Mediating Social Anxiety and Disordered Eating: The Role of Expressive Suppression

Social anxiety and disordered eating frequently overlap, and evidence suggests that emotional suppression may be an important mediating factor. The present study examines the relationships among social anxiety, emotional suppression, and disordered eating in a non-clinical sample of 160 undergraduate women. Participants completed self-report measures for social anxiety, disordered eating, expressive suppression, depression, and negative affect. Results from mediation analyses indicate that the relationship between social anxiety and disordered eating is fully mediated by expressive suppression. Findings are consistent with a displacement theory in which unexpressed negative affect is shifted towards the body, thereby promoting symptoms of disordered eating.

[1]  M. Flament,et al.  Comorbidity between eating disorders and anxiety disorders: a review. , 2002, The International journal of eating disorders.

[2]  P. Sullivan,et al.  Temperament in eating disorders. , 1995, The International journal of eating disorders.

[3]  O. John,et al.  Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. , 2003, Journal of personality and social psychology.

[4]  C. Meyer,et al.  Anger and core beliefs in the eating disorders. , 2003, The International journal of eating disorders.

[5]  S. West,et al.  A comparison of methods to test mediation and other intervening variable effects. , 2002, Psychological methods.

[6]  J. Geller,et al.  Silencing the self and suppressed anger: relationship to eating disorder symptoms in adolescent females , 2002 .

[7]  C. Gilligan Teaching Shakespeare's sister: Notes from the underground of female adolescence , 1990 .

[8]  R. Lane,et al.  Emotional Awareness Deficits in Inpatients of a Psychosomatic Ward: A Comparison of Two Different Measures of Alexithymia , 2005, Psychosomatic medicine.

[9]  M. Olfson,et al.  Barriers to the treatment of social anxiety. , 2000, The American journal of psychiatry.

[10]  D. Mackinnon,et al.  A Simulation Study of Mediated Effect Measures. , 1995, Multivariate behavioral research.

[11]  R. Kessler,et al.  Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. , 1994, Archives of general psychiatry.

[12]  Debra A. Hope,et al.  Assessment of anxiety in social interaction and being observed by others: The social interaction anxiety scale and the Social Phobia Scale , 1992 .

[13]  M. Liebowitz,et al.  Anger experience and expression in social anxiety disorder: Pretreatment profile and predictors of attrition and response to cognitive-behavioral treatment , 2003 .

[14]  K. Halmi,et al.  Comorbidity of psychiatric diagnoses in anorexia nervosa. , 1991, Archives of general psychiatry.

[15]  C. D. Thomas,et al.  Externalized Self-Perceptions, Self-Silencing, and the Prediction of Eating Pathology , 2003 .

[16]  J L Fear,et al.  Eating disorders and antecedent anxiety disorders: a controlled study , 1997, Acta psychiatrica Scandinavica.

[17]  D. Barlow,et al.  Comparison of bulimics, obese binge eaters, social phobics, and individuals with panic disorder on comorbidity across DSM-III-R anxiety disorders. , 1992, Journal of abnormal psychology.

[18]  R. Kessler The prevalence of psychiatric comorbidity. , 1997 .

[19]  T. Heatherton,et al.  Body weight, dieting, and eating disorder symptoms among college students, 1982 to 1992. , 1995, The American journal of psychiatry.

[20]  T. Brewerton,et al.  Alexithymia in the eating disorders. , 1993, The International journal of eating disorders.

[21]  Jasdeep S. Aulakh,et al.  Comorbidity of Anxiety With Eating Disorders and OCD , 2006 .

[22]  Deborah C. Beidel,et al.  An analysis of social anxiety in anorexic, bulimic, social phobic, and control women , 1991 .

[23]  C. Bulik,et al.  Comorbidity of anxiety disorders with anorexia and bulimia nervosa. , 2004, The American journal of psychiatry.

[24]  T. Kashdan,et al.  PSYCHOLOGICAL SCIENCE Research Article Expanding the Topography of Social Anxiety An Experience-Sampling Assessment of Positive Emotions, Positive Events, and Emotion Suppression , 2022 .

[25]  J. Gross Emotion regulation: affective, cognitive, and social consequences. , 2002, Psychophysiology.

[26]  T. Brewerton,et al.  Eating disorders and social phobia. , 1993, Archives of general psychiatry.

[27]  Sylvie Berthoz,et al.  Emotion-processing deficits in eating disorders. , 2005, The International journal of eating disorders.

[28]  J. Treasure,et al.  A controlled study of alexithymia in eating disorders. , 1993, Comprehensive psychiatry.

[29]  D. Garner,et al.  The Eating Attitudes Test: an index of the symptoms of anorexia nervosa , 1979, Psychological Medicine.

[30]  J. Geller,et al.  Inhibited expression of negative emotions and interpersonal orientation in anorexia nervosa. , 2000, The International journal of eating disorders.

[31]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[32]  John E. Perez,et al.  Factor structure of the Beck Depression Inventory-Second Edition (BDI-II) in a student sample. , 2000, Journal of clinical psychology.

[33]  R. Goodwin,et al.  Social anxiety as a barrier to treatment for eating disorders. , 2002, The International journal of eating disorders.

[34]  B. Devlin,et al.  Personality characteristics of women before and after recovery from an eating disorder , 2004, Psychological Medicine.

[35]  R. Mattick,et al.  Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. , 1998, Behaviour research and therapy.

[36]  T. Brown,et al.  Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. , 1998, Journal of abnormal psychology.

[37]  Y. Lecrubier,et al.  Anxiety disorders in anorexia nervosa and bulimia nervosa: co-morbidity and chronology of appearance , 2000, European Psychiatry.

[38]  Cynthia L. Turk,et al.  Emotion Dysregulation in Generalized Anxiety Disorder: A Comparison with Social Anxiety Disorder , 2005, Cognitive Therapy and Research.

[39]  J. Gross The Emerging Field of Emotion Regulation: An Integrative Review , 1998 .

[40]  Murray B Stein,et al.  Personality and anxiety disorders: a review. , 2003, Journal of personality disorders.

[41]  S. Nielsen,et al.  Epidemiology and mortality of eating disorders. , 2001, The Psychiatric clinics of North America.

[42]  B. Walsh,et al.  Pharmacologic treatment of eating disorders. , 1992, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[43]  H. Hoek,et al.  Review of the epidemiological studies of eating disorders. , 1993 .

[44]  D. Watson,et al.  Development and validation of brief measures of positive and negative affect: the PANAS scales. , 1988, Journal of personality and social psychology.

[45]  Carol Zuclich,et al.  The Golden Cage, The Enigma of Anorexia Nervosa , 1984 .

[46]  P. Gilbert,et al.  Sensitivity to Social Put-Down: it's relationship to perceptions of social rank, shame, social anxiety, depression, anger and self-other blame , 2000 .