Abstract

The aim of the study was to measure whether people at increased risk for eating disorders (EDs) and people without an increased risk of EDs differ from each other in the assessment of family functioning (FF) and self-esteem (SE) dimensions. Moreover, the correlations between FF, EDs, and SE were verified, looking for the mediating role of SE in the context of the FF and EDs. The research was conducted on the group of 160 people aged from 18 to 47 years, including 74 people at increased risk for EDs. We used: The Family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve); The SCOFF Questionnaire; The Multidimensional Self-Esteem Inventory, MSEI. Analyses indicate that the compared groups differ significantly in terms of EDs, assessment of FF, and all components of SE, in such a way that people without an increased risk of EDs are characterized by a more positive assessment of FF and higher SE in all its dimensions. All SE dimensions, except defensive high SE, are mediators in the relationship of FF with EDs. In therapeutic interactions, it is worth focusing on the SE dimensions, as they are one of the mediation elements in the relationship between the assessment of FF and EDs.

Highlights

  • Eating disorders (EDs) are a group of disorders marked by abnormal eating attitudes which lead to significant disturbances in maintenance of healthy body weight (Le Grange et al, 2014; Rzonca et al, 2016), as well as serious and potentially long-lasting health problems, including death (O’Brien et al, 2017; Sadeh-Sharvit et al, 2018)

  • According to the research aims, the first step was to check whether persons with an increased risk for eating disorders (EDs) and low-risk individuals show any differences in terms of the assessment of family functioning (FF) and all dimensions of self-esteem

  • The results show that age and working/studying were not significant covariates [F(1, 159) = 1.769; p = 0.186; partial eta squared = 0.012 for age; F(1, 159) = 2.344; p = 0.128; partial eta squared = 0.016 for working/studying]

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Summary

Introduction

Eating disorders (EDs) are a group of disorders marked by abnormal eating attitudes which lead to significant disturbances in maintenance of healthy body weight (Le Grange et al, 2014; Rzonca et al, 2016), as well as serious and potentially long-lasting health problems, including death (O’Brien et al, 2017; Sadeh-Sharvit et al, 2018). ED patients display instability of symptoms, switching from significant weight loss in adolescence to binging, and ceasing the purging behaviors in adulthood (Lavender et al, 2011). The category of EDs includes both specific disorders such as anorexia (anorexia nervosa), bulimia (bulimia nervosa) and non-specific disorders (e.g., binge eating disorder or night eating syndrome) (Geliebter, 2002; Allison et al, 2005; Mitchison and Hay, 2014).

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