Skip to main content
Log in

When thought suppression backfires: its moderator effect on eating psychopathology

  • Original Article
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Recently, several studies have pointed the importance of thought suppression as a form of experiential avoidance in different psychopathological conditions. Thought suppression may be conceptualized as an attempt to decrease or eliminate unwanted internal experiences. However, it encloses a paradoxical nature, making those thoughts hyper accessible and placing an extra burden on individuals. This avoidance process has been associated with several psychopathological conditions. However, its role in eating psychopathology remains unclear. The present study aims to explore the moderation effect of thought suppression on the associations between body image-related unwanted internal experiences (unfavorable social comparison through physical appearance and body image dissatisfaction) and eating psychopathology severity in a sample of 211 female students. Correlational analyses showed that thought suppression is associated with psychological inflexibility and eating disorders’ main risk factors and symptoms. Moreover, two independent analyses revealed that thought suppression moderates, as it amplifies, the impact of unfavorable social comparisons through physical appearance (model 1) and body image dissatisfaction (model 2) on disordered eating attitudes and behaviors. Hence, for the same level of these body-related internal experiences, young females who reveal higher levels of thought suppression present higher eating psychopathology. Taken together, these findings highlight the key role of thought suppression in eating psychopathology and present important clinical implications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Stice E (2001) A prospective test of the dual path-way model of bulimic pathology: mediating effects of dieting and negative affect. J Abnorm Psychol 110:124–135. doi:10.1037/0021-843X.110.1.124

    Article  CAS  PubMed  Google Scholar 

  2. Stice E, Marti CN, Durant S (2011) Risk factors for onset of eating disorders: evidence of multiple risk pathways from an 8-year prospective study. Behav Res Ther 10:622–627. doi:10.1016/j.brat.2011.06.009

    Article  Google Scholar 

  3. Pinto-Gouveia J, Ferreira C, Duarte C (2014) Thinness in the pursuit for social safeness: an integrative model of social rank mentality to explain eating psychopathology. Clin Psychol Psychother 21(2):154–165. doi:10.1002/cpp.1820

    Article  PubMed  Google Scholar 

  4. Burkle MA, Ryckman RM, Gold JA, Thornton B, Audesse RJ (1999) Forms of competitive attitude and achievement orientation in relation to disordered eating. Sex Roles 40:853–870. doi:10.1023/A:1018873005147

    Article  Google Scholar 

  5. Ferreira C, Pinto-Gouveia J, Duarte C (2013) Physical appearance as a measure of social ranking: the role of a new scale to understand the relationship between weight and dieting. Clin Psychol Psychother 20:55–66. doi:10.1002/cpp.769

    Article  PubMed  Google Scholar 

  6. Kanazawa S, Kovar JL (2004) Why beautiful people are more intelligent. Intelligence 32:227–243. doi:10.1016/j.intell.2004.03.003

    Article  Google Scholar 

  7. Sypeck MF, Gray JJ, Etu SF, Ahrens AH, Mosimann JE, Wiseman CV (2006) Cultural representations of thinness in women, redux: Playboy magazine’s depictions of beauty from 1979 to 1999. Body Image: Int J Res 3:229–235. doi:10.1016/j.bodyim.2006.07.001

    Article  Google Scholar 

  8. Webster M, Driskell JE (1983) Beauty as status. Am J Sociol 89:140–165

    Article  Google Scholar 

  9. Ferreira C, Pinto-Gouveia J, Duarte C (2013) Drive for thinness as a women’s strategy to avoid inferiority. Int J Psychol Psychol Ther 13(1):15–29

    Google Scholar 

  10. Gilbert P (2002) Body shame: a biopsychosocial conceptualisation and overview, with treatment implications. In: Gilbert P, Miles J (eds) Body shame: conceptualisation, research and treatment. Brunner, London, pp 3–54

    Google Scholar 

  11. Troop NA, Allan S, Treasure JL, Katzman M (2003) Social comparison and submissive behavior in eating disorders. Psychol Psychother: Theory Res Pract 76:237–249. doi:10.1348/147608303322362479

    Article  Google Scholar 

  12. Barkow J (1980) Prestige and self-esteem: a biosocial interpretation. In: Omark DR, Strayer FF, Freedman DG (eds) Dominance relations: an ethological view of human conflict and social interaction. Garland STPM Press, New York, pp 319–332

    Google Scholar 

  13. Puhl RM, Heuer CA (2009) The stigma of obesity: a review and update. Obesity 17(5):941–964. doi:10.1038/oby.2008.636

    Article  PubMed  Google Scholar 

  14. Salkovskis PM, Campbell P (1994) Thought suppression induces intrusion in naturally occurring negative intrusive thoughts. Behav Res Ther 32:1–8. doi:10.1016/0005-7967(94)90077-9

    Article  CAS  PubMed  Google Scholar 

  15. Wegner DM, Schneider DJ, Carter S, White T (1987) Paradoxical effects of thought suppression. J Personal Soc Psychol 53:5–13. doi:10.1037/0022-3514.53.1.5

    Article  CAS  Google Scholar 

  16. Abramowitz J, Tolin D, Street G (2001) Paradoxical effects of thought suppression: a meta-analysis of controlled studies. Clin Psychol Rev 21:683–703. doi:10.1016/S0272-7358(00)00057-X

    Article  CAS  PubMed  Google Scholar 

  17. Wegner DM, Zanakos S (1994) Chronic thought suppression. J Pers 62:615–640. doi:10.1111/j.1467-6494.1994.tb00311.x

    Article  Google Scholar 

  18. Wenzlaff RM, Bates DE (1998) Unmasking a cognitive vulnerability to depression: how lapses in mental control reveal depressive thinking. J Personal Soc Psychol 75:1559–1571. doi:10.1037/0022-3514.75.6.1559

    Article  CAS  Google Scholar 

  19. Shipherd JC, Beck JG (1999) The effects of suppressing trauma-related thoughts in women with rape-related posttraumatic stress disorder. Behav Res Ther 37:99–112. doi:10.1016/S0005-7967(98)00136-3

    Article  CAS  PubMed  Google Scholar 

  20. Janeck AS, Calamari JE (1999) Thought suppression in obsessive–compulsive disorder. Cogn Ther Res 23:497–509. doi:10.1023/A:1018720404750

    Article  Google Scholar 

  21. Lavender JM, Anderson DA (2010) Contribution of emotion regulation difficulties to disordered eating and body dissatisfaction in college men. Int J Eat Disord 43:352–357. doi:10.1002/eat.20705

    PubMed  Google Scholar 

  22. Polivy J (1998) The effects of behavioral inhibition: integrating internal cues, cognition, behavior, and affect. Psychol Inq 9:181–204. doi:10.1207/s15327965pli0903_1

    Article  Google Scholar 

  23. Ward T, Bulik CM, Johnston L (1996) Return of the suppressed: mental control in bulimia nervosa. Behav Chang 13:79–90

    Google Scholar 

  24. Wenzlaff RM, Wegner DM (2000) Thought suppression. In: Fiske ST (ed) Annual review of psychology, vol 51. Annual Reviews, Palo Alto, CA, pp 59–91

    Google Scholar 

  25. Barnes RD, Tantleff-Dunn S (2010) Food for thought: examining the relationship between food thought suppression and weight-related outcomes. Eat Behav 11:175–179. doi:10.1016/j.eatbeh.2010.03.001

    Article  PubMed  Google Scholar 

  26. Barnes RD, Masheb RM, Grilo CM (2011) Food thought suppression: a matched comparison of obese individuals with and without binge eating disorder. Eat Behav 12:272–276. doi:10.1016/j.eatbeh.2011.07.011

    Article  PubMed Central  PubMed  Google Scholar 

  27. Barnes RD, Tantleff-Dunn S (2010) A preliminary investigation of sex differences and the mediational role of food thought suppression in the relationship between stress and weight cycling. Eat Weight Disord: Stud Anorex Bulim Obes 15:e265–e269

    Article  CAS  Google Scholar 

  28. Barnes RD, Masheb RM, White MA, Grilo SM (2013) Examining the relationship between food thought suppression and binge eating disorder. Compr Psychiatry 54(7):1077–1081. doi:10.1016/j.comppsych.2013.04.017

    Article  PubMed Central  PubMed  Google Scholar 

  29. Soetens B, Braet C (2006) ‘The weight of a thought’: food-related thought suppression in obese and normal-weight youngsters. Appetite 46:309–317. doi:10.1016/j.appet.2006.01.018

    Article  PubMed  Google Scholar 

  30. Soetens B, Braet C, Dejonckheere P, Roets A (2006) ‘When suppression backfires’: the ironic effects of suppressing eating-related thoughts. J Health Psychol 11:655–668

    Article  PubMed  Google Scholar 

  31. Pop M, Miclea S, Hancu N (2004) The role of thought suppression on eating-related cognitions and eating pattern. Int J Obes Relat Metab Disord 28:S222

    Google Scholar 

  32. Ogden J (2003) What do symptoms mean? Br Med J 327(7412):409–410. doi:10.1136/bmj.327.7412.409

    Article  Google Scholar 

  33. O’Connell C, Larkin K, Mizes JS, Fremouw W (2005) The impact of caloric preloading on attempts at food and eating-related thought suppression in restrained and unrestrained eaters. Int J Eat Disord 38(1):42–48. doi:10.1002/eat.20150

    Article  PubMed  Google Scholar 

  34. Herman CP, Polivy J (1993) Mental control of eating: excitatory and inhibitory food thoughts. In: Wegner DM, Pennebaker JW (eds) Handbook of mental control. Prentice Hall, Englewood Cliffs, NJ, pp 491–505

    Google Scholar 

  35. Lavender JM, Jardin BF, Anderson DA (2009) Bulimic symptoms in college men and women: contributions of mindfulness and thought suppression. Eat Behav 10:228–231. doi:10.1016/j.eatbeh.2009.07.002

    Article  PubMed  Google Scholar 

  36. Lewis DM, Cachelin FM (2001) Body image, body dissatisfaction, and eating attitudes in midlife and elderly women. Eat Disord 9(1):29–39. doi:10.1080/106402601300187713

    Article  CAS  PubMed  Google Scholar 

  37. Tiggemann M, Lynch J (2001) Body image across the life span in adult women: the role of self-objectification. Dev Psychol 37:243–253. doi:10.1037/0012-1649.37.2.243

    Article  CAS  PubMed  Google Scholar 

  38. Wegner DM, Pennebaker JW (1993) Changing our minds: an introduction to mental control. In: Wegner DM, Pennebaker JW (eds) Handbook of mental control. Prentice-Hall, Englewood Cliffs, NJ, pp 1–12

    Google Scholar 

  39. Pinto-Gouveia J, Albuquerque P (2007) Versão portuguesa do inventário de supressão do urso branco. Unpublished manuscript

  40. Thompson JK, Altabe MN (1991) Psychometric qualities of the figure rating scale. Int J Eat Disord 10:615–619. doi:10.1002/1098-108X(199109)10:5

    Article  Google Scholar 

  41. Fairburn CG, Beglin SJ (1994) Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 16:363–370. doi:10.1002/1098-108X(199412)16:4

    CAS  PubMed  Google Scholar 

  42. Machado PP, Martins, C, Vaz, A, Conceição E, Pinto-Basto, Gonçalves S Eating Disorder Examination Questionnaire (EDE-Q): psychometric properties and norms for the portuguese population. Eur Eat Disord Rev. doi:10.1002/erv.2318

  43. Fairburn CG (2008) Cognitive behavior therapy and eating disorders. Guilford Press, New York

    Google Scholar 

  44. Cohen J, Cohen P, West S, Aiken L (2003) Applied multiple regression/correlation analysis for the behavioural sciences, 3rd edn. Lawrence Erlbaum Associates, New Jersey

    Google Scholar 

  45. Aiken L, West S (1991) Multiple regression: testing and interpreting interactions. Sage Publications, Thousand Oaks

    Google Scholar 

  46. Jose PE (2013) ModGraph-I: a programme to compute cell means for the graphical display of moderational analyses: the internet version, Version 3.0. Victoria University of Wellington, Wellington, New Zealand. Retrieved [November, 2013] from http://pavlov.psyc.vuw.ac.nz/paul-jose/modgraph/

  47. Kline RB (2005) Principles and practice of structural equation modeling, 2nd edn. The Guilford Press, New York

    Google Scholar 

  48. Kristeller JL, Hallett CB (1999) An exploratory study of a meditation-based intervention for binge eating disorder. Health Psychol 4(3):357–363. doi:10.1177/135910539900400305

    Article  CAS  Google Scholar 

  49. Pearson A, Follette VM, Hayes SC (2011) A pilot study of acceptance and commitment therapy as a workshop intervention for body image dissatisfaction and disordered eating attitudes. Cogn Behav Pract 19:181–197. doi:10.1016/j.cbpra.2011.03.001

    Article  Google Scholar 

  50. Luce KH, Crowther JH, Pole M (2008) Eating Disorder Examination Questionnaire (EDE-Q): norms for undergraduate women. Int J Eat Disord 41(3):273–276. doi:10.1002/eat.20504

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors of this manuscript declared no conflict of interest.

Ethical Standards

The study respected the ethical standards and was approved by the Ethics Committee Boards of all the educational institutions enrolled in the study.

Informed Consent

All participants (and their parents, if they were underage) were required to sign a consent form to take part in the study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lara Palmeira.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ferreira, C., Palmeira, L., Trindade, I.A. et al. When thought suppression backfires: its moderator effect on eating psychopathology. Eat Weight Disord 20, 355–362 (2015). https://doi.org/10.1007/s40519-015-0180-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40519-015-0180-5

Keywords

Navigation