Loneliness mediates the relationship between emotion dysregulation and bulimia nervosa/binge eating disorder psychopathology in a clinical sample

Matthew W. Southward*, Kara A. Christensen, Karla C. Fettich, Jessica Weissman, Johnny Berona, Eunice Y. Chen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Emotion dysregulation has been linked to binge eating disorder (BED) and bulimia nervosa (BN) although the mechanisms by which it affects BN/BED psychopathology are unclear. This study tested loneliness as a mediator between emotion dysregulation and BN/BED psychopathology. A treatment-seeking sample of 107 women with BN or BED was assessed for loneliness (UCLA Loneliness Scale), emotion dysregulation (Difficulties in Emotion Regulation Scale), and BN/BED psychopathology (Eating Disorder Examination) before treatment. Hierarchical linear regressions and bootstrapping mediation models were run. Greater overall emotion dysregulation was associated with greater BN/BED psychopathology, mediated by loneliness (95 % CI 0.03, 0.09). Emotion dysregulation, however, did not mediate between loneliness and BN/BED psychopathology (95 % CI −0.01, 0.01). Targeting loneliness may effectively treat emotional aspects of BN/BED in women.

Original languageEnglish (US)
Pages (from-to)509-513
Number of pages5
JournalEating and Weight Disorders
Volume19
Issue number4
DOIs
StatePublished - Dec 2014

Keywords

  • Binge eating
  • Bulimia
  • Emotion regulation
  • Loneliness
  • Statistical analysis

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

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