title: Self-silencing in a clinical sample of female adolescents with eating disorders.
abstract: OBJECTIVE
  The present study was designed to assess the relationship between self-silencing behaviours and eating disorder symptoms in a female adolescent population with eating disorders.
  
  
  METHODS
  One hundred and forty-nine adolescent girls between the ages of 13 and 18 completed a comprehensive assessment at a tertiary care children's hospital. Each participant completed the Eating Disorder Inventory-2 (EDI-2; Garner, 1991), the Multidimensional Anxiety Scale for Children (MASC; March et al, 1997), and an adapted version of the Silencing the Self Scale for adolescents (STSS; Sippola & Bukowski, 1996).
  
  
  RESULTS
  Self-silencing behaviours correlated strongly with eating disorder symptomatology. Social anxiety was found to predict body dissatisfaction, while externalized self-perception was found to contribute uniquely to body dissatisfaction and drive for thinness, two risk factors closely associated with eating disorders.
  
  
  CONCLUSIONS
  These results suggest the importance of including relational and emotional development in comprehensive models of disordered eating.
authors.affiliation: Regional Eating Disorders Program for Youth, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario. buchholz@cheo.on.ca
authors.forename: Annick
authors.initials: A
authors.lastname: Buchholz
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Henderson
authors.forename: Adrienne
authors.initials: A
authors.lastname: Hounsell
authors.forename: Anne
authors.initials: A
authors.lastname: Wagner
authors.forename: Mark
authors.initials: M
authors.lastname: Norris
authors.forename: Wendy
authors.initials: W
authors.lastname: Spettigue