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- Title
Insecure attachment and eating disorder symptoms: Intolerance of uncertainty and emotion regulation as mediators.
- Authors
Jin, Ling; Zamudio, Gabriel; Wang, Chiachih DC; Lin, Stacy
- Abstract
Objective: Literature on eating disorder (ED) symptoms of Black, Indigenous, and People of Color (BIPOC) group is extremely scarce. This study aimed to understand the mechanisms underlying the associations between insecure attachment and ED symptoms and examine whether these mechanisms differed between White and BIPOC groups. Method: The study investigated direct and indirect relationship between attachment anxiety/avoidance and ED symptoms via intolerance of uncertainty (IU) and emotion regulation strategies of suppression and reappraisal. Further, we examined whether the proposed mechanisms equally represented White versus BIPOC using Multigroup Structural Equation Model (MG‐SEM). A total of 1227 college students (48.50% BIPOC and 51.50% White) completed research questionnaires. Results: Results showed that IU and suppression mediated the relations between insecure attachment and ED symptoms for both White and BIPOC groups. Uniquely, reappraisal mediated the relations between insecure attachment and ED symptoms for the White group, but not for the BIPOC group. Discussion: The implications of the findings for culturally informed practice are discussed, including targeting increasing tolerability of uncertainties and improving emotion regulation to mitigate ED symptoms for those with insecure attachment. PUBLIC SIGNIFICANCE STATEMENT: This study suggests that intolerance of uncertainty and suppression underlie associations between insecure attachment and eating disorder (ED) symptoms for both White and Black, Indigenous, and People of Color (BIPOC) individuals. Uniquely, reappraisal also plays a critical role in the association between insecure attachment and ED symptoms for White group, but not for BIPOC group. The research highlights culturally informative treatment for ED.
- Subjects
EATING disorders; EMOTION regulation; STRUCTURAL equation modeling; SYMPTOMS; PEOPLE of color
- Publication
Journal of Clinical Psychology, 2024, Vol 80, Issue 7, p1673
- ISSN
0021-9762
- Publication type
Article
- DOI
10.1002/jclp.23685