Expressive suppression mediates the relation between disordered eating and suicidal ideation
Abstract
Objective: Although disordered eating is robustly associated with suicidal thoughts, it is not well understood why these conditions relate to each other. Emotion dysregulation is a shared risk factor for disordered eating and suicidal thoughts. Individuals with dysregulated emotions struggle to select appropriate strategies to modulate emotions and the strategies they use might explain some of the shared variances. Thus, we examined whether emotion regulation strategies mediated the relationship between disordered eating and suicidal ideation. Method: Adult participants (N = 230) completed questionnaires on current disordered eating symptoms, emotion regulation strategies, and current suicidal ideation. Results: Disordered eating symptoms positively associated with suicidal ideation. In addition, expressive suppression mediated the relation between disordered eating symptoms and current suicidal ideation. No relation was found for cognitive reappraisal. Conclusions: The use of expressive suppression as an emotion regulation strategy may be related to increased suicidal ideation in individuals who express concerns about eating.
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Many people with AN experience alexithymia and suppress emotions as an emotional coping strategy.
“Many of us with AN experience alexithymia [93, 94] and suppress our emotions as an emotional coping strategy [22, 95].”
From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [95]
Expressive suppression in individuals with EDs is linked to increased suicidal ideation.
“Further, expressive suppression in individuals with EDs is also linked to increased suicidal ideation [95].”
From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [95]
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- Authors
- Ortiz, S., Knauft, K., Smith, A., & Kalia, V.
- Affiliations
- Miami University (US)
- Corresponding author
- Ortiz, Shelby
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2019-07-23
- Volume
- 75
- Issue
- 10
- Pages
- 1943-1958
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2963411314
- Cited by
- 12
- References
- 78
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 2
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- disordered eating, suicidal ideation, expressive suppression, emotion regulation, cognitive reappraisal, emotional dysregulation, mediation, eating disorders
- MeSH terms
- Emotional Regulation, Adult, Affective Symptoms, Feeding and Eating Disorders, Female, Humans, Male, Risk Factors, Young Adult, Suicidal Ideation
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