Article

Self-criticism, low self-esteem, depressive symptoms, and over-evaluation of shape and weight in binge eating disorder patients

Department of Psychiatry, Institute of Community and Family Psychiatry, S.M.B.D. Jewish General Hospital, 4333 Côte Ste-Catherine Road, Montreal, Que., Canada H3T 1E4.
Behaviour Research and Therapy (Impact Factor: 3.85). 02/2007; 45(1):139-49. DOI: 10.1016/j.brat.2006.01.017
Source: PubMed

ABSTRACT Despite the fact that negative self-evaluations are widely considered to be prominent in eating disorders, the role of self-criticism has received little empirical attention. The vast majority of research on the construct of self-criticism has focused on its role as a specific personality vulnerability factor in depression-related phenomena. In this study of 236 patients with binge eating disorder, confirmatory factor analysis supported self-criticism, self-esteem, depressive symptoms, and over-evaluation of shape and weight as distinct, albeit related, constructs. Structural equation modeling demonstrated that the relation between self-criticism and over-evaluation of shape and weight was partly mediated or explained by low self-esteem and depressive symptoms. Continued efforts to understand the role of self-criticism in eating disorders appear warranted.

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Available from: David Dunkley, Jul 16, 2014
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    • "Negative self-evaluation and self-criticism are widely known to be key factors in depression-related symptoms. However, little research has focused on self-criticism and the relationship with critical inner voices (Dunkley & Grilo, 2007). Individuals with high self-criticism perceive negative outcomes solely as the result of their own deficits (Beck, 1976). "
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    ABSTRACT: Hilde Bruch (1978) was one of the first to describe the phenomenon of anorectic patients experiencing a critical inner voice. Although several qualitative studies regarding eating disorder patients report this experience, few quantitative studies have been conducted in which hearing voices was examined in eating disorder patients. This motivated us to investigate whether eating disorder patients (N = 74) experience critical inner voices significantly more often than a healthy control group (N = 58). Is voice hearing related to the severity of the eating disorder and to low self-esteem and high self-criticism? These questions will be addressed in this article.
    Eating disorders 03/2014; DOI:10.1080/10640266.2014.898983
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    • "Borderline traits are well-reported in adult patients with EDs, particularly those with bingepurge symptoms (Kleifield et al., 1994; Lilenfeld et al., 2000; Steiger & Seguin, 1999; Wonderlich, 2002). Selfdemeaning tendencies accord with long-standing theories and conceptualisations of EDs that note self-criticism and low self-esteem (Dunkley & Grilo, 2007; Fairburn et al., 2003). The cross-sectional design precludes causal inference about an aetiological association between personality and EDs. "
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    ABSTRACT: Background Among adults, personality traits have been implicated in the development and maintenance of eating disorders (EDs); whether these findings extend to youth is unknown. The aim of this study was to investigate personality traits of adolescents with EDs. MethodsA case-control approach was performed by comparing a clinical group of female adolescents with EDs (n = 23) to a control group of adolescents in the general community (n = 26) on personality traits of inhibited, self-demeaning, and borderline tendency. Controls were frequency-matched to cases on age and sex, were drawn from a similar geographic catchment area, and observed in the same year as clinical cases. ResultsThe clinical group demonstrated significantly higher scores on self-demeaning (F(1,47) = 41.39, p < .001, η2 = .075), borderline (F(1,47) = 24.50, p < .001, η2 = .093), and inhibited (F(1,47) = 13.33, p = .001, η2 = .014) personality styles. Adjustment for affective symptomatology diminished the strength of these relationships, but personality pathology still demarcated the group with clinical EDs. Conclusions The well-established link between personality pathology and EDs in adults generalised to adolescents.
    Clinical Psychologist 11/2013; 17(3). DOI:10.1111/cp.12012 · 0.43 Impact Factor
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    • "Aggregating situational reports has been argued by several authors to be a more ecologically valid method for assessing traits than retrospective summary questionnaires that are more subject to recall biases and distortions (see Bolger et al., 2003; Epstein, 1979; Moskowitz, 1986). SC perfectionism was strongly related (r = -.66) to aggregated daily lower self-esteem (see Table 1), which is remarkably close to the range of relations (rs between -.62 and -.67) between SC perfectionism variables and retrospective dispositional measures of self-esteem reported in previous studies (e.g., Blankstein et al., 2008; Dunkley & Grilo, 2007; Rice et al., 1998). Similarly, SC perfectionism was moderately to strongly related to aggregated daily fear of closeness (r = .55), "
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    ABSTRACT: This study of university students (64 men, 99 women) examined the role of self-critical (SC) and personal standards (PS) higher order dimensions of perfectionism in daily self-esteem, attachment, and negative affect. Participants completed questionnaires at the end of the day for 7 consecutive days. Trait and situational influences were found in the daily reports of self-esteem, attachment, and affect. In contrast to PS perfectionism, SC perfectionism was strongly related to aggregated daily reports of low self-esteem, attachment fears (fear of closeness, fear of dependency, fear of loss), and negative affect as well as instability indexes of daily self-esteem, attachment, and negative affect. Multilevel modeling indicated that both SC and PS perfectionists were emotionally reactive to decreases in self-esteem, whereas only SC perfectionists were emotionally reactive to increases in fear of closeness with others. These results demonstrate the dispositional and moderating influences of perfectionism dimensions on daily self-esteem, attachment, and negative affect.
    Journal of Personality 07/2011; 80(3):633-63. DOI:10.1111/j.1467-6494.2011.00741.x · 2.44 Impact Factor
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