Meaning in life moderates hopelessness, suicide ideation, and borderline psychopathology in participants with eating disorders: a longitudinal study
Open accessAbstract
Participants with eating disorders (EDs) experience identity problems, hopelessness, and suicide ideation. Research has confirmed the link between the experience of low meaning in life (MIL) and psychopathology. However, there is a lack of research focusing on MIL in ED. OBJECTIVES: The objectives of this study are as follows: (a) to analyze whether MIL at baseline moderates the association between ED psychopathology at baseline and borderline symptoms, hopelessness, and suicide ideation at follow-up and (b) to analyze whether MIL moderates the association between suicide ideation, hopelessness, and borderline symptoms at baseline and at the 7-month follow-up. METHOD: The sample was composed of 300 participants with ED at baseline and 122 at the 7-month follow-up. The participants filled out the Purpose in Life, Eating Attitude Test, Borderline Symptoms List, Hopelessness Scale, and Suicide Ideation Scale. RESULTS: (a) MIL at baseline moderated the association between ED psychopathology at baseline and borderline symptoms, hopelessness, and suicide ideation at the follow-up; (b) MIL moderated the association between suicide ideation, hopelessness, and borderline symptoms at baseline and at the 7-month follow-up. CONCLUSION: MIL could be a relevant variable in the ED psychopathology.
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Studies in clinical and non-clinical samples of patients without a cancer diagnosis have shown that meaning in life is negatively associated with hopelessness, anxiety, emotional dysregulation, coping capacity, and depression, and is a buffer against psychopathology.
“Studies in clinical and non-clinical samples of patients without a cancer diagnosis have shown that meaning in life is an emotional state that is negatively associated with hopelessness, anxiety, emotional dysregulation, coping capacity, and depression, and it is a buffer against psychopathology (5, 6).”
From Spanish Adaptation of Meaning-Centered Psychotherapy for Participants With Cancer: Study Protocol of a Randomized Control Trial (2022) · cites this paper as [5]
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Self-citationGarcía‐Alandete, J., Pérez, S., Lorca-Alamar, F., Guillén, V., & Marco, J. H. (2023) · Research Square · doi:10.21203/rs.3.rs-3412217/v1 · Cited by 1 · see citing works
Self-citationSinn, Gesundheit und Krankheit
Schnell, T. (2025) · Springer eBooks · doi:10.1007/978-3-662-70097-6_12
Invalidating Environment and Clinical Symptoms: The Moderator Role of Meaning in Life
Irún, M. P. T., Privado, J., Garcia, J. D., & Marco, J. H. (2025) · Journal of Constructivist Psychology · doi:10.1080/10720537.2025.2571889
Self-citationScutt, K., Rieger, E., Ali, K., & Monaghan, C. (2026) · British Journal of Clinical Psychology · doi:10.1111/bjc.70082
Buseman, S. I., Cash, E. D., Smith, A. R., & Levinson, C. A. (2026) · International Journal of Eating Disorders · doi:10.1002/eat.70234
- Authors
- Marco, J. H., Cañabate, M., Llorca, G., & Pérez, S.
- Affiliations
- Universitat de València (ES)
- Escuela de Doctorado Universidad Católica de Valencia “San Vicente Mártir” Valencia España
- Consorcio Hospitalario Provincial de Castellón (ES)
- Valencia Catholic University Saint Vincent Martyr (ES)
- Corresponding author
- Marco, José H.
- Venue
- Clinical Psychology & Psychotherapy
- Publisher
- Wiley
- Published
- 2019-11-28
- Volume
- 27
- Issue
- 2
- Pages
- 146-158
- ISSN
- 1063-3995 (ISSN-L)
- 1099-0879
- OpenAlex
- W2989826124
- Cited by
- 43
- References
- 75
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 6 · 2023: 9 · 2022: 8 · 2021: 8 · 2020: 2 · 2014: 1
- FWCI
- 5.26
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Clinical Psychology & Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion, cc-by-nc)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- meaning in life, eating disorders, hopelessness, suicidal ideation, borderline symptoms, moderation, psychopathology, identity problems
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Mental Disorders, Child, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Risk Factors, Self Concept, Young Adult, Suicidal Ideation
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