The relationship between two‐dimensional self‐esteem and problem solving style in an anorexic inpatient sample
Abstract
Objective Research examining cognitive and behavioural determinants of anorexia is currently lacking. This has implications for the success of treatment programmes for anorexics, particularly, given the high reported dropout rates. This study examines two-dimensional self-esteem (comprising of self-competence and self-liking) and social problem-solving in an anorexic population and predicts that self-esteem will mediate the relationship between problem-solving and eating pathology by facilitating/inhibiting use of faulty/effective strategies. Method Twenty-seven anorexic inpatients and 62 controls completed measures of social problem solving and two-dimensional self-esteem. Results Anorexics scored significantly higher than the non-clinical group on measures of eating pathology, negative problem orientation, impulsivity/carelessness and avoidance and significantly lower on positive problem orientation and both self-esteem components. In the clinical sample, disordered eating correlated significantly with self-competence, negative problem-orientation and avoidance. Associations between disordered eating and problem solving lost significance when self-esteem was controlled in the clinical group only. Self-competence was found to be the main predictor of eating pathology in the clinical sample while self-liking, impulsivity and negative and positive problem orientation were main predictors in the non-clinical sample. Discussion Findings support the two-dimensional self-esteem th…
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Compared with non-anorexia nervosa controls, people with anorexia nervosa report lower positive problem orientation on the Social Problem-Solving Inventory Revised.
“All three studies found, that compared to a non‐AN control group, people with AN report different attitudes toward problem solving than non‐AN controls, namely lower positive problem orientation and higher negative problem orientation.”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson, Power, Yellowlees, Park, & Taylor, 2007
Compared with non-anorexia nervosa controls, people with anorexia nervosa report higher negative problem orientation on the Social Problem-Solving Inventory Revised.
“All three studies found, that compared to a non‐AN control group, people with AN report different attitudes toward problem solving than non‐AN controls, namely lower positive problem orientation and higher negative problem orientation.”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson, Power, Yellowlees, Park, & Taylor, 2007
More negative problem orientation and more avoidant problem-solving style are associated with more severe anorexia nervosa psychopathology.
“a more negative problem orientation and a more avoidant problem‐solving style was associated with more severe AN psychopathology (such as restrained eating and eating and weight concerns).”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson et al., 2007
Previous experimental and self-report studies on social problem solving in anorexia nervosa did not consider or control for the impact of anxiety or depression.
“both the experimental study (Sternheim et al., 2012) and the three self‐report studies (Paterson et al., 2007; Patterson et al., 2010; Swanson et al., 2010) did not consider the role of, or, control for the impact of anxiety/depression on social problem solving”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson et al., 2007
Positive problem orientation was negatively associated with anorexia nervosa psychopathology in one study but not in another.
“Positive problem orientation was negatively associated with AN psychopathology in one study (Patterson et al., 2010), but not in the other (Paterson et al., 2007).”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson et al., 2007
People with anorexia nervosa do not differ from non-anorexia nervosa controls on rational problem-solving style on the Social Problem-Solving Inventory Revised.
“However, those with AN show relative strengths in their ability to use a rational problem‐solving style and their scores did not differ from non‐AN controls on this subscale of the SPSRI (Paterson, Power, Yellowlees, Park, & Taylor, 2007; Patterson et al., 2010; Swanson et al., 2010).”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson, Power, Yellowlees, Park, & Taylor, 2007
Rational problem solving and impulsive-careless problem-solving style are not significantly related to anorexia nervosa symptoms.
“However, rational problem solving and an impulsive–careless problem‐solving style were not significantly related to AN symptoms (Paterson et al., 2007; Patterson et al., 2010).”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson et al., 2007
Compared with non-anorexia nervosa controls, people with anorexia nervosa report higher impulsive-careless social problem-solving style.
“These studies also found that people with AN show differences in social problem‐solving styles, reporting a higher impulsive–careless style (i.e., a dysfunctional problem‐solving dimension characterized by active problem‐solving attempts that are impulsive, careless, hurried, and incomplete) and greater avoidance (an avoidance problem‐solving style refers to procrastination, passivity, or inaction”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson, Power, Yellowlees, Park, & Taylor, 2007
Compared with non-anorexia nervosa controls, people with anorexia nervosa report greater avoidance social problem-solving style.
“These studies also found that people with AN show differences in social problem‐solving styles, reporting a higher impulsive–careless style (i.e., a dysfunctional problem‐solving dimension characterized by active problem‐solving attempts that are impulsive, careless, hurried, and incomplete) and greater avoidance (an avoidance problem‐solving style refers to procrastination, passivity, or inaction”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson, Power, Yellowlees, Park, & Taylor, 2007
Self-esteem, self-competence, and maternal bonding have been found to mediate relationships between social problem solving and ED pathology.
“Indeed, self‐esteem (Patterson et al., 2010), self‐competence (Paterson et al., 2007), and maternal bonding (Swanson et al., 2010) have been found to mediate relationships between social problem solving and ED pathology.”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson et al., 2007
These results corroborate previous research demonstrating maladaptive social problem-solving styles and attitudes in AN.
“These results corroborate previous research (Paterson et al., 2007; Patterson et al., 2010; Sternheim et al., 2012; Swanson et al., 2010) demonstrating maladaptive social problem‐solving styles and attitudes in AN.”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson et al., 2007
The finding that those with AN had lower impulsive-careless social problem-solving styles than controls was incongruent with previous research.
“The finding that those with AN had lower impulsive–careless social problem‐solving styles than controls was incongruent with previous research (Paterson et al., 2007; Patterson et al., 2010; Swanson et al., 2010).”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Paterson et al., 2007
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- Authors
- Paterson, G., Power, K., Yellowlees, A., Park, K., & Taylor, L.
- Affiliations
- University of Stirling (GB)
- NHS Greater Glasgow and Clyde (GB)
- Corresponding author
- Paterson, Gillian
- ORCID
- Power, Kevin
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2006-07-11
- Volume
- 15
- Issue
- 1
- Pages
- 70-77
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W2022320495
- Cited by
- 38
- References
- 32
- Citations by year
- 2024: 1 · 2022: 4 · 2021: 3 · 2020: 1 · 2019: 4 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2013: 6 · 2012: 4
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- anorexia nervosa, self-competence, self-liking, social problem solving, disordered eating, eating pathology, problem orientation, avoidance, impulsivity, self-efficacy, mediation
- MeSH terms
- Adolescent, Adult, Anorexia Nervosa, Cross-Sectional Studies, Female, Humans, Problem Solving, Regression Analysis, Self Concept, Social Behavior, Case-Control Studies
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