Cited by 19Eating Disorders and BehaviorsIdentity, Memory, and TherapyNutrition, Health and Food Behavior

Identity Functioning and Eating Disorder Symptomatology: The Role of Cognitive Emotion Regulation Strategies

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Verschueren, Margaux, Claes, Laurence, Palmeroni, Nina, Raemen, Leni, Buelens, Tinne, Moons, Philip, Luyckx, Koen·2021·Frontiers in Psychology

Abstract

Introduction: Adolescence is the most critical life period for the development of eating disorder (ED) symptomatology. Although problems in identity functioning and emotion dysregulation have been proven important risk and maintaining factors of ED symptomatology, they have never been integrated in a longitudinal study. Methods: The present study is part of the Longitudinal Identity research in Adolescence (LIA)-study and aimed to uncover the temporal interplay between identity functioning, cognitive emotion regulation, and ED symptomatology in adolescence. A total of 2,162 community adolescents (Time 1: 54% female; Mage = 14.58, SD = 1.88, range = 10–21 years) participated at three measurement points with 1-year intervals. They reported on identity functioning (identity synthesis and identity confusion), cognitive emotion regulation (rumination, catastrophizing, and positive reappraisal), and ED symptomatology (drive for thinness and bulimia symptoms). Results: Cross-lagged paths could be fixed for boys and girls and showed bidirectional associations between both dimensions of identity functioning and both rumination and catastrophizing over time. Similarly, these maladaptive cognitive emotion regulation strategies were bidirectionally related to ED symptomatology over time. Finally, indirect pathways pointed to bidirectional associations between both dimensions of identity functioning and bulimia symptoms through rumination and catastrophizing. Only unidirectional associations emerged for drive for thinness and almost no cross-lagged associations were found with positive reappraisal. Conclusion: The present study demonstrates that identity confusion may contribute to the development of ED symptomatology in adolescence through cognitive emotion dysregulation. It also reveals that these ED symptoms hamper identity development through emotion dysregulation. These results stress the importance of targeting both identity functioning and cognitive emotion regulation in the prevention and intervention of ED symptoms.

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  1. Brown T. A. (2015). Confirmatory Factor Analysis for Applied Research, 2nd Edn. New York, NY: The Guilford Press.
  2. Kline R. B. (2005). Principles and Practice of Structural Equation Modeling, 2nd Edn. New York, NY: Guilford Press.

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Authors
Verschueren, M., Claes, L., Palmeroni, N., Raemen, L., Buelens, T., Moons, P., & Luyckx, K.
Affiliations
  • KU Leuven (BE)
  • University of Antwerp (BE)
  • University of Cape Town (ZA)
  • University of the Free State (ZA)
Corresponding author
Claes, Laurence
Venue
Frontiers in Psychology
Published
2021-05-28
Volume
12
Pages
667235-667235
ISSN
1664-1078 (ISSN-L)
OpenAlex
W3166649026
Cited by
19
References
109
Citations by year
2026: 3 · 2025: 6 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 2
FWCI
1.71
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Psychology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Lirias (KU Leuven) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Fonds Wetenschappelijk Onderzoek (G062117N)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
eating disorders, identity confusion, identity synthesis, cognitive emotion regulation, rumination, catastrophizing, positive reappraisal, drive for thinness, adolescence, emotional dysregulation, bidirectional relationship, eating disorder prevention

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