| A mediational model of self-esteem and social problem-solving in anorexia nervosa. | |
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MedLine Citation:
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PMID: 20669151 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: Poor problem-solving and low self-esteem are frequently cited as significant factors in the development and maintenance of anorexia nervosa. The current study examines the multi-dimensional elements of these measures and postulates a model whereby self-esteem mediates the relationship between social problems-solving and anorexic pathology and considers the implications of this pathway. METHOD: Fifty-five inpatients with a diagnosis of anorexia nervosa and 50 non-clinical controls completed three standardised multi-dimensional questionnaires pertaining to social problem-solving, self-esteem and eating pathology. RESULTS: Significant differences were yielded between clinical and non-clinical samples on all measures. Within the clinical group, elements of social problem-solving most significant to anorexic pathology were positive problem orientation, negative problem orientation and avoidance. Components of self-esteem most significant to anorexic pathology were eating, weight and shape concern but not eating restraint. The mediational model was upheld with social problem-solving impacting on anorexic pathology through the existence of low self-esteem. CONCLUSION: Problem orientation, that is, the cognitive processes of social problem-solving appear to be more significant than problem-solving methods in individuals with anorexia nervosa. Negative perceptions of eating, weight and shape appear to impact on low self-esteem but level of restriction does not. Finally, results indicate that self-esteem is a significant factor in the development and execution of positive or negative social problem-solving in individuals with anorexia nervosa by mediating the relationship between those two variables. Copyright (c) 2010 John Wiley & Sons, Ltd and Eating Disorders Association. |
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Authors:
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Gillian Paterson; Kevin Power; Paula Collin; David Greirson; Alex Yellowlees; Katy Park |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2010-7-28 |
Journal Detail:
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Title: European eating disorders review : the journal of the Eating Disorders Association Volume: - ISSN: 1099-0968 ISO Abbreviation: - Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-7-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9436977 Medline TA: Eur Eat Disord Rev Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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NHS Tayside Eating Disorders Service, Tayside, Scotland, UK. |
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