating disorders position paper: Eating disorders are serious mental illnesses. The International Journal of Eating Disorders, 42(2), 97–103. https://doi.org/10.1002/eat.20589
   PubMed Web of Science ®Google Scholar
• Lee, E. B., Ong, C. W., Twohig, M. P., Lensegrav-Benson, T., & Quakenbush-Roberts, B. (2017). Increasing body image flexibility in a residential eating disorder facility: Correlates with symptom improvement. Eating Disorders, 26(2), 185–199. https://doi.org/10.1080/10640266.2017.1366229
   PubMed Web of Science ®Google Scholar
• Levin, M. E., MacLane, C., Daflos, S., Seeley, J., Hayes, S. C., Biglan, A., & Pistorello, J. (2014). Examining psychological inflexibility as a transdiagnostic process across psychological disorders. Journal of Contextual Behavioral Science, 3(3), 155–163. https://doi.org/10.1016/j.jcbs.2014.06.003
   PubMedGoogle Scholar
• Lucena-Santos, P., Carvalho, S. A., da Silva Oliveira, M., & Pinto-Gouveia, J. (2017). Body-image acceptance and action questionnaire: Its deleterious influence on binge eating and psychometric validation. International Journal of Clinical and Health Psychology, 17(2), 151–160. https://doi.org/10.1016/j.ijchp.2017.03.001
   PubMed Web of Science ®Google Scholar
• Masuda, A., Muto, T., Tully, E. C., Morgan, J., & Hill, M. L. (2014). Comparing Japanese college students’ and US college students’ disordered eating, distress, and psychological inflexibility. Journal of Cross-Cultural Psychology, 45(7), 1162–1174.
   Web of Science ®Google Scholar
• Masuda, A., Price, M., Anderson, P. L., & Wendell, J. W. (2010). Disordered eating-related cognition and psychological flexibility as predictors of psychological health among college students. Behavior Modification, 34(1), 3–15. https://doi.org/10.1177/0145445509351569
   PubMed Web of Science ®Google Scholar
• Merwin, R. M., Timko, C. A., Moskovich, A. A., Ingle, K. K., Bulik, C. M., & Zucker, N. L. (2010). Psychological inflexibility and symptom expression in anorexia nervosa. Eating Disorders, 19(1), 62–82. https://doi.org/10.1080/10640266.2011.533606
   Google Scholar
• Neff, K. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101. https://doi.org/10.1080/15298860309032
   Web of Science ®Google Scholar
• Neff, K. D., Tóth-Király, I., Yarnell, L. M., Arimitsu, K., Castilho, P., Ghorbani, N., Guo, H. X., Hirsch, J. K., Hupfeld, J., Hutz, C. S., Kotsou, I., Lee, W. K., Montero-Marin, J., Sirois, F. M., de Souza, L. K., Svendsen, J. L., Wilkinson, R. B., & Mantzios, M. (2019). Examining the factor structure of the self-compassion scale in 20 diverse samples: Support for use of a total score and six subscale scores. Psychological Assessment, 31(1), 27. https://doi.org/10.1037/pas0000629
   PubMed Web of Science ®Google Scholar
• Perey, I., & Koenigstorfer, J. (2020). Appearance comparisons and eating pathology: A moderated serial mediation analysis exploring body image flexibility and body appreciation as mediators and self-compassion as moderator. Body Image, 35, 255–264. https://doi.org/10.1016/j.bodyim.2020.09.008
   PubMed Web of Science ®Google Scholar
• Rawal, A., Park, R. J., & Williams, J. M. G. (2010). Rumination, experiential avoidance, and dysfunctional thinking in eating disorders. Behaviour Research and Therapy, 48(9), 851–859. https://doi.org/10.1016/j.brat.2010.05.009
   PubMed Web of Science ®Google Scholar
• R Core Team. (2021). R: A language and environment for statistical computing. R Foundation for Statistical Computing. https://www.R-project.org/
   Google Scholar
• Sandoz, E. K., Wilson, K. G., Merwin, R. M., & Kellum, K. K. (2013). Assessment of body image flexibility: The body image-acceptance and action questionnaire. Journal of Contextual Behavioral Science, 2(1–2), 39–48. https://doi.org/10.1016/j.jcbs.2013.03.002
   Google Scholar
• Smink, F. R. E., Van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence and mortality rates. Current Psychiatry Reports, 14(4), 406–414. https://doi.org/10.1007/s11920-012-0282-y
   PubMed Web of Science ®Google Scholar
• Steinhausen, H. C. (2002). The outcome of anorexia nervosa in the 20th century. American Journal of Psychiatry, 159(8), 1284–1293. https://doi.org/10.1176/appi.ajp.159.8.1284
   PubMed Web of Science ®Google Scholar
• Tóth-Király, I., & Neff, K. D. (2021). Is self-compassion universal? Support for the measurement invariance of the self-compassion Scale across populations. Assessment, 28(1), 169–185. https://doi.org/10.1177/1073191120926232
   PubMed Web of Science ®Google Scholar
• Volpe, U., Tortorella, A., Manchia, M., Monteleone, A. M., Albert, U., & Monteleone, P. (2016). Eating disorders: What age at onset?. Psychiatry Research, 238, 225–227.
   PubMed Web of Science ®Google Scholar
• Wasylkiw, L., MacKinnon, A. L., & MacLellan, A. M. (2012). Exploring the link between self-compassion and body image in university women. Body Image, 9(2), 236–245.
   PubMed Web of Science ®Google Scholar
• Webb, J. B., & Forman, M. J. (2013). Evaluating the indirect effect of self-compassion on binge eating severity through cognitive–affective self-regulatory pathways. Eating Behaviors, 14(2), 224–228. https://doi.org/10.1016/j.eatbeh.2012.12.005
   PubMed Web of Science ®Google Scholar
• Wendell, J. (2011). Psychological Flexibility and Eating Disorder Spectrum Problems [ Master’s thesis]. Georgia State University. https://doi.org/10.57709/2087485
   Google Scholar
• Wendell, J. W., Masuda, A., & Le, J. K. (2012). The role of body image flexibility in the relationship between disordered eating cognitions and disordered eating symptoms among non-clinical college students. Eating Behaviors, 13(3), 240–245. https://doi.org/10.1016/j.eatbeh.2012.03.006
   PubMed Web of Science ®Google Scholar
• Yarnell, L. M., Stafford, R. E., Neff, K. D., Reilly, E. D., Knox, M. C., & Mullarkey, M. (2015). Meta-analysis of gender differences in self-compassion. Self and Identity, 14(5), 499–520. https://doi.org/10.1080/15298868.2015.1029966
   Web of Science ®Google Scholar
• Zeeck, A., Herpertz-Dahlmann, B., Friederich, H. C., Brockmeyer, T., Resmark, G., Hagenah, U., Ehrlich, S., Cuntz, U., Zipfel, S., & Hartmann, A. (2018). Psychotherapeutic treatment for anorexia nervosa: A systematic review and network meta-analysis. Frontiers in Psychiatry, 9, 158. https://doi.org/10.3389/fpsyt.2018.00158
   PubMed Web of Science ®Google Scholar