Abstract
This study examined the relationships among self-esteem, weight-based self-evaluation (WBSE), and body dissatisfaction in eating disorders. According to the cognitive conceptualization of weight-based self-evaluation, global self-esteem is lowered based on negative evaluations of weight/shape through the mechanism of the WBSE schema. A series of linear regression analyses were conducted with self-esteem, WBSE and body dissatisfaction in order to test for mediation. Body dissatisfaction significantly predicted WBSE, and WBSE significantly predicted global self-esteem after controlling for body dissatisfaction. The coefficient associated with the relation between body dissatisfaction and self-esteem was significant. It was significantly reduced but remained significant after controlling for WBSE. These data are compatible with the view that WBSE partially mediates the relationship between body dissatisfaction and self-esteem across eating disorders, and support the cognitive conceptualization of WBSE in eating disorders.
Notes
Sobel’s (1982) test was used to determine the significance of mediation.
References
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders, (4th ed., Text Revision). Washington, DC: American Psychiatric Association.
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.
Brownell, K. D., & Wadden, T. A. (1992). Etiology and treatment of obesity: Understanding a serious, prevalent, and refractory disorder. Journal of Consulting and Clinical Psychology, 60, 505–517.
Carter, J. C., Blackmore, E., Sutandar-Pinnock, K., & Woodside, D. B. (2004). Relapse in anorexia nervosa: A survival analysis. Psychological Medicine, 34, 671–679.
Cooper, Z., & Fairburn, C. G. (1987). The eating disorder examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders. International Journal of Eating Disorders, 6, 1–8.
Cooper, P. J., & Fairburn, C. G. (1993). Confusion over the core psychopathology of bulimia nervosa. International Journal of Eating Disorders, 13, 385–389.
Cooper, Z., Cooper, P. J., & Fairburn, C. G. (1989). The validity of the eating disorder examination and its subscales. British Journal of Psychiatry, 154, 807–812.
Fairburn, C. G., Marcus, M. D., & Wilson, G. T. (1993a). Cognitive-behavioral therapy for binge eating and bulimia nervosa: A comprehensive treatment manual. In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment and treatment (pp. 361–404). New York: Guilford Press.
Fairburn, C. G., Peveler, R. C., Jones, R., Hope, R. A., & Doll, H. A. (1993b). Predictors of 12-month outcome in bulimia nervosa and the influence of attitudes to shape and weight. Journal of Consulting and Clinical Psychology, 6, 696–698.
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 4, 509–528.
Garner, D. M., & Olmsted, M. P. (1984). The eating disorder inventory manual. Odessa, FL: Psychological Assessment Resources.
Gross, J., Rosen, J. C., Leitenberg, H., & Willmuth, M. E. (1986). Validity of the eating attitudes test and the eating disorders inventory in bulimia nervosa. Journal of Consulting and Clinical Psychology, 54, 875–876.
Klemchuck, H. P., Hutchinson, C. B., & Frank, R. I. (1990). Body dissatisfaction and eating-related problems on the college campus: Usefulness of the eating disorder inventory with a nonclinical population. Journal of Counseling Psychology, 37, 297–305.
Markus, H. (1977). Self-schemata and processing information about the self. Journal of Personality and Social Psychology, 35, 63–78.
McFarlane, T., Olmsted, M. P., & Trottier, K. (2008). Timing and prediction of relapse in a transdiagnostic eating disorder sample. International Journal of Eating Disorders, 41, 587–593.
Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2006). Recurrent binge eating with and without the “undue influence of weight or shape on self-evaluation”: Implications for the diagnosis of binge eating disorder. Behaviour Research and Therapy, 45, 929–938.
Rosenberg, M. (1979). Conceiving the self. New York, NY: Basic Books.
Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology 1982 (pp. 290–312). San Francisco: Jossey-Bass.
Trottier, K., McFarlane, T., Olmsted, M., & McCabe, R. (Submitted). The weight influenced self-esteem questionnaire (WISE-Q): Factor structure and psychometric properties.
Wear, R. W., & Pratz, O. (1987). Test-retest reliability for the eating disorder inventory. International Journal of Eating Disorders, 6, 767–769.
Wilson, G. T. (1999). Cognitive behavior therapy for eating disorders: Progress and problems. Behaviour Research and Therapy, 37, S79–S95.
Wylie, Ruth. C. (1989). Measures of self-concept. Lincoln, NE: University of Nebraska Press.
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Trottier, K., McFarlane, T. & Olmsted, M.P. A Test of the Weight-Based Self-Evaluation Schema in Eating Disorders: Understanding the Link between Self-Esteem, Weight-Based Self-Evaluation, and Body Dissatisfaction. Cogn Ther Res 37, 122–126 (2013). https://doi.org/10.1007/s10608-012-9446-7
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DOI: https://doi.org/10.1007/s10608-012-9446-7