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Emotional non‐acceptance mediates the relationship between insecure attachment and specific psychopathology in women with eating disorders

Published online by Cambridge University Press:  27 August 2024

S. Donato ,
N. Attianese ,
M. Battipaglia ,
R. Ceres ,
R. Cerra ,
A. M. Monteleone ,
P. Monteleone  and
G. Cascino
S. Donato*
Affiliation:
1University of Campania “L.Vanvitelli”, Naples
N. Attianese
Affiliation:
1University of Campania “L.Vanvitelli”, Naples
M. Battipaglia
Affiliation:
1University of Campania “L.Vanvitelli”, Naples
R. Ceres
Affiliation:
1University of Campania “L.Vanvitelli”, Naples
R. Cerra
Affiliation:
1University of Campania “L.Vanvitelli”, Naples
A. M. Monteleone
Affiliation:
1University of Campania “L.Vanvitelli”, Naples
P. Monteleone
Affiliation:
2Universiy of Salerno, Salerno, Italy
G. Cascino
Affiliation:
2Universiy of Salerno, Salerno, Italy
*
*Corresponding author.

Abstract

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Introduction

Insecure attachment is considered a general risk factor for eating disorders (ED). Emotion dysregulation has been proposed as one of the possible mechanisms by which attachment insecurity may affect ED psychopathology.

Objectives

Aim of the present study was to investigate whether difficulties in acceptance of emotions or emotional clarity may mediate the connection between insecure attachment and ED psychopathology.

Methods

One hundred and twenty patients participated and completed the Italian version of Eating Disorder Inventory‐2 (EDI-2), Experience in Close Relationship questionnaire (ECR) and Difficulties in Emotion Regulation Scale (DERS). A mediator path model was performed, in which insecure attachment dimensions were set as independent variables, ED specific psychopathology measures as dependent variables, and non‐acceptance of emotion and lack of emotional clarity as mediators.

Results

The association between both attachment avoidance and anxiety and ED specific symptoms was mediated by emotional non‐acceptance, but not by emotional clarity.

Conclusions

This study showed the importance to address emotion regulation in individuals with ED, focussing on improving emotional acceptance. Exploring early developmental processes which lead to non‐acceptance of emotions could improve this psychological trait in people with ED.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S558
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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