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Effects of emotional acceptance and rumination on media-induced body dissatisfaction in anorexia and bulimia nervosa
Institution:1. University of Tübingen, Department of Clinical Psychology and Psychotherapy, Schleichstraße 4, 72076 Tübingen, Germany;2. University of Freiburg, Department of Clinical Psychology and Psychotherapy, Engelbergerstrasse 41, 79106 Freiburg, Germany;3. Schoen Clinic Roseneck, Am Roseneck 6, 83209 Prien, Germany;1. Rutgers, The State University of New Jersey, Department of Genetics and the Human Genetics Institute of New Jersey, Piscataway, NJ, USA;2. University of Groningen, University Medical Center Groningen, Department of Child and Adolescent Psychiatry, Groningen, The Netherlands;3. Yale Child Study Center and Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA;4. Children''s Hospital of Philadelphia, Philadelphia, PA, USA;5. Yonsei University College of Medicine, Severance Hospital, Seoul, South Korea;6. Icahn School of Medicine at Mount Sinai, New York, NY, USA;7. Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, USA;8. Haga Teaching Hospital, Department of Neurology, The Hague, The Netherlands;9. Yulius Academy and Division Child and Adolescent Psychiatry, Yulius Mental Health Organization, Barendrecht, The Netherlands;10. Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic Universitari, Barcelona, Spain;11. Cincinnati Children''s Hospital Medical Center, Cincinnati, OH, USA;12. Child and Adolescent Mental Health Center, Mental Health Services, Capital Region of Denmark and Faculty of Health Sciences, University of Copenhagen, Denmark;13. Evelina London Children''s Hospital GSTT, Kings Health Partners AHSC, London, UK;14. Great Ormond Street Hospital for Children, and UCL Institute of Child Health, London, UK;15. Hallym University Sacred Heart Hospital, Anyang, South Korea;p. De Bascule, AMC Department of Child and Adolescent Psychiatry, Amsterdam, The Netherlands;q. Yonsei Bom Clinic, South Korea;r. Department of Psychiatry, University of California, San Francisco, USA;s. Korea Institute for Children''s Social Development, Seoul, South Korea;t. MyongJi Hospital, Koyang, South Korea;u. University of Iowa Carver College of Medicine, Iowa City, IA, USA;v. Triversum, Center for Child and Adolescent Psychiatry, Alkmaar, The Netherlands;w. University of Ulm, Department of Child and Adolescent Psychiatry and Psychotherapy, Ulm, Germany;x. Sección de Neuropediatría, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain;y. Department of Child and Adolescent Psychiatry, Erasmus Medical Center-Sophia Children''s Hospital, Rotterdam, The Netherlands;z. Unidad de Trastornos del Movimiento, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain;11. Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic Universitari Barcelona, Spain;12. Institut d’Investigacions Biomediques August Pi i Sunyer (IDIPABS) and Centro de Investigacion en Red de Salud Mental (CIBERSAM), Spain;13. Institute of Neurogenetics, University of Lübeck, Lübeck, Germany;14. Department of Child and Adolescent Psychiatry, TU Dresden, Germany;15. University Hospital Medical Center Hamburg-Eppendorf, Hamburg, Germany;16. University of Groningen, University Medical Center Groningen, Department of Pediatrics, Groningen, The Netherlands;17. National Health Insurance Service Ilsan Hospital, Goyang-si, South Korea;18. Accare, Child and Adolescent Psychiatry, Groningen, The Netherlands;19. Youth Division, Altrecht, Institute for Mental Health, Utrecht, The Netherlands;110. Admiraal De Ruyter Ziekenhuis, Department of Neurology, Goes, The Netherlands;111. University of Washington, Department of Pediatrics, Seattle, WA, USA;1. Department of Psychological Medicine, National University Health System, Singapore;2. Duke-NUS Medical School, Singapore;1. Division of Psychological and Social Medicine and Developmental Neuroscience, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany;2. Translational Developmental Neuroscience Section, Eating Disorder Research and Treatment Center, Department of Child and Adolescent Psychiatry, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany;3. Institute for Clinical Chemistry and Pathobiochemistry, Otto-von-Guericke University Magdeburg, Magdeburg, Germany;1. APC Microbiome Institute, University College Cork, Cork, Ireland;2. Department of Psychiatry and Neurobehavioural Science, University College Cork, Cork, Ireland;3. Teagasc Food Research Centre, Moorepark, Fermoy, Cork, Ireland;4. Groningen Biomolecular Sciences and Biotechnology Institute, University of Groningen, Groningen, The Netherlands;5. Department of Anatomy and Neuroscience, University College Cork, Cork, Ireland;1. King?s College London, Institute of Psychiatry, Department of Psychological Medicine, Section of Eating Disorders, London, UK;2. University College London, Department of Health and Clinical Psychology, London, UK;3. South London and Maudsley NHS Trust, Eating Disorders National Service, London, UK;4. Tbilisi Illia University, Tbilisi, Georgia
Abstract:IntroductionBody dissatisfaction is an important risk and maintaining factor for eating disorders. The aim of the present study was to experimentally test the effects of two emotion regulation strategies - acceptance and rumination - on media-induced body dissatisfaction in eating disorders.MethodAfter watching pictures of thin models, women with anorexia nervosa (AN; n = 39) and bulimia nervosa (BN; n = 39) were encouraged to either use emotional acceptance or rumination to cope with their feelings. Body dissatisfaction and mood were repeatedly assessed.ResultsAcceptance significantly improved body dissatisfaction in women with BN. Rumination led to a significant increase of body dissatisfaction in both eating disorder groups. Results were independent from mood changes.DiscussionFindings highlight the importance ruminative thinking may have in the aggravation of dissatisfaction with the own body in AN and BN. Results suggest that emotional acceptance is a useful strategy to regulate body dissatisfaction after exposure to thin-ideal media in BN.
Keywords:Eating disorders  Body dissatisfaction  Rumination  Acceptance  Emotion regulation  Media
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