Sex Roles

, Volume 77, Issue 5–6, pp 338–351 | Cite as

Self-Defining Memories of Body Image Shame and Binge Eating in Men and Women: Body Image Shame and Self-Criticism in Adulthood as Mediating Mechanisms

Original Article

Abstract

Despite the growing evidence of the association between shame experiences and eating psychopathology, the specific effect of body image-focused shame memories on binge eating remains largely unexplored. The current study examined this association and considered current body image shame and self-criticism as mediators. A multi-group path analysis was conducted to examine gender differences in these relationships. The sample included 222 women and 109 men from the Portuguese general and college student populations who recalled an early body image-focused shame experience and completed measures of the centrality of the shame memory, current body image shame, binge eating symptoms, depressive symptoms, and self-criticism. For both men and women, the effect of the centrality of shame memories related to body image on binge eating symptoms was fully mediated by body image shame and self-criticism. In women, these effects were further mediated by self-criticism focused on a sense of inadequacy and also on self-hatred. In men, only the form of self-criticism focused on a sense of inadequacy mediated these associations. The present study has important implications for the conceptualization and treatment of binge eating symptoms. Findings suggest that, in both genders, body image-focused shame experiences are associated with binge eating symptoms via their effect on current body image shame and self-criticism.

Keywords

Binge eating Body image shame Centrality of shame memories Self-criticism Mediator effect Gender differences 

Notes

Acknowledgements

The present research was supported by a grant (SFRH/BD/76858/2011) attributed to the first author that was sponsored by FCT (Portuguese Foundation for Science and Technology).

Compliance with Ethical Standards

Funding

This research has been supported by the first author (Cristiana Duarte) Ph.D. Grant (SFRH/BD/76858/2011), sponsored by FCT (Portuguese Foundation for Science and Technology).

Conflict of Interest

The authors declare that they have no conflict of interest.

Research Involving Human Participants and/or Animals

All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

This article does not contain any studies with animals performed by any of the authors.

Informed Consent

All participants provided their written informed consent to participate in the study.

References

  1. Adams, G., Turner, H., & Bucks, R. (2005). The experience of body dissatisfaction in men. Body Image, 2, 271–284. doi: 10.1016/j.bodyim.2005.05.004.CrossRefPubMedGoogle Scholar
  2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Publisher.Google Scholar
  3. Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529. doi: 10.1037/0033-2909.117.3.497.CrossRefPubMedGoogle Scholar
  4. Berntsen, D., & Rubin, D. (2006). Centrality of event scale: A measure of integrating a trauma into one’s identity and its relation to post-traumatic stress disorder symptoms. Behaviour Research and Therapy, 44, 219–231. doi: 10.1016/j.brat.2005.01.009.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Blatt, S., & Zuroff, D. (1992). Interpersonal relatedness and self definition: Two prototypes for depression. Clinical Psychology Review, 12, 527–562. doi: 10.1016/0272-7358(92)90070-O.CrossRefGoogle Scholar
  6. Brewin, C. R., Andrews, B., & Gotlib, I. H. (1993). Psychopathology and early experience: A reappraisal of retrospective reports. Psychological Bulletin, 113(1), 82–98. doi: 10.1037/0033-2909.113.1.82.CrossRefPubMedGoogle Scholar
  7. Bulik, C. M., & Reichborn-Kjennerud, T. (2003). Medical morbidity in binge eating disorder. International Journal of Eating Disorders, 34(1), 39–46. doi: 10.1002/eat.10204.CrossRefGoogle Scholar
  8. Buote, V. M., Wilson, A. E., Strahan, E. J., Gazzola, S. B., & Papps, F. (2011). Setting the bar: Divergent sociocultural norms for women’s and men’s ideal appearance in real-world contexts. Body Image, 8(4), 322–334. doi: 10.1016/j.bodyim.2011.06.002.CrossRefPubMedGoogle Scholar
  9. Burkle, M., Ryckman, R., Gold, J., Thornton, B., & Audesse, R. (1999). Forms of competitive attitude and achievment orientation in relation to disordered eating. Sex Roles, 40, 853–870. doi: 10.1023/A:1018873005147.CrossRefGoogle Scholar
  10. Byrne, B. M. (2010). Structural equation modeling with AMOS: Basic concepts, applications, and programming (2nd ed.). New York: Routledge, Taylor & Francis.Google Scholar
  11. Calogero, R. (2009). Objectification processes and disordered eating in British women and men. Journal of Health Psychology, 14(3), 394–402. doi: 10.1177/1359105309102192.CrossRefPubMedGoogle Scholar
  12. Castilho, P., Pinto-Gouveia, J., & Duarte, J. (2015). Exploring self-criticism: Confirmatory factor analysis of the FSCRS in clinical and nonclinical samples. Clinical Psychology & Psychotherapy, 22(2), 153–164. doi: 10.1002/cpp.1881.CrossRefGoogle Scholar
  13. Cohen, J., Cohen, P., West, S., & Aiken, L. (2003). Applied multiple regression/correlation analysis for the behavioural sciences (3rd ed.). Mahwah: Lawrence Erlbaum Associates.Google Scholar
  14. Cozolino, L. (2007). The neuroscience of human relationships: Attachment and the developing brain. New York: Norton.Google Scholar
  15. Dakanalis, A., & Riva, G. (2013). Current considerations for eating and body-related disorders among men. In L. Sams & J. Keels (Eds.), Handbook on body image: Gender differences, sociocultural influences and health implications (pp. 195–216). New York: Nova Publishers.Google Scholar
  16. Dakanalis, A, Di Mattei, V., Bagliacca, E., Prunas, A., Sarno, L., ... & Zanetti, M. (2012). Disordered eating behaviors among Italian men: Objectifying media and sexual orientation differences. Eating Disorders, 20(5), 356–367. doi: 10.1080/10640266.2012.715514.
  17. Dakanalis, A., Clerici, M., Caslini, M., Favagrossa, L., Prunas, A., Volpato, C., ... Zanetti, M. A. (2014a). Internalization of sociocultural standards of beauty and disordered eating behaviours: The role of body surveillance, shame and social anxiety. Journal of Psychopathology, 20(1), 33–37.Google Scholar
  18. Dakanalis, A., Timko, C. A., Carrà, G., Clerici, M., Zanetti, M. A., Riva, G., … Caccialanza, R. (2014b). Testing the original and the extended dual-pathway model of lack of control over eating in adolescent girls. A two-year longitudinal study. Appetite, 82, 180–193. doi: 10.1016/j.appet.2014.07.022.
  19. Dakanalis, A., Carrà, G., Calogero, R., Zanetti, M. A., Gaudio, S., Caccialanza, R., ... Clerici, M. (2015). Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: A multi-centre study. European Archives of Psychiatry and Clinical Neuroscience, 265(8), 663–676. doi: 10.1007/s00406-014-0560-2.
  20. Dakanalis, A., Clerici, M., Caslini, M., Gaudio, S., Serino, S., ... & Carrà, G. (2016). Predictors of initiation and persistence of recurrent binge eating and inappropriate weight compensatory behaviors in college men. International Journal of Eating Disorders, 49(6), 581–590. doi: 10.1002/eat.22535.
  21. Daye, C. A., Webb, J. B., & Jafari, N. (2014). Exploring self-compassion as a refuge against recalling the body-related shaming of caregiver eating messages on dimensions of objectified body consciousness in college women. Body Image, 11(4), 547–556. doi: 10.1016/j.bodyim.2014.08.001.
  22. Duarte, C., & Pinto-Gouveia, J. (2016). Body image flexibility mediates the effect of body image-related victimization experiences and shame on binge eating and weight. Eating Behaviors, 23, 13–18. doi: 10.1016/j.eatbeh.2016.07.005.CrossRefPubMedGoogle Scholar
  23. Duarte, C., Pinto-Gouveia, J., & Ferreira, C. (2014). Escaping from body image shame and harsh self-criticism: Exploration of underlying mechanisms of binge eating. Eating Behaviors, 15(4), 638–643. doi: 10.1016/j.eatbeh.2014.08.025.
  24. Duarte, C., Pinto-Gouveia, J., & Ferreira, C. (2015a). Ashamed and fused with body image and eating: Binge eating as an avoidance strategy. Clinical Psychology & Psychotherapy. Advance online publication. doi: 10.1002/cpp.1996.
  25. Duarte, C., Pinto-Gouveia, J., & Ferreira, C. (2015b). Expanding binge eating assessment: Validity and screening value of the binge eating scale in women from the general population. Eating Behaviors, 18, 41–47. doi: 10.1016/j.eatbeh.2015.03.007.CrossRefPubMedGoogle Scholar
  26. Duarte, C., Pinto-Gouveia, J., Ferreira, C., & Batista, D. (2015c). Body image as a source of shame: A new measure for the assessment of the multifaceted nature of body image shame. Clinical Psychology & Psychotherapy, 22(6), 656–666. doi: 10.1002/cpp.1925.
  27. Duarte, C., Pinto-Gouveia, J., & Rodrigues, T. (2015d). Being bullied and feeling ashamed: Implications for eating psychopathology and depression in adolescent girls. Journal of Adolescence. Advance online publication.  doi: 10.1016/j.adolescence.2015.08.005 .
  28. Duarte, C., Ferreira, C., & Pinto-Gouveia, J. (2016). At the core of eating disorders: Overvaluation, social rank, self-criticism and shame in anorexia, bulimia and binge eating disorder. Comprehensive Psychiatry, 66, 123–131. doi: 10.1016/j.comppsych.2016.01.003.CrossRefPubMedGoogle Scholar
  29. Dunkley, D. M., & Grilo, C. M. (2007). Self-criticism, low self-esteem, depressive symptoms, and over-evaluation of shape and weight in binge eating disorder patients. Behaviour Research and Therapy, 45(1), 139–149. doi: 10.1016/j.brat.2006.01.017.CrossRefPubMedGoogle Scholar
  30. Fairburn, C. G., Doll, H. A., Welch, S. L., Hay, P. J., Davies, B. A., & O’Connor, M. E. (1998). Risk factors for binge eating disorder: A community-based, case-control study. Archives of General Psychiatry, 55(5), 425–432. doi: 10.1001/archpsyc.55.5.425.CrossRefPubMedGoogle Scholar
  31. Ferreira, C., Matos, M., Duarte, C., & Pinto-Gouveia, J. (2014). Shame memories and eating psychopathology: The buffering effect of self-compassion. European Eating Disorders Review, 22(6), 487–494. doi: 10.1002/erv.2322.CrossRefPubMedGoogle Scholar
  32. Fitzsimmons-Craft, E. E., Bardone-Cone, A. M., & Kelly, K. A. (2011). Objectified body consciousness in relation to recovery from an eating disorder. Eating Behaviors, 12(4), 302–308.CrossRefPubMedGoogle Scholar
  33. Fredrickson, B. L., & Roberts, T. A. (1997). Objectification theory. Psychology of Women Quarterly, 21(2), 173–206. doi: 10.1111/j.1471-6402.1997.tb00108.x.CrossRefGoogle Scholar
  34. Gatward, N. (2007). Anorexia nervosa: An evolutionary puzzle. European Eating Disorders Review, 15, 1–12. doi: 10.1002/erv.718.CrossRefPubMedGoogle Scholar
  35. Gerhardt, S. (2004). Why love matters. How affection shapes a baby’s brain. London: Bruner-Routledge.Google Scholar
  36. Gilbert, P. (1992). Depression: The evolution of powerlessness. Hove: Guilford/Lawrence Erlbaum Associates.Google Scholar
  37. Gilbert, P. (1997). The evolution of social attractiveness and its role in shame, humiliation, guilt and therapy. British Journal of Medical Psychology, 70(2), 113–147.CrossRefPubMedGoogle Scholar
  38. Gilbert, P. (1998). What is shame? Some core issues and controversies. In P. Gilbert & B. Andrews (Eds.), Shame: Interpersonal behaviour, psychopathology and culture (pp. 3–36). New York: Oxford University Press.Google Scholar
  39. Gilbert, P. (2000). The relationship of shame, social anxiety and depression: The role of the evaluation of social rank. Clinical Psychology & Psychotherapy, 7(2000), 174–189. doi: 10.1002/1099-0879(200007)7:3<174::AID-CPP236>3.0.CO;2-U.CrossRefGoogle Scholar
  40. Gilbert, P. (2002). Body shame: A biopsychosocial conceptualisation and overview with treatment implications. In P. Gilbert & J. Miles (Eds.), Body shame: Conceptualisation, research and treatment (pp. 3–54). New York: Brunner Routledge.Google Scholar
  41. Gilbert, P. (2003). Evolution, social roles and the differences in shame and guilt. Social Research: An International Quarterly, 70, 1205–1230.Google Scholar
  42. Gilbert, P. (2005). Compassion: Conceptualisations, research and use in psychotherapy. New York: Routledge.Google Scholar
  43. Gilbert, P. (2006). Evolved minds and compassion in the therapeutic relationship. In N. P. Gilbert & R. Leahy (Eds.), The therapeutic relationship in the cognitive behavioral psychotherapies (pp. 106–142). Hove: Routledge.Google Scholar
  44. Gilbert, P. (2007). The evolution of shame as a marker for relationship security. In J. Tracy, R. Robins, & J. Tangney (Eds.), The self-conscious emotions: Theory and research (pp. 283–309). New York: Guilford.Google Scholar
  45. Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. In P. Gilbert (Ed.), Compassion: Conceptualisations, research and use in psychotherapy (pp. 263–325). London: Routledge.Google Scholar
  46. Gilbert, P., Price, J., & Allan, S. (1995). Social comparison, social attractiveness and evolution: How might they be related? New Ideas in Psychology, 13(2), 149–165. doi: 10.1016/0732-118X(95)00002-X.CrossRefGoogle Scholar
  47. Gilbert, P., Clarke, M., Hempel, S., Miles, J., & Irons, C. (2004). Criticizing and reassuring oneself: An exploration of forms, styles and reasons in female students. British Journal of Clinical Psychology, 43(1), 31–50. doi: 10.1348/014466504772812959.CrossRefPubMedGoogle Scholar
  48. Goldfield, G. S., Adamo, K. B., Rutherford, J., & Legg, C. (2008). Stress and the relative reinforcing value of food in female binge eaters. Physiology and Behavior, 93(3), 579–587. doi: 10.1016/j.physbeh.2007.10.022.CrossRefPubMedGoogle Scholar
  49. Goldschmidt, A. B., Wall, M. M., Loth, K. A., Bucchianeri, M. M., & Neumark-Sztainer, D. (2014a). The course of binge eating from adolescence to young adulthood. Health Psychology, 33(5), 457–460. doi: 10.1037/a0033508.CrossRefPubMedGoogle Scholar
  50. Goldschmidt, A. B., Wonderlich, S. A., Crosby, R. D., Engel, S. G., Lavender, J. M., Peterson, C. B., ... Mitchell, J. E. (2014b). Ecological momentary assessment of stressful events and negative affect in bulimia nervosa. Journal of Consulting and Clinical Psychology, 82(1), 30–39. doi:  10.1037/a0034974.
  51. Gormally, J., Black, S., Daston, S., & Rardin, D. (1982). The assessment of binge eating severity among obese persons. Addictive Behaviors, 7(1), 47–55. doi: 10.1016/0306-4603(82)90024-7.CrossRefPubMedGoogle Scholar
  52. Goss, K., & Allan, S. (2009). Shame, pride and eating disorders. Clinical Psychology & Psychotherapy, 16, 303–316. doi: 10.1521/ijct.2010.3.2.141.CrossRefGoogle Scholar
  53. Goss, K., & Allan, S. (2010). Compassion focused therapy for eating disorders. International Journal of Cognitive Therapy, 3(2), 141–158. doi: 10.1521/ijct.2010.3.2.141.CrossRefGoogle Scholar
  54. Goss, K., & Gilbert, P. (2002). Eating disorders, shame and pride: A cognitive–behavioural functional analysis. In P. Gilbert & J. Miles (Eds.), Body shame: Conceptualisation,research and treatment (pp. 219–255). New York: Brunner Routledge.Google Scholar
  55. Grogan, S., & Richards, H. (2002). Body image: Focus groups with boys and men. Men and Masculinities, 4, 219–232. doi: 10.1177/1097184X02004003001.CrossRefGoogle Scholar
  56. Haedt-Matt, A., & Keel, P. (2011). Revisiting the affect regulation model of binge eating: A meta-analysis of studies using ecological momentary assessment. Psychological Bulletin, 137(4), 660–681. doi: 10.1037/a0023660.CrossRefPubMedPubMedCentralGoogle Scholar
  57. Heatherton, T., & Baumeister, R. (1991). Binge eating as escape from self-awareness. Psychological Bulletin, 110(1), 86–108. doi: 10.1037/0033-2909.110.1.86.CrossRefPubMedGoogle Scholar
  58. Hu, L. t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. doi: 10.1080/10705519909540118.CrossRefGoogle Scholar
  59. Hudson, J. I., Hiripi, E., Pope Jr., H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 61(3), 348–358. doi: 10.1016/j.biopsych.2006.03.040.CrossRefPubMedGoogle Scholar
  60. Jambekar, S., Masheb, R., & Grilo, C. (2003). Gender differences in shame in patients with binge-eating disorder. Obesity, 11(4), 571–577. doi: 10.1038/oby.2003.80.CrossRefGoogle Scholar
  61. Johnson, W., Rohan, K., & Kirk, A. (2002). Prevalence and correlates of binge eating in white and African American adolescents. Eating Behaviors, 3(2), 179–189. doi: 10.1016/s1471-0153(01)00057-5.CrossRefPubMedGoogle Scholar
  62. Kessler, R., Berglund, P., Chiu, W.-T., Deitz, A., Hudson, J., Shahly, V., ... Xavier, M. (2013). The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biological Psychiatry, 73(9), 904–914. doi: 10.1016/j.biopsych.2012.11.020.
  63. Kilmartin, C. T. (2007). The masculine self (3rd ed.). Cornwall-on-Hudson, New York: Sloan Publishing.Google Scholar
  64. Kinzl, J., Traweger, C., Trefalt, E., Mangweth, B., & Biebl, W. (1999). Binge eating disorder in females: A population-based investigation. International Journal of Eating Disorders, 25(3), 287–292. doi: 10.1002/(sici)1098-108x(199904)25:3<287::aid-eat6>3.0.co;2-8.CrossRefPubMedGoogle Scholar
  65. Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: The Guilford Press.Google Scholar
  66. Lovibond, S., & Lovibond, P. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation.Google Scholar
  67. Marcus, M. D., Wing, R. R., & Lamparski, D. M. (1985). Binge eating and dietary restraint in obese patients. Addictive Behaviors, 10(2), 163–168. doi: 10.1016/0306-4603(85)90022-X.CrossRefPubMedGoogle Scholar
  68. Matos, M., & Pinto-Gouveia, J. (2010). Shame as a traumatic memory. Clinical Psychology & Psychotherapy, 17, 299–312. doi: 10.1002/cpp.659.Google Scholar
  69. Matos, M., Pinto-Gouveia, J., & Gomes, P. (2010). Centralidade das experiências de vergonha: Estudo das propriedades psicométricas da versão Portuguesa da Escala da Centralidade do Acontecimento [Cetrality of shame experiences: Study of the psychometric properties of the Portuguese version of the centrality of event scale]. Psicologia, XXIV, 73–95.Google Scholar
  70. Matos, M., Pinto-Gouveia, J., & Duarte, C. (2012). Above and beyond emotional valence: The unique contribution of central and traumatic shame memories to psychopathology vulnerability. Memory, 20(5), 461–477. doi: 10.1080/09658211.2012.680962.CrossRefPubMedGoogle Scholar
  71. Matos, M., Pinto-Gouveia, J., & Gilbert, P. (2013). The effect of shame and shame memories on paranoia ideation and social anxiety in a general community sample. Clinical Psychology & Psychotherapy, 20(4), 334–349. doi: 10.1002/cpp.1766.CrossRefGoogle Scholar
  72. Matos, M., Ferreira, C., Duarte, C., & Pinto-Gouveia, J. (2015). Eating disorders: When social rank perceptions are shaped by early shame experiences. Psychology and Psychotherapy: Theory, Research and Practice, 88(1), 38–53. doi: 10.1111/papt.12027.CrossRefGoogle Scholar
  73. Maxwell, S. E., & Cole, D. A. (2007). Bias in cross-sectional analyses of longitudinal mediation. Psychological Methods, 12, 23–44. doi: 10.1080/00273171.2011.606716.CrossRefPubMedGoogle Scholar
  74. McCabe, M., & Ricciardelli, L. (2003). Sociocultural influences on body image and body changes among adolescent boys and girls. Journal of Social Psychology, 193, 5–26. doi: 10.1080/00224540309598428.CrossRefGoogle Scholar
  75. McCreary, D., & Sasse, D. (2002). Gender differences in high school students’ dieting behaviour and their correlates. International Journal of Men’s Health, 1, 195–213. doi: 10.3149/jmh.0102.195.CrossRefGoogle Scholar
  76. Meno, C., Hannum, J., Espelage, D., & Low, K. (2008). Familial and individual variables as predictors of dieting concerns and binge eating in college females. Eating Behaviors, 9(1), 91–101. doi: 10.1016/j.eatbeh.2007.06.002.CrossRefPubMedGoogle Scholar
  77. Pais-Ribeiro, J., Honrado, A., & Leal, I. (2004). Contribuição Para o estudo da adaptação Portuguesa das escalas de ansiedade, depressão e stress (EADS) de 21 itens de Lovibond e Lovibond [contribution for the adaptation study of the anxiety depression and stress (DASS) 21-item scales of Lovibond and Lovibond]. Psicologia, Saúde & Doenças, 5(2), 229–239.Google Scholar
  78. Perris, C., & Gilbert, P. (2000). Early experiences and subsequent psychosocial adaptation. Clinical Psychology & Psychotherapy, 7, 243–342. doi: 10.1002/1099-0879(200010)7:4<243::AID-CPP254>3.0.CO;2-H.CrossRefGoogle Scholar
  79. Pila, E., Brunet, J., Crocker, P., Kowalski, K., & Sabiston, C. (2016). Intrapersonal characteristics of body-related guilt, shame, pride and envy in Canadian adults. Body Image, 16, 100–106. doi: 10.1016/j.bodyim.2016.01.001.CrossRefPubMedGoogle Scholar
  80. Pinto-Gouveia, J., & Matos, M. (2011). Can shame memories become a key to identity? The centrality of shame memories predicts psychopathology. Applied Cognitive Psychology, 25, 281–290. doi: 10.1002/acp1689.CrossRefGoogle Scholar
  81. Pinto-Gouveia, J., Castilho, P., Matos, M., & Xavier, A. (2013). Centrality of shame memories and psychopathology: the mediator effect of self-criticism. Clinical Psychology: Science and Practice, 20(3), 323–334. doi: 10.1111/cpsp.12044.Google Scholar
  82. 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. Clinical Psychology & Psychotherapy, 21(2), 154–165. doi: 10.1002/cpp.1820.CrossRefGoogle Scholar
  83. Poínhos, R., Franchini, B., Afonso, C., Correia, F., Teixeira, V. H., Moreira, P., ... Almeida, M. D.V. (2009). Alimentação e estilos de vida da população Portuguesa: Metodologia e resultados preliminares [Alimentation and life styles of the Portuguese population: Methodology and preliminary results]. Alimentação Humana, 15(3), 43–60.Google Scholar
  84. Ribeiro, M., Conceição, E., Vaz, A., & Machado, P. (2014). The prevalence of binge eating disorder in a sample of college students in the north of Portugal. European Eating Disorders Review, 22(3), 185–190. doi: 10.1002/erv.2283.CrossRefPubMedGoogle Scholar
  85. Saules, K. K., Collings, A. S., Hoodin, F., Angelella, N. E., Alschuler, K., Ivezaj, V.,... Wiedemann, A. A. (2009). The contributions of weight problem perception, BMI, gender, mood, and smoking status to binge eating among college students. Eating Behaviors, 10(1), 1–9. doi: 10.1016/j.eatbeh.2008.07.010.
  86. Schore, A. N. (1994). Affect regulation and the origin of the self: The neurobiology of emotional development. Mahwah, NJ: Erlbaum.Google Scholar
  87. Spoor, S., Stice, E., Bekker, M., Van Strien, T., Croon, M., & Van Heck, G. (2006). Relations between dietary restraint, depressive symptoms, and binge eating: A longitudinal study. International Journal of Eating Disorders, 39(8), 700–707. doi: 10.1002/eat.20283
  88. Stice, E., Presnell, K., & Spangler, D. (2002). Risk factors for binge eating onset in adolescent girls: A 2-year prospective investigation. Health Psychology, 21(2), 131–138. doi: 10.1037/0278-6133.21.2.131.CrossRefPubMedGoogle Scholar
  89. Strahan, E. J., Wilson, A. E., Cressman, K. E., & Buote, V. M. (2006). Comparing to perfection: How cultural norms for appearance affect social comparisons and self image. Body Image, 3, 211–227. doi: 10.1016/j.bodyim.2006.07.004.CrossRefPubMedGoogle Scholar
  90. Striegel-Moore, R., Dohm, F., Pike, C., Wilfley, D., & Fairburn, C. (2002). Abuse, bullying, and discrimination as risk factors for binge eating disorder. American Journal of Psychiatry, 159, 1902–1907. doi: 10.1176/appi.ajp.159.11.1902.CrossRefPubMedGoogle Scholar
  91. Striegel-Moore, R. H., Fairburn, C. G., Wilfley, D. E., Pike, K. M., Dohm, F. A., & Kraemer, H. C. (2005). Toward an understanding of risk factors for binge-eating disorder in black and white women: A community-based case-control study. Psychological Medicine, 35(06), 907–917. doi: 10.1017/S0033291704003435.CrossRefPubMedGoogle Scholar
  92. Striegel-Moore, R., Rosselli, F., Perrin, N., DeBar, L., Wilson, G., May, A., … Kraemer H. C. (2009). Gender difference in the prevalence of eating disorder symptoms. International Journal of Eating Disorders, 42(5), 471–474. doi: 10.1002/eat.20625.
  93. Tabachnick, B., & Fidell, L. (2013). Using multivariate statistics (6th ed.). Boston: Pearson.Google Scholar
  94. Tangney, J., & Dearing, R. (2002). Shame and guilt. New York: Guilford.CrossRefGoogle Scholar
  95. Tangney, J. P., Miller, R. S., Flicker, L., & Barlow, D. H. (1996). Are shame, guilt, andembarrassment distinct emotions? Journal of Personality and Social Psychology, 70, 1256–1269. doi: 10.1037/0022-3514.70.6.1256.CrossRefPubMedGoogle Scholar
  96. Webb, J. B., Fiery, M. F., & Jafari, N. (2016). “you better not leave me shaming!”: Conditional indirect effect analyses of anti-fat attitudes, body shame, and fat talk as a function of self-compassion in college women. Body Image, 18, 5–13. doi: 10.1016/j.bodyim.2016.04.009.CrossRefPubMedGoogle Scholar
  97. Yean, C., Benau, E., Dakanalis, A., Hormes, J. M., Perone, J., & Timko, A. (2013). The relationship of sex and sexual orientation to self-esteem, body shape satisfaction, and eating disorder symptomatology. Frontiers in Psychology, 4, 1–11. doi: 10.3389/fpsyg.2013.00887.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Cognitive and Behavioural Centre for Research and Intervention (CINEICC), Faculty of Psychology and Educational SciencesUniversity of CoimbraCoimbraPortugal

Personalised recommendations