Abstract
Psychological flexibility and mindfulness are two related, but distinct, regulation processes that have been shown to be at the core of psychological wellbeing. The current study investigated whether these two processes independently moderated the association between disordered eating cognitions and psychological distress as well as the relation between disordered eating cognitions and disordered eating behaviors. Non-clinical, ethnically diverse college undergraduates completed a web-based survey. Of 278 participants (nfemale = 208; nmale = 70) aged 18–24 years old, disordered eating cognitions, mindfulness, and psychological flexibility were related to psychological distress after controlling for gender, ethnicity, and body mass index. Disordered eating cognitions and mindfulness accounted for unique variance in disordered eating behaviors. Finally, mindfulness was found to moderate the association between disordered eating cognitions and disordered eating behaviors.
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Ackard, D. M., Fulkerson, J. A., & Neumark-Sztainer, D. (2007). Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth. International Journal of Eating Disorders, 40(5), 409–417.
Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: a transdiagnostic examination. Behaviour Research and Therapy. doi:10.1016/j.brat.2010.06.002.
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: a meta-analytic review. Clinical Psychology Review, 30(2), 217–237. doi:10.1016/j.cpr.2009.11.004.
Anderson-Fye, E. P., & Lin, J. (2009). Belief and behavior aspect of the EAT-26: the case of school girls in Belize. Culture, Medicine, and Psychiatry, 33, 623–638.
Andrew, D. H., & Dulin, P. L. (2007). The relationship between self-reported health and mental health problems among older adults in New Zealand: experiential avoidance as a moderator. Aging & Mental Health, 11, 596–603.
Baer, R. A. (Ed.). (2006). Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications. New York: Academic.
Baer, R. A., Fischer, S., & Huss, D. B. (2005). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 23, 281–300.
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facts of mindfulness. Assessment, 13, 27–45.
Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88, 1057–1067.
Brannan, M. E., & Petrie, T. A. (2008). Moderators of the body dissatisfaction-Eating disorder symptomatology relationship: replication and extension. Journal of Counseling Psychology, 55, 263–275.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.
Brown, R. A., Lejuez, C. W., Kahler, C. W., Strong, D. R., & Zvolensky, M. J. (2005). Distress tolerance and early smoking lapse. Clinical Psychology Review, 25(6), 713–733.
Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007). Mindfulness: theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18, 211–237.
Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: an integrative review. Clinical Psychological Review, 29, 560–570.
Cooper, M. J. (2006). Beliefs and their relationship to eating attitudes and depressive symptoms in men. Eating Behaviors, 7, 423–426.
Cooper, M., Cohen-Tovee, E., Todd, G., Wells, A., & Tovee, M. (1997). The eating disorder belief questionnaire: preliminary development. Behaviour Research and Therapy, 35, 381–388.
Fairburn, C. G. (Ed.). (2008). Cognitive behavior therapy and eating disorders. New York: The Guilford.
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41, 509–528.
Feltman, R., Robinson, M. D., & Ode, S. (2009). Mindfulness as a moderator of neuroticism–outcome relations: a self-regulation perspective. Journal of Research in Personality, 43(6), 953–961.
Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: psychometric features and clinical correlates. Psychological Medicine, 12, 871–878.
Ghaderi, A. (2003). Structural modeling analysis of prospective risk factors for eating disorder. Eating Behaviors, 3(4), 387–396.
Goldberg, D. (1978). Manual of the general health questionnaire. Windsor: National Foundation for Educational Research.
Goldberg, D. P., Gater, R. R., Sartorius, N. N., & Ustun, T. B. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 27(1), 191–197. doi:10.1017/S0033291796004242.
Gross, J. J. (1998). The emerging field of emotion regulation: an integrative review. Review of General Psychology, 2, 271–299.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Emotional avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168.
Hayes, S. C., Follette, V. M., & Linehan, M. M. (Eds.). (2004a). Mindfulness and acceptance: Expanding the cognitive behavioral tradition. New York: Guilford.
Hayes, S. C., Strosahl, K. D., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004b). Measuring experiential avoidance: a preliminary test of a working model. The Psychological Record, 54, 553–578.
Hayes, S. C., Luoma, J., Bond, F., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy, 44, 1–25.
Heffner, M., & Eifert, G. H. (2004). The anorexia workbook: How to accept yourself, heal suffering, and reclaim your life. Oakland: New Harbinger.
Juarascio, A. S., Forman, E. M., & Herbert, J. D. (2010). Acceptance and commitment therapy versus cognitive therapy for the treatment of comorbid eating pathology. Behavior Modification, 34(2), 175–190.
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156.
Kashdan, T. B., & Breen, W. E. (2007). Materialism and diminished well-being: experiential avoidance as a mediating mechanism. Journal of Social and Clinical Psychology, 26, 521–539.
Kashdan, T. B., & Kane, J. Q. (2011). Post-traumatic distress and the presence of post-traumatic growth and meaning in life: experiential avoidance as a moderator. Personality and Individual Differences, 50(1), 84–89.
Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30, 865–878.
Kashdan, T. B., Barrios, V., Forsyth, J. P., & Steger, M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotional dysregulation strategies. Behaviour Research and Therapy, 44, 1301–1320.
Kratz, A. L., Davis, M. C., & Zautra, A. J. (2007). Pain acceptance moderates the relation between pain and negative affect in female osteoarthritis and fibromyalgia patients. Annals of Behavioral Medicine, 33(3), 291–301.
Lavender, J. M., & Anderson, D. A. (2010). Contribution of emotion regulation difficulties to disordered eating and body dissatisfaction in college men. International Journal of Eating Disorders, 43, 352–357.
Lavender, J. M., Jardin, B. F., & Anderson, D. A. (2009). Bulimic symptoms in undergraduate men and women: contributions of mindfulness and thought suppression. Eating Behaviors, 10, 228–231.
Masuda, A., & Wendell, J. W. (2010). The role of mindfulness on the relations between disordered eating-related cognition and psychological distress. Eating Behaviors, 11, 293–296.
Masuda, A., Muto, T., Hayes, S. C., & Lillis, J. (2008). Acceptance and commitment therapy: application to a Japanese client. Japanese Journal of Behavior Therapy, 34, 137–148.
Masuda, A., Anderson, P. L., & Sheehan, S. (2009a). Mindfulness and mental health among African American college students. Complementary Health Practice Review, 14, 115–127.
Masuda, A., Price, M., Anderson, P. L., Schmertz, S. K., & Calamaras, M. R. (2009b). The role of psychological flexibility in mental health stigma and psychological distress for the stigmatizer. Journal of Social and Clinical Psychology, 28, 1244–1262.
Masuda, A., Price, M., Anderson, P. L., & Wendell, J. W. (2010). Disordered eating-related cognition and psychological flexibility as predictors of psychological health among college students. Behavior Modification, 34, 3–15.
Masuda, A., Anderson, P. L., Wendell, J. W., Price, M., Feinstein, A. B., & Chou, Y. (2011). Psychological flexibility mediates the relation between self-concealment and negative psychological outcomes. Personality and Individual Differences, 50, 243–247.
Miller, J. L., Vaillancourt, T., & Hanna, S. E. (2009). The measurement of “eating-disorder-thoughts” and “eating-disorder-behaviors”: implications for assessment and detection of eating disorders in epidemiological studies. Eating Behavior, 10, 89–96.
Mizes, J. S., Christiano, B., Madison, J., Post, G., Seime, R., & Varnado, P. (2000). Development of the Mizes anorectic cognitions questionnaire-revised: psychometric properties and factor structure in a large sample of eating disorder patients. International Journal of Eating Disorder, 28, 415–421.
Parling, T., Mortazavi, M., & Ghaderi, A. (2010). Alexithymia and emotional awareness in anorexia nervosa: time for a shift in the measurement of the concept? Eating Behaviors, 11, 205–211. doi:10.1016/j.eatbeh.2010.04.001.
Rawal, A., Park, R. J., & Williams, M. G. (2010). Rumination, experiential avoidance, and dysfunctional thinking in eating disorders. Behaviour Research and Therapy, 48, 851–859.
Roberts, M. E., Tchanturia, K., Stahl, D., Southgate, L., & Treasure, J. (2007). A systematic review and meta analysis of set-shifting ability in eating disorders. Psychological Medicine, 37, 1075–1084.
Roemer, L., Lee, K. J., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: preliminary evidence for independent and overlapping contributions. Behavior Therapy, 40(2), 142–154.
Saavedra, M. C., Chapman, K. E., & Rogge, R. D. (2010). Clarifying links between attachment and relationship quality: hostile conflict and mindfulness as moderators. Journal of Family Psychology, 24(4), 380–390.
Safer, D. L., Telch, C. F., & Agras, W. S. (2001). Dialectical behavior therapy for bulimia nervosa. American Journal of Psychiatry, 158, 632–634.
Segal, Z. V., Teasdale, J. D., & Williams, J. M. G. (2004). Mindfulness-based cognitive therapy: Theoretical rationale and empirical status. In S. C. Hayes, V. M. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive behavioral tradition (pp. 45–65). New York: Guilford.
Stice, E., Killen, J. D., Hayward, C., & Taylor, C. B. (1998). Support for the continuity hypothesis of bulimic pathology. Journal of Consulting and Clinical Psychology, 66, 784–790.
Striegel-Moore, R. H., & Bulik, C. M. (2007). Risk factors for eating disorders. American Psychologist, 62, 181–198.
Telch, C. F., Agras, W. S., & Linehan, M. M. (2001). Dialectical behavior therapy for binge eating disorder. Journal of Consulting and Clinical Psychology, 69, 1061–1065.
Tylka, T. L. (2004). The relation between body dissatisfaction and eating disorder symptomatology: an analysis of moderating variables. Journal of Counseling Psychology, 51, 178–191.
Van Strien, T., Engels, R. E., Van Leeuwe, J., & Snoek, H. M. (2005). The Stice model of overeating: tests in clinical and non-clinical samples. Appetite, 45(3), 205–213. doi:10.1016/j.appet.2005.08.004.
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Masuda, A., Price, M. & Latzman, R.D. Mindfulness Moderates the Relationship Between Disordered Eating Cognitions and Disordered Eating Behaviors in a Non-Clinical College Sample. J Psychopathol Behav Assess 34, 107–115 (2012). https://doi.org/10.1007/s10862-011-9252-7
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DOI: https://doi.org/10.1007/s10862-011-9252-7