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A prospective test of the dual pathway model of bulimic pathology: mediating effects of dieting and negative affect
Abstract
Because there have been few longitudinal investigations of integrative etiological theories of bulimia nervosa, this study prospectively tested the dual-pathway model using random regression growth curve models and data from a 3-wave community sample of adolescent girls (N = 231). Initial pressure to be thin and thin-ideal internalization predicted subsequent growth in body dissatisfaction, initial body dissatisfaction predicted growth in dieting and negative affect, and initial dieting and negative affect predicted growth in bulimic symptoms. There was prospective evidence for most of the hypothesized mediational effects. Results are consistent with the assertion that pressure to be thin, thin-ideal internalization, body dissatisfaction, dieting, and negative affect are risk factors for bulimic pathology and provide support for the dual-pathway model.
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“increases in bulimic symptoms (Johnson & Wardle, 2005; Stice, 2001; Wertheim, Koerner, & Paxton, 2001).”
From Caloric deprivation increases responsivity of attention and reward brain regions to intake, anticipated intake, and images of palatable foods (2013) · cites this paper as Stice, 2001
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Metadata
- Authors
- Stice, E.
- Affiliations
- The University of Texas at Austin (US)
- Corresponding author
- Stice, Eric
- ORCID
- Stice, Eric
- Venue
- Journal of Abnormal Psychology
- Published
- 2001-02
- Volume
- 110
- Issue
- 1
- Pages
- 124-135
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W2097312669
- Cited by
- 1,251
- References
- 87
- Citations by year
- 2026: 33 · 2025: 38 · 2024: 44 · 2023: 57 · 2022: 54 · 2021: 48 · 2020: 88 · 2019: 46 · 2018: 47 · 2017: 58 · 2016: 47 · 2015: 87 · 2014: 80 · 2013: 67 · 2012: 76
- FWCI
- 23.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH-19908, MH 01708, K01MH001708, T32MH019908)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- bulimia nervosa, dual-pathway model, dieting, negative affect, body dissatisfaction, thin-ideal internalization, adolescent girls, bulimic symptoms, mediation
- MeSH terms
- Adolescent, Affect, Body Image, Bulimia, Feeding Behavior, Female, Humans, Internal-External Control, Models, Psychological, Prospective Studies, Psychiatric Status Rating Scales, Regression Analysis, Social Conformity, Body Mass Index
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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