A vicious cycle among cognitions and behaviors enhancing risk for eating disorders

Karolina Zarychta-Zajączkowska , Barbara Mullan , Magdalena Kruk , Aleksandra Łuszczyńska


Background: Establishing the sequence in which risk factors for eating disorders (ED) emerge would enable more effective ED prevention. Thus, in our study we investigated reciprocal and indirect associations between three cognitive and behavioral ED determinants (appearance orientation, appearance worries, and dieting) emphasized in the transdiagnostic model of ED. Methods: Data were collected in a non-clinical group of adolescents at Time 1 (T1), and then 2-months (Time 2, T2) and 13-months later (Time 3, T3). Participants (N = 1260) aged 13–19 completed a questionnaire encompassing their nutrition behaviors, beliefs about appearance, health and well-being. Weight and height were measured objectively. Results: Higher levels of appearance orientation (T1) were associated with higher levels of appearance worries (T2) which in turn predicted dieting (T3). Dieting (T1) predicted higher levels of appearance orientation (T2) which in turn predicted higher levels of appearance worries (T3). Higher levels of appearance worries (T1) were associated with higher levels of appearance orientation (T2) which in turn predicted dieting (T3). Also, higher levels of appearance worries (T1) were associated with dieting (T2), and higher levels of appearance orientation (T3). Conclusions: The three transdiagnostic model variables formed a vicious cycle. Therefore, higher levels of one of ED determinants (appearance orientation, appearance worries or dieting) increase the likelihood of the elevated levels of two other ED determinants at follow-ups and thus enhances the risk for ED.
Author Karolina Zarychta-Zajączkowska (Wydział Zamiejscowy we Wrocławiu)
Karolina Zarychta-Zajączkowska,,
- Wydział Zamiejscowy we Wrocławiu
, Barbara Mullan
Barbara Mullan,,
, Magdalena Kruk
Magdalena Kruk,,
, Aleksandra Łuszczyńska (Wydział Zamiejscowy we Wrocławiu)
Aleksandra Łuszczyńska,,
- Wydział Zamiejscowy we Wrocławiu
Journal seriesBMC Public Health, ISSN 1471-2458, (A 35 pkt)
Issue year2017
Publication size in sheets0.5
Keywords in EnglishAdolescence, Eating disorders risk factors, Transdiagnostic model, Non-clinical sample
ASJC Classification2739 Public Health, Environmental and Occupational Health
URL https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-017-1328-9
Languageen angielski
12. Zarychta et al 2017 BMC Psychiatry.pdf 523.2 KB
Additional file
12a. Oświadczenie_publ Luszczynska maj 2017a.pdf 274.19 KB
12b. Oświadczenie_publ Zarychta maj 2017a.pdf 273.49 KB
Score (nominal)35
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2016 = 1.259; WoS Impact Factor: 2017 = 2.42 (2) - 2017=3.039 (5)
Citation count*8 (2021-02-26)
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