Eating Disorder Symptomatology and Identity Formation in Adolescence: A Cross-Lagged Longitudinal Approach

Introduction: Eating disorder symptomatology, comprising both psychological and behavioral aspects of subclinical eating concerns, constitutes a clear precursor of developing eating disorders. It is crucial to investigate its antecedents and correlates to subsequently inform eating disorder preventi...

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Main Authors: Margaux Verschueren, Laurence Claes, Annabel Bogaerts, Nina Palmeroni, Amarendra Gandhi, Philip Moons, Koen Luyckx
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-06-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2018.00816/full
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author Margaux Verschueren
Laurence Claes
Laurence Claes
Annabel Bogaerts
Nina Palmeroni
Amarendra Gandhi
Philip Moons
Philip Moons
Koen Luyckx
author_facet Margaux Verschueren
Laurence Claes
Laurence Claes
Annabel Bogaerts
Nina Palmeroni
Amarendra Gandhi
Philip Moons
Philip Moons
Koen Luyckx
author_sort Margaux Verschueren
collection DOAJ
description Introduction: Eating disorder symptomatology, comprising both psychological and behavioral aspects of subclinical eating concerns, constitutes a clear precursor of developing eating disorders. It is crucial to investigate its antecedents and correlates to subsequently inform eating disorder prevention programs. The present study focused on identity formation, a core developmental task in adolescence, that has increasingly been linked to eating disorder development. Our main aim was to examine the temporal sequence between eating disorder symptomatology and identity formation.Methods: Data on eating disorder symptomatology and identity formation were collected in 530 high school students (at Time 1: mean age = 15 years; SD = 1.84; range: 12–18 years; 50.6% females) using self-report questionnaires at three annual measurement points. Cross-lagged structural equation modeling was performed to examine the directionality of effects.Results: Results indicated bidirectional effects between eating disorder symptomatology and identity formation. Identity confusion seemed to increase vulnerability to body dissatisfaction and bulimia symptoms, whereas identity synthesis seemed to protect against their development. Additionally, identity synthesis seemed to protect against the development of drive for thinness as well. At the same time, body dissatisfaction and bulimia symptoms positively predicted identity confusion and negatively predicted identity synthesis over time.Conclusion: The present study adds to the growing body of literature on identity and eating disorders by focusing on their temporal interplay in a community sample of adolescents. As bidirectional effects emerged, a greater emphasis on identity formation in eating disorder prevention programs is advocated.
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spelling doaj.art-cbfa29b7716b4b05a0189dac9d0f2c902022-12-21T23:04:46ZengFrontiers Media S.A.Frontiers in Psychology1664-10782018-06-01910.3389/fpsyg.2018.00816365721Eating Disorder Symptomatology and Identity Formation in Adolescence: A Cross-Lagged Longitudinal ApproachMargaux Verschueren0Laurence Claes1Laurence Claes2Annabel Bogaerts3Nina Palmeroni4Amarendra Gandhi5Philip Moons6Philip Moons7Koen Luyckx8Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, BelgiumFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, BelgiumFaculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute, University of Antwerp, Antwerp, BelgiumFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, BelgiumFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, BelgiumFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, BelgiumDepartment of Public Health and Primary Care, KU Leuven, Leuven, BelgiumInstitute of Health and Care Sciences, University of Gothenburg, Gothenburg, SwedenFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, BelgiumIntroduction: Eating disorder symptomatology, comprising both psychological and behavioral aspects of subclinical eating concerns, constitutes a clear precursor of developing eating disorders. It is crucial to investigate its antecedents and correlates to subsequently inform eating disorder prevention programs. The present study focused on identity formation, a core developmental task in adolescence, that has increasingly been linked to eating disorder development. Our main aim was to examine the temporal sequence between eating disorder symptomatology and identity formation.Methods: Data on eating disorder symptomatology and identity formation were collected in 530 high school students (at Time 1: mean age = 15 years; SD = 1.84; range: 12–18 years; 50.6% females) using self-report questionnaires at three annual measurement points. Cross-lagged structural equation modeling was performed to examine the directionality of effects.Results: Results indicated bidirectional effects between eating disorder symptomatology and identity formation. Identity confusion seemed to increase vulnerability to body dissatisfaction and bulimia symptoms, whereas identity synthesis seemed to protect against their development. Additionally, identity synthesis seemed to protect against the development of drive for thinness as well. At the same time, body dissatisfaction and bulimia symptoms positively predicted identity confusion and negatively predicted identity synthesis over time.Conclusion: The present study adds to the growing body of literature on identity and eating disorders by focusing on their temporal interplay in a community sample of adolescents. As bidirectional effects emerged, a greater emphasis on identity formation in eating disorder prevention programs is advocated.https://www.frontiersin.org/article/10.3389/fpsyg.2018.00816/fulleating disorder symptomatologyidentity synthesisidentity confusionadolescencecross-laggedbody dissatisfaction
spellingShingle Margaux Verschueren
Laurence Claes
Laurence Claes
Annabel Bogaerts
Nina Palmeroni
Amarendra Gandhi
Philip Moons
Philip Moons
Koen Luyckx
Eating Disorder Symptomatology and Identity Formation in Adolescence: A Cross-Lagged Longitudinal Approach
Frontiers in Psychology
eating disorder symptomatology
identity synthesis
identity confusion
adolescence
cross-lagged
body dissatisfaction
title Eating Disorder Symptomatology and Identity Formation in Adolescence: A Cross-Lagged Longitudinal Approach
title_full Eating Disorder Symptomatology and Identity Formation in Adolescence: A Cross-Lagged Longitudinal Approach
title_fullStr Eating Disorder Symptomatology and Identity Formation in Adolescence: A Cross-Lagged Longitudinal Approach
title_full_unstemmed Eating Disorder Symptomatology and Identity Formation in Adolescence: A Cross-Lagged Longitudinal Approach
title_short Eating Disorder Symptomatology and Identity Formation in Adolescence: A Cross-Lagged Longitudinal Approach
title_sort eating disorder symptomatology and identity formation in adolescence a cross lagged longitudinal approach
topic eating disorder symptomatology
identity synthesis
identity confusion
adolescence
cross-lagged
body dissatisfaction
url https://www.frontiersin.org/article/10.3389/fpsyg.2018.00816/full
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