Cited by 139Eating Disorders and BehaviorsChild Nutrition and Feeding IssuesPsychoanalysis and Psychopathology Research

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Attachment and mentalization and their association with child and adolescent eating pathology: A systematic review

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Jewell, Tom, Collyer, Hannah, Gardner, Tessa, Tchanturia, Kate, Simic, Mima, Fonagy, Peter, Eisler, Ivan·2016·International Journal of Eating Disorders

DOI 10.1002/eat.22473

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Abstract

OBJECTIVE: Insecure attachment and mentalizing difficulties have been associated with eating pathology in adulthood. However, it is unclear whether eating pathology is associated with attachment or mentalization in children. The aim of this study is to systematically review the literature in this emerging field. METHOD: Electronic databases were used to search for articles. RESULTS: Twenty-two studies were identified. In the 15 studies investigating attachment, an association with eating pathology was found in all studies. Mentalizing difficulties and eating pathology were found to be correlated in the seven studies which examined their association. DISCUSSION: In keeping with the adult literature, cross-sectional studies of children and adolescents consistently report associations with eating pathology. There is some evidence from prospective studies that insecure attachment may be a risk factor for the development of eating pathology in adolescence. The literature on mentalization and eating pathology suggests that adolescents with anorexia nervosa may have difficulties in recognizing emotions. Further research using clinical samples and well-validated measures of attachment and mentalization are required to shed further light on this area.

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Authors: Jewell, T., Collyer, H., Gardner, T., Tchanturia, K., Simic, M., Fonagy, P., & Eisler, I.
Affiliations: King's College London (GB)
University College London (GB)
South London and Maudsley NHS Foundation Trust (GB)
Corresponding author: Jewell, Tom
ORCID: Jewell, Tom
Collyer, Hannah
Tchanturia, Kate
Simic, Mima
Fonagy, Peter
Eisler, Ivan
Venue: International Journal of Eating Disorders
Publisher: Wiley
Published: 2015-12-22
Volume: 49
Issue: 4
Pages: 354-373
ISSN: 0276-3478 (ISSN-L)
1098-108X
DOI: 10.1002/eat.22473
OpenAlex: W2209362319
Cited by: 139
References: 125
Citations by year: 2026: 7 · 2025: 10 · 2024: 17 · 2023: 15 · 2022: 14 · 2021: 13 · 2020: 12 · 2019: 18 · 2018: 15 · 2017: 9 · 2016: 4 · 2015: 3
FWCI: 1.48
Type: journal article
Language: en
Open access: green
discovery.ucl.ac.uk
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: International Journal of Eating Disorders (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
Research Portal (King's College London) (submittedVersion)
Funders: National Institute for Health and Care Research (NF-SI-0514-10157, CDRF-2014-05-024)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords: insecure attachment, mentalization, eating pathology, eating disorders in children, adolescent eating disorders, anorexia nervosa, emotion recognition, eating disorder risk
MeSH terms: Adolescent, Adult, Feeding and Eating Disorders, Child, Cross-Sectional Studies, Emotions, Female, Humans, Male, Object Attachment, Prospective Studies, Risk Factors, Young Adult, Theory of Mind

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Attachment and mentalization and their association with child and adolescent eating pathology: A systematic review

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