Predicting a comprehensive operationalization of eating disorder recovery: Examining self‐concept, personality, and negative affect

Objective Our goal was to examine potential predictors of a comprehensive operationalization of eating disorder recovery, characterized by physical, behavioral, and cognitive recovery, focusing on constructs related to self‐concept, personality, and negative affect. Method Participants were women wi...

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Bibliographic Details
Published in:The International journal of eating disorders 2020-06, Vol.53 (6), p.987-996
Main Authors: Bardone‐Cone, Anna M., Miller, Alexandra J., Thompson, Katherine A., Walsh, Emily C.
Format: Article
Language:English
Subjects:
Adolescent
Affect (Psychology)
anxiety
depression
Eating disorders
Feeding and Eating Disorders - rehabilitation
Female
Humans
negative urgency
perfectionism
Personality - physiology
predictors
recovery
Self Concept
self‐esteem
Surveys and Questionnaires
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Summary:Objective Our goal was to examine potential predictors of a comprehensive operationalization of eating disorder recovery, characterized by physical, behavioral, and cognitive recovery, focusing on constructs related to self‐concept, personality, and negative affect. Method Participants were women with a history of an eating disorder who provided data via survey and interview at two time points separated by about 7–8 years and who met criteria for an eating disorder diagnosis at baseline (N = 36). Results Logistic regression models revealed that self‐esteem was a significant predictor of recovery status (OR = 1.12, p = .039) such that individuals with higher self‐esteem at baseline demonstrated significantly greater odds of being in full recovery at follow‐up. However, when self‐esteem was considered in a set along with baseline imposter phenomenon and anxiety, no single construct emerged as a significant unique predictor of recovery in logistic regression analyses. Discussion These results highlight the potential importance of self‐esteem in relation to recovery, with clinical implications related to bolstering self‐esteem as part of eating disorder treatment. Future research should continue to explore predictors using a comprehensive operationalization of eating disorder recovery in larger, more diverse samples to optimally identify factors associated with achieving recovery.
ISSN:0276-3478
1098-108X
DOI:10.1002/eat.23281