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The Role of Attachment and Maladaptive Emotion Regulation Strategies in the Development of Bulimic Symptoms in Adolescents

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Abstract

Following the theoretical propositions of the Emotion Regulation model of attachment, the current study investigated whether attachment anxiety and attachment avoidance might play a differential contributing role in the development of bulimic symptoms, through assumed differences in adopting specific maladaptive emotion regulation strategies in a sample of adolescents. Developmentally appropriate self-report questionnaires were administered to a community sample of 397 adolescents (Mean age: 14.02; 62.7% female) and this at 2 time points with a 1-year time lag. Results provided longitudinal evidence for the Emotion Regulation model of attachment in confirming the differential contributing role of the attachment dimensions on the development of bulimic symptoms in a sample of adolescents. More specifically, attachment anxiety seemed to be related to bulimic symptoms through rumination, while attachment avoidance through emotional control. These results may have clinical implications for assessment and treatment of bulimic symptoms in adolescents.

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References

  • Agras, W., Walsh, B., Fairburn, C., Wilson, T., & Kraemer, H. (2000). A multicenter comparison of cognitive-behavioural therapy and interpersonal psychotherapy for bulimia nervosa. Archives of General Psychiatry, 57, 459–466.

    Article  PubMed  Google Scholar 

  • Ainsworth, M. D., & Bell, S. M. (1970). Attachment, exploration, and separation: Illustrated by the behavior of one-year-olds in a strange situation. Child Development, 41, 49–67. doi:10.2307/1127388.

    Article  PubMed  Google Scholar 

  • Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour Research and Therapy, 48, 974–983. doi:10.1016/j.brat.2010.06.002.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator mediator variable distinction in social psychological research - conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.

    Article  PubMed  Google Scholar 

  • Belgian Federal Government. (2014a). Hoger onderwijs 30–34 jarigen. Retrieved from http://statbel.fgov.be/nl/statistieken/cijfers/arbeid_leven/opleiding/niveau/hoger_onderwijs_30-34_jarigen.

  • Belgian Federal Government. (2014b). Vroegtijdige schoolverlaters. Retrieved from http://statbel.fgov.be/nl/statistieken/cijfers/arbeid_leven/opleiding/vroegtijdig.

  • Berking, M., & Wupperman, P. (2012). Emotion regulation and mental health: Recent findings, current challenges, and future directions. Current Opinion in Psychiatry, 25, 128–134. doi:10.1097/YCO.0b013e3283503669.

    Article  PubMed  Google Scholar 

  • Blackburn, S., Johnston, L., Blampied, N., Popp, D., & Kallen, R. (2006). An application of escape theory to binge eating. European Eating Disorders Review, 14, 23–31. doi:10.1002/erv.675.

    Article  Google Scholar 

  • Blechert, J., Goltsche, J. E., Herbert, B. M., & Wilhelm, F. H. (2014). Eat your troubles away: Electrocortical and experiential correlates of food image processing are related to emotional eating style and emotional state. Biological Psychology, 96, 94–101.

    Article  PubMed  Google Scholar 

  • Bohon, C., Stice, E., & Spoor, S. (2009). Female emotional eaters show abnormalities in consummatory and anticipatory food reward: A functional magnetic resonance study. International Journal of Eating Disorders, 42, 210–221. doi:10.1002/eat.20615.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bollen, K. (1989). Structural equation modeling with latent variables. New York: Wiley.

    Google Scholar 

  • Bosmans, G. (2016). Cognitive behaviour therapy for children and adolescents: Can attachment theory contribute to its efficacy? Clinical Child and Family Psychology Review, 19, 310–328.

    Article  PubMed  Google Scholar 

  • Bosmans, G., & Kerns, K. A. (2015). Attachment in middle childhood: Progress and prospects. New Directions for Child and Adolescent Development, 148, 1–14.

    Article  Google Scholar 

  • Bosmans, G., Goossens, L., & Braet, C. (2009). Attachment and weight and shape concerns in inpatient overweight youngsters. Appetite, 53, 454–456. doi:10.1016/j.appet.2009.08.011.

    Article  PubMed  Google Scholar 

  • Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation: Anxiety and anger. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1982). Attachment and loss. Vol. 1. Attachment (2nd ed.). New York: Basic Books (Original ed. 1969).

    Google Scholar 

  • Bowlby, J. (1988). A secure base: Clinical applications of attachment theory. London: Routledge.

    Google Scholar 

  • Bravender, T., Bryant-Waugh, R., Herzog, D., Katzman, D., Kriepe, R. D., Lask, B., & Zucker, N. (2010). Classification of eating disturbance in children and adolescents: Proposed changes for the DSM-V. European Eating Disorder Review, 18, 79–89. doi:10.1002/erv.994.

    Article  Google Scholar 

  • Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult romantic attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46–76). New York: Guilford Press.

    Google Scholar 

  • Brenning, K., Soenens, B., Braet, C., & Bosmans, G. (2011). An adaptation of the experiences in close relationships scale-revised for use with children and adolescents. Journal of Social and Personal Relationships, 28, 1048–1072. doi:10.1177/0265407511402418.

    Article  Google Scholar 

  • Brenning, K., Soenens, B., Braet, C., & Bosmans, G. (2012). Attachment and depressive symptoms in middle childhood and early adolescence: Testing the validity of the emotion regulation model of attachment. Personal Relationships, 19, 445–464. doi:10.1111/j.1475-6811.2011.01372.x.

    Article  Google Scholar 

  • Brumariu, L. E. (2015). Parent–child attachment and emotion regulation. New Directions for Child and Adolescent Development, 148, 31–45.

    Article  Google Scholar 

  • Cassidy, J. (1994). Emotion regulation: Influences of attachment relationships. Monographs of the Society for Research in Child Development, 59, 228–249.

    Article  PubMed  Google Scholar 

  • Cooper, M. L., Shaver, P. R., & Collins, N. L. (1998). Attachment styles, emotion regulation, and adjustment in adolescence. Journal of Personality and Social Psychology, 74, 1380–1397.

    Article  PubMed  Google Scholar 

  • Cracco, E., Van Durme, K., & Braet, C. (2015). Validation of the FEEL-KJ: An instrument to measure emotion regulation strategies in children and adolescents. PloS One, 10. doi:10.1371/journal.pone.0137080.

  • Crowell, J. A. (2003). Assessment of attachment security in a clinical setting: Observations of parents and children. Journal of Developmental and Behavioural Pediatrics, 24, 199–204. doi:10.1097/00004703-200306000-00012.

    Article  Google Scholar 

  • Diamond, G. S., Diamond, G. M., & Levy, S. A. (2014). Attachment based family therapy for depressed adolescents. Washington D.C: American Psychological Association.

    Book  Google Scholar 

  • Drieskens, S. (2013). Voedingsstatus. Retrieved from https://his.wiv-isp.be/nl/Gedeelde%20%20documenten/NS_NL_2013.pdf.

  • Dujardin, A., Santens, T., Braet, C., De Raedt, R., Vos, P., Maes, B., & Bosmans, G. (2016). Middle childhood support-seeking behavior during stress: Links with self-reported attachment and future depressive symptoms. Child Development, 87, 326–340. doi:10.1111/cdev.12491.

    Article  PubMed  Google Scholar 

  • Eftekhari, A., Zoellner, L., & Vigil, S. (2009). Patterns of emotion regulation and psychopathology. Anxiety, Stress, and Coping, 22, 571–586. doi:10.1080/10615800802179860.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. New York: Guilford Press.

    Google Scholar 

  • Fairburn, C., Cooper, Z., & Shafran, R. (2003). Cognitive behavior therapy for eating disorders: A “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41, 509–528.

    Article  PubMed  Google Scholar 

  • Field, A. E., Camargo, C. A., Taylor, C. B., Berkey, C. S., Frazier, A. L., Gillman, M. W., & Colditz, G. A. (1999). Overweight, weight concerns, and bulimic behaviors among girls and boys. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 754–760. doi:10.1097/00004583-199906000-00024.

    Article  PubMed  Google Scholar 

  • Field, A. E., Austin, S. B., Taylor, C. B., Malspeis, S., Rosner, B., Rockett, H. R., et al. (2003). Relation between dieting and weight change among preadolescents and adolescents. Pediatrics, 112, 900–906.

    Article  PubMed  Google Scholar 

  • Fredriks, A. M., van Buuren, S., Wit, J. M., & Verloove-Vanhorick, S. P. (2000). Body index measurements in 1996-7 compared with 1980. Archives of Disease in Childhood, 82, 107–112. doi:10.1136/adc.82.2.107.

    Article  PubMed  PubMed Central  Google Scholar 

  • Garnefski, N., Rieffe, C., Jellesma, F., Terwogt, M. M., & Kraaij, V. (2007). Cognitive emotion regulation strategies and emotional problems in 9-11-year old children: The development of an instrument. European Child and Adolescent Psychiatry, 16, 1–9. doi:10.1007/s00787-006-0562-3.

    Article  PubMed  Google Scholar 

  • Garner, D. M. (1991). Eating disorder inventory manual. Odessa: Psychological Assessment Resources, Inc..

    Google Scholar 

  • Garner, D. M., Olmstead, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2, 15–34. doi:10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6.

    Article  Google Scholar 

  • Goldschmidt, A. B., Aspen, V. P., Sinton, M. M., Tanofsky-Kraff, M., & Wilfley, D. E. (2008). Disordered eating attitudes and behaviors in overweight youth. Obesity, 16, 257–264. doi:10.1038/oby.2007.48.

    Article  PubMed  Google Scholar 

  • Goossens, L., Soenens, B., & Braet, C. (2009). Prevalence and characteristics of binge eating in an adolescent community sample. Journal of Clinical Child & Adolescent Psychology, 38, 342–353. doi:10.1080/15374410902851697.

    Article  Google Scholar 

  • Goossens, L., Braet, C., Van Durme, K., Decaluwé, V., & Bosmans, G. (2012). The parent–child relationship as predictor of eating pathology and weight gain in preadolescents. Journal of Clinical Child & Adolescent Psychology, 41, 445–457. doi:10.1080/15374416.2012.660690.

    Article  Google Scholar 

  • Grob, A., & Smolenski, C. (2005). Fragebogen zur Erhebung der Emotionsregulation bei Kindern und Jugendlichen (FEEL-KJ). Bern: Huber Verlag.

    Google Scholar 

  • 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, 660–681. doi:10.1037/a0023660.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hanson, M. D., & Chen, E. (2007). Socioeconomic status and health behaviors in adolescence: A review of the literature. Journal of Behavioral Medicine, 30, 263–285.

    Article  PubMed  Google Scholar 

  • Hayes, A. F., & Preacher, K. J. (Producer). (2011). Mediate macro. Retrieved from http://www.afhayes.com/spss-sas-and-mplus-macros-and-code.html.

  • Heatherton, T. F., & Baumeister, R. F. (1991). Binge eating as escape from self-awareness. Psychological Bulletin, 110, 86.

    Article  PubMed  Google Scholar 

  • Hollingshead, A. A. (1975). Four-factor index of social status. Unpublished Manuscript. Yale University. New Haven, CT.

  • Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65, 599–610. doi:10.1037/0022-006x.65.4.599.

    Article  PubMed  Google Scholar 

  • Inchley, J., Currie, D., Young, T., Oddrun, S., Torsheim, T., Augustson, L., … Barnekow, V. (2016). Growing up unequal: Gender and socioeconomic differences in young people's health and well-being. Health Behaviour in School-aged Children (HBSC) study: International report from the 2013/2014 survey. Health policy for children and adolescents (7). Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0003/303438/HSBC-No.7-Growing-up-unequal-Full-Report.pdf.

  • Jewell, T., Collyer, H., Gardner, T., Tchanturia, K., Simic, M., Fonagy, P., & Eisler, I. (2016). Attachment and mentalization and their association with child and adolescent eating pathology: A systematic review. International Journal of Eating Disorders, 49, 354–373. doi:10.1002/eat.22473.

    Article  PubMed  Google Scholar 

  • Kjelsås, E., Bjørnstrøm, C., & Götestam, K. G. (2004). Prevalence of eating disorders in female and male adolescents (14–15 years). Eating Behaviors, 5, 13–25. doi:10.1016/S1471-0153(03)00057-6.

    Article  PubMed  Google Scholar 

  • Klein, D. A., & Walsh, B. T. (2003). Eating disorders. International Review of Psychiatry, 15, 205–216. doi:10.1080/0954026031000136839.

    Article  PubMed  Google Scholar 

  • Kotler, L. A., Cohen, P., Davies, M., Pine, D. S., & Walsh, B. T. (2001). Longitudinal relationships between childhood, adolescent, and adult eating disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1434–1440. doi:10.1097/00004583-200112000-00014.

    Article  PubMed  Google Scholar 

  • Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83, 1198–1202. doi:10.2307/2290157.

    Article  Google Scholar 

  • MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83–104. doi:10.1037//1082-989x.7.1.83.

    Article  PubMed  PubMed Central  Google Scholar 

  • Madigan, S., Brumariu, L., Villani, V., Atkinson, L., & Lyons-Ruth, K. (2016). Representational and self-report measures of attachment after infancy: A meta-analysis of relations to child internalizing and externalizing problems. Psychological Bulletin, 142, 367–399.

    Article  PubMed  Google Scholar 

  • Matton, A., Goossens, L., Braet, C., & Van Durme, K. (2013). Continuity in primary school children's eating problems and influence of parental feeding strategies? Youth and Adolescence, 42, 52–66. doi:10.1007/s10964-012-9794-3.

    Article  Google Scholar 

  • Mikulincer, M. (1998). Adult attachment style and individual differences in functional vs. Dysfunctional Experiences of Anger. Journal of Personality and Social Psychology, 74, 513–524.

    Article  PubMed  Google Scholar 

  • Mikulincer, M., & Shaver, P. R. (2003). The attachment behavioral system in adulthood: Activation, psychodynamics, and interpersonal processes. In M. P. Zanna (Ed.), Advances in experimental social psychology (pp. 53–152). New York: Academic Press.

    Google Scholar 

  • Mikulincer, M., & Shaver, P. R. (2007a). Attachment patterns in adulthood: Structure, dynamics, and change. New York: Guilford Press.

    Google Scholar 

  • Mikulincer, M., & Shaver, P. R. (2007b). Boosting attachment security to promote mental health, prosocial values, and intergroup tolerance. Psychological Inquiry, 18, 139–156.

    Article  Google Scholar 

  • Mikulincer, M., Shaver, P. R., & Pereg, D. (2003). Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. Motivation and Emotion, 27, 77–102.

    Article  Google Scholar 

  • Neumark-Sztainer, D., Wall, M., Guo, J., Story, M., Haines, J., & Eisenberg, M. (2006). Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: How do dieters fare 5 years later? Journal of the American Dietetic Association, 106, 559–568. doi:10.1016/j.jada.2006.01.003.

    Article  PubMed  Google Scholar 

  • Pace, U., Cacioppo, M., & Schimmenti, A. (2012). The moderating role of Father's care on the onset of binge eating symptoms among female late adolescents with insecure attachment. Child Psychiatry & Human Development, 43, 282–292. doi:10.1007/s10578-011-0269-7.

    Article  Google Scholar 

  • Peebles, R., Wilson, J. L., & Lock, J. D. (2006). How do children with eating disorders differ from adolescents with eating disorders at initial evaluation? Journal of Adolescent Health, 39, 800–805. doi:10.1016/j.jadohealth.2006.05.013.

    Article  PubMed  Google Scholar 

  • Polivy, J., & Herman, C. P. (2002). Causes of eating disorders. Annual Review of Psychology, 53, 187–213. doi:10.1146/annurev.psych.53.100901.135103.

    Article  PubMed  Google Scholar 

  • Preacher, K., & Hayes, A. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. doi:10.3758/BRM.40.3.879.

    Article  PubMed  Google Scholar 

  • Richardson, J. T. (2011). Eta squared and partial eta squared as measurements of effect size in educational research. Educational Research Review, 6, 135–147.

    Article  Google Scholar 

  • Rieger, E., Van Buren, D. J., Bishop, M., Tanofsky-Kraff, M., Welch, R., & Wilfley, D. E. (2010). An eating disorder-specific model of interpersonal psychotherapy (IPT-ED): Causal pathways and treatment implications. Clinical Psychology Review, 30, 400–410. doi:10.1016/j.cpr.2010.02.001.

    Article  PubMed  Google Scholar 

  • Rudolph, K. (2002). Gender differences in emotional responses to interpersonal stress during adolescence. Journal of Adolescent Health, 30, 3–13.

    Article  PubMed  Google Scholar 

  • Schafer, J. L. (1997). Analysis of incomplete multivariate data. London: Chapman & Hall.

    Book  Google Scholar 

  • Shanmugam, V., Jowett, S., & Meyer, C. (2012). Eating psychopathology amongst athletes: Links to current attachment styles. Eating Behaviors, 13, 5–12. doi:10.1016/j.eatbeh.2011.09.004.

    Article  PubMed  Google Scholar 

  • Sharpe, T. M., Killen, J. D., Bryson, S. W., Shisslak, C. M., Estes, L. S., Gray, N., et al. (1998). Attachment style and weight concerns in preadolescent and adolescent girls. International Journal of Eating Disorders, 23, 39–44. doi:10.1002/(sici)1098-108x(199801)23:1<39::aid-eat5>3.0.co;2-2.

    Article  PubMed  Google Scholar 

  • Shaver, P. R., & Mikulincer, M. (2002). Attachment-related psychodynamics. Attachment and Human Development, 4, 133–161.

    Article  PubMed  Google Scholar 

  • Slane, J. D., Klump, K. L., McGue, M., & Iacono, W. G. (2014). Developmental trajectories of disordered eating from early adolescence to young adulthood: A longitudinal study. International Journal of Eating Disorders, 47, 793–801. doi:10.1002/eat.22329.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tanofsky-Kraff, M., Wilfley, D. E., Young, J. F., Mufson, L., Yanovski, S. Z., Glasofer, D. R., & Salaita, C. G. (2007). Targeting binge eating for the prevention of excessive weight gain: Interpersonal psychotherapy for adolescents at high-risk for adult obesity. Obesity, 15, 1345–1355.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tanofsky-Kraff, M., Shomaker, L., Wilfley, D., Young, J., Sbrocco, T., Stephens, M., et al. (2014). Targeted prevention of excess weight gain and eating disorders in high-risk adolescent girls: A randomized controlled trial. American Journal of Clinical Nutrition, 100, 1010–1018.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tasca, G. A., Taylor, D., Bissada, H., Ritchie, K., & Balfour, L. (2004). Attachment predicts treatment completion in an eating disorders partial hospital program among women with anorexia nervosa. Journal of Personality Assessment, 83, 201–212.

    Article  PubMed  Google Scholar 

  • Tasca, G. A., Balfour, L., Ritchie, K., & Bissada, H. (2007). The relationship between attachment scales and group therapy alliance growth differs by treatment type for women with binge eating disorder. Group Dynamics: Theory, Research and Practice, 11, 1–14.

    Article  Google Scholar 

  • Tasca, G. A., Szadkowski, L., Illing, V., Trinneer, A., Grenon, R., Demidenko, N., & Bissada, H. (2009). Adult attachment, depression, and eating disorder symptoms: The mediating role of affect regulation strategies. Personality and Individual Differences, 47, 662–667. doi:10.1016/j.paid.2009.06.006.

    Article  Google Scholar 

  • Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27, 247–259.

    Article  Google Scholar 

  • Van Durme, K., Braet, C., & Goossens, L. (2015). Insecure attachment and eating pathology in early adolescence: Role of emotion regulation. The Journal of Early Adolescence, 35, 54–78. doi:10.1177/0272431614523130.

    Article  Google Scholar 

  • Van Mil, E., & Van Winckel, M. (2001). Wanneer is dik te dik? In C. Braet & M. Van Winckel (Eds.), Behandelstrategieën bij kinderen met overgewicht. Houten/Diegem: Bohn Stafleu Van Lochum.

    Google Scholar 

  • Van Strien, T. (2002). Eating Disorder Inventory II. Nederlandse versie (EDI-II NL). Handleiding. Amsterdam: Harcourt Testuitgevers.

    Google Scholar 

  • Waaddegaard, M., Thoning, H., & Petersson, B. (2003). Validation of a screening instrument for identifying risk behaviour related to eating disorders. European Eating Disorders Review, 11, 433–455. doi:10.1002/erv.537.

    Article  Google Scholar 

  • Wagner, I., Diamond, G., Levy, S., Russon, J., & Litster, R. (2016). Attachment-based family therapy as an adjunct to family-based treatment for adolescent anorexia nervosa. Australian & New Zealand Journal of Family Therapy, 37, 207–227. doi:10.1002/anzf.1152.

    Article  Google Scholar 

  • Ward, A., Ramsay, R., & Treasure, J. (2000a). Attachment research in eating disorders. British Journal of Medical Psychology, 73, 35–51. doi:10.1348/000711200160282.

    Article  PubMed  Google Scholar 

  • Ward, A., Ramsay, R., Turnbull, S., Benedettini, M., & Treasure, J. (2000b). Attachment patterns in eating disorders: Past in the present. International Journal of Eating Disorders, 28, 370–376. doi:10.1002/1098-108x(200012)28:4<370::aid-eat4>3.0.co;2-p.

    Article  PubMed  Google Scholar 

  • Wei, M. F., Vogel, D. L., Ku, T. Y., & Zakalik, R. A. (2005). Adult attachment, affect regulation, negative mood, and interpersonal problems: The mediating roles of emotional reactivity and emotional cutoff. Journal of Counseling Psychology, 52, 14–24. doi:10.1037/0022-0167-52.1.14.

    Article  Google Scholar 

  • Wilfley, D., Pike, K., & Striegel-Moore, R. (1997). Toward an integrated model of risk for binge eating disorder. Journal of Gender, Culture, and Health, 2, 1–31.

  • Zachrisson, H. D., & Skarderud, F. (2010). Feelings of insecurity: Review of attachment and eating disorders. European Eating Disorders Review, 18, 97–106. doi:10.1002/erv.999.

    Article  PubMed  Google Scholar 

  • Zhao, X. S., Lynch, J. G., & Chen, Q. M. (2010). Reconsidering baron and Kenny: Myths and truths about mediation analysis. Journal of Consumer Research, 37, 197–206. doi:10.1086/651257.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Social Work, Artevelde University College, Sint-Annaplein 31, 9000, Ghent, Belgium

    Kim Van Durme

  2. Department of Developmental, Personality and Social Psychology, Ghent University, Henri Dunantlaan 2, Ghent, Belgium

    Lien Goossens & Caroline Braet

  3. Department of Parenting and Special Education, Leuven University, Leopold Vanderkelenstraat, 32, Leuven, Belgium

    Guy Bosmans

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  1. Kim Van Durme
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  4. Caroline Braet
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Correspondence to Lien Goossens.

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This study was funded by the Special Research Funds of Ghent University (grant number B/11527).

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Kim Van Durme, Lien Goossens and Guy Bosmans declare that they have no conflict of interest. Caroline Braet translated the FEEL-KJ to a validated Dutch version and received royalties for this.

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All procedures performed in studies involving human participants 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.

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Van Durme, K., Goossens, L., Bosmans, G. et al. The Role of Attachment and Maladaptive Emotion Regulation Strategies in the Development of Bulimic Symptoms in Adolescents. J Abnorm Child Psychol 46, 881–893 (2018). https://doi.org/10.1007/s10802-017-0334-1

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