title: Emotional maltreatment and disordered eating in adolescents: testing the mediating role of emotion regulation.
abstract: The present study aimed to determine if emotion regulation mediates the relationship between emotional maltreatment and disordered eating behavior in adolescents. Participants were 222 secondary school pupils (aged 14-18 years) from a state high school in the UK. Standardized questionnaire measures were used to gather self-report data on emotional abuse and emotional neglect, functional and dysfunctional emotion regulation strategies and disordered eating behavior. Results showed that disordered eating was associated with emotional abuse, dysfunctional emotion regulation and being female. Multiple mediation analysis found an indirect relationship between emotional abuse and disordered eating through dysfunctional emotion regulation. Interestingly, emotional neglect predicted lower levels of functional emotion regulation. The findings support previous research showing emotion regulation to mediate the relationship between childhood abuse and disordered eating in adults and a differential effect of abuse and neglect on emotion regulation. Longitudinal studies are required to confirm the direction of relationships; however these data suggest that dysfunctional emotion regulation is a significant variable in the development of disordered eating and may be a useful target for intervention.
authors.affiliation: School of Health in Social Science, University of Edinburgh, Edinburgh EH8 9AG, UK; NHS Borders Child and Adolescent Mental Health Service, The Andrew Lang Unit, Viewﬁeld Lane, Selkirk TD7 4LJ, UK.
authors.forename: Pamela
authors.initials: P
authors.lastname: Mills
authors.affiliation: School of Health in Social Science, University of Edinburgh, Edinburgh EH8 9AG, UK.
authors.forename: Emily Frances
authors.initials: EF
authors.lastname: Newman
authors.affiliation: School of Health in Social Science, University of Edinburgh, Edinburgh EH8 9AG, UK.
authors.forename: Jill
authors.initials: J
authors.lastname: Cossar
authors.affiliation: NHS Borders Child and Adolescent Mental Health Service, The Andrew Lang Unit, Viewﬁeld Lane, Selkirk TD7 4LJ, UK.
authors.forename: George
authors.initials: G
authors.lastname: Murray
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D002649:Child Abuse / Q000523:psychology*; D003430:Cross-Sectional Studies; D004644:Emotions; D001068:Feeding and Eating Disorders / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D012044:Regression Analysis; D012424:Rural Population; D012574:Schools; D057566:Self Report; D017678:Sex Distribution; D006113:United Kingdom / Q000453:epidemiology
keywords: Adolescents; Disordered eating; Emotion regulation; Emotional abuse; Emotional maltreatment; Emotional neglect