Loading…
Self-hate, dissociation, and suicidal behavior in bulimia nervosa
Individuals with eating disorders (EDs) often struggle with markedly low self- esteem and are at risk for suicidal behavior. Dissociation and perceived burdensomeness are often cited as facilitators of suicidal outcomes. Specifically, perceived burdensomeness is comprised of self-hate and liability...
Saved in:
| Published in: | Journal of affective disorders 2023-08, Vol.335, p.44-48 |
|---|---|
| Main Authors: | , , , , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c396t-c06b35938f092fc189c9dc485ffcb481753af3d38bcd3bb7027f4fa91132a7953 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c396t-c06b35938f092fc189c9dc485ffcb481753af3d38bcd3bb7027f4fa91132a7953 |
| container_end_page | 48 |
| container_issue | |
| container_start_page | 44 |
| container_title | Journal of affective disorders |
| container_volume | 335 |
| creator | Lieberman, Amy Robison, Morgan Wonderlich, Stephen A. Crosby, Ross D. Mitchell, James E. Crow, Scott J. Peterson, Carol B. Le Grange, Daniel Bardone-Cone, Anna M. Kolden, Gregory Joiner, Thomas E. |
| description | Individuals with eating disorders (EDs) often struggle with markedly low self- esteem and are at risk for suicidal behavior. Dissociation and perceived burdensomeness are often cited as facilitators of suicidal outcomes. Specifically, perceived burdensomeness is comprised of self-hate and liability on others, although it remains unclear which variables most heavily influence suicidal behavior in EDs.
In a sample of 204 women with bulimia nervosa, the present study examined the potential impact of self-hate and dissociation on suicidal behavior. We hypothesized that suicidal behavior would be equally, and potentially more strongly, related to self-hate than dissociation. Regression analyses investigated the unique effects of these variables on suicidal behavior.
Consistent with our hypothesis, a significant relationship emerged between self-hate and suicidal behavior (B = 0.262, SE = 0.081, p |
| doi_str_mv | 10.1016/j.jad.2023.05.015 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2813561263</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0165032723006420</els_id><sourcerecordid>2813561263</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-c06b35938f092fc189c9dc485ffcb481753af3d38bcd3bb7027f4fa91132a7953</originalsourceid><addsrcrecordid>eNp9kDtPwzAURi0EoqXwA1hQRoYm-BHHsZiqipdUiQGYLT9VR0lc7KQS_55UBUamu5zvSPcAcI1ggSCq7pqikabAEJMC0gIiegLmiDKSY4rYKZhPDM0hwWwGLlJqIIQVZ_AczAhDrK5xOQerN9u6fCsHu8yMTyloLwcf-mUme5Ol0WtvZJspu5V7H2Lm-0yNre-8zHob9yHJS3DmZJvs1c9dgI_Hh_f1c755fXpZrza5Jrwacg0rRSgntYMcO41qrrnRZU2d06qsEaNEOmJIrbQhSjGImSud5AgRLBmnZAFuj95dDJ-jTYPofNK2bWVvw5gErhGhFcIVmVB0RHUMKUXrxC76TsYvgaA4lBONmMqJQzkBqZjKTZubH_2oOmv-Fr-pJuD-CNjpyb23USTtba-t8dHqQZjg_9F_A1RNfWY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2813561263</pqid></control><display><type>article</type><title>Self-hate, dissociation, and suicidal behavior in bulimia nervosa</title><source>ScienceDirect Freedom Collection</source><creator>Lieberman, Amy ; Robison, Morgan ; Wonderlich, Stephen A. ; Crosby, Ross D. ; Mitchell, James E. ; Crow, Scott J. ; Peterson, Carol B. ; Le Grange, Daniel ; Bardone-Cone, Anna M. ; Kolden, Gregory ; Joiner, Thomas E.</creator><creatorcontrib>Lieberman, Amy ; Robison, Morgan ; Wonderlich, Stephen A. ; Crosby, Ross D. ; Mitchell, James E. ; Crow, Scott J. ; Peterson, Carol B. ; Le Grange, Daniel ; Bardone-Cone, Anna M. ; Kolden, Gregory ; Joiner, Thomas E.</creatorcontrib><description>Individuals with eating disorders (EDs) often struggle with markedly low self- esteem and are at risk for suicidal behavior. Dissociation and perceived burdensomeness are often cited as facilitators of suicidal outcomes. Specifically, perceived burdensomeness is comprised of self-hate and liability on others, although it remains unclear which variables most heavily influence suicidal behavior in EDs.
In a sample of 204 women with bulimia nervosa, the present study examined the potential impact of self-hate and dissociation on suicidal behavior. We hypothesized that suicidal behavior would be equally, and potentially more strongly, related to self-hate than dissociation. Regression analyses investigated the unique effects of these variables on suicidal behavior.
Consistent with our hypothesis, a significant relationship emerged between self-hate and suicidal behavior (B = 0.262, SE = 0.081, p < .001, CIs = 0.035–0.110, R-squared =0.07) but not between dissociation and suicidal behavior (B = 0.010, SE = 0.007, p = .165, CIs = −0.389–2.26, R-squared =0.010). Additionally, when controlling for one another, both self-hate (B = 0.889, SE = 0.246, p < .001, CIs = 0.403–1.37) and capability for suicide (B = 0.233, SE = 0.080, p = .004, CIs = 0.076–0.391) were uniquely and independently associated with suicidal behavior.
Future work should include longitudinal analyses to understand temporal relationships among study variables.
In sum, when considering suicidal outcomes, these findings support a view that highlights personal loathing rooted in self-hate rather than de-personalizing aspects of dissociation. Accordingly, self-hate may emerge as a particularly valuable target for treatment and suicide prevention in EDs.
•Eating disorders (ED) often yield low self-esteem, self-hate, and/or suicidal behavior.•Dissociation and capability for suicide are often cited as facilitators of suicidal outcomes.•In an ED sample, self-hate and capability each associated with suicidal behavior, as predicted.•Dissociation did not predict suicidal behavior in an ED sample.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2023.05.015</identifier><identifier>PMID: 37178824</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Bulimia Nervosa ; Dissociation ; Eating disorders ; Female ; Hate ; Humans ; Interpersonal Relations ; Perceived burdensomeness ; Risk Factors ; Self-hate ; Suicidal behavior ; Suicidal Ideation ; Suicide</subject><ispartof>Journal of affective disorders, 2023-08, Vol.335, p.44-48</ispartof><rights>2023 Elsevier B.V.</rights><rights>Copyright © 2023 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-c06b35938f092fc189c9dc485ffcb481753af3d38bcd3bb7027f4fa91132a7953</citedby><cites>FETCH-LOGICAL-c396t-c06b35938f092fc189c9dc485ffcb481753af3d38bcd3bb7027f4fa91132a7953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37178824$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lieberman, Amy</creatorcontrib><creatorcontrib>Robison, Morgan</creatorcontrib><creatorcontrib>Wonderlich, Stephen A.</creatorcontrib><creatorcontrib>Crosby, Ross D.</creatorcontrib><creatorcontrib>Mitchell, James E.</creatorcontrib><creatorcontrib>Crow, Scott J.</creatorcontrib><creatorcontrib>Peterson, Carol B.</creatorcontrib><creatorcontrib>Le Grange, Daniel</creatorcontrib><creatorcontrib>Bardone-Cone, Anna M.</creatorcontrib><creatorcontrib>Kolden, Gregory</creatorcontrib><creatorcontrib>Joiner, Thomas E.</creatorcontrib><title>Self-hate, dissociation, and suicidal behavior in bulimia nervosa</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>Individuals with eating disorders (EDs) often struggle with markedly low self- esteem and are at risk for suicidal behavior. Dissociation and perceived burdensomeness are often cited as facilitators of suicidal outcomes. Specifically, perceived burdensomeness is comprised of self-hate and liability on others, although it remains unclear which variables most heavily influence suicidal behavior in EDs.
In a sample of 204 women with bulimia nervosa, the present study examined the potential impact of self-hate and dissociation on suicidal behavior. We hypothesized that suicidal behavior would be equally, and potentially more strongly, related to self-hate than dissociation. Regression analyses investigated the unique effects of these variables on suicidal behavior.
Consistent with our hypothesis, a significant relationship emerged between self-hate and suicidal behavior (B = 0.262, SE = 0.081, p < .001, CIs = 0.035–0.110, R-squared =0.07) but not between dissociation and suicidal behavior (B = 0.010, SE = 0.007, p = .165, CIs = −0.389–2.26, R-squared =0.010). Additionally, when controlling for one another, both self-hate (B = 0.889, SE = 0.246, p < .001, CIs = 0.403–1.37) and capability for suicide (B = 0.233, SE = 0.080, p = .004, CIs = 0.076–0.391) were uniquely and independently associated with suicidal behavior.
Future work should include longitudinal analyses to understand temporal relationships among study variables.
In sum, when considering suicidal outcomes, these findings support a view that highlights personal loathing rooted in self-hate rather than de-personalizing aspects of dissociation. Accordingly, self-hate may emerge as a particularly valuable target for treatment and suicide prevention in EDs.
•Eating disorders (ED) often yield low self-esteem, self-hate, and/or suicidal behavior.•Dissociation and capability for suicide are often cited as facilitators of suicidal outcomes.•In an ED sample, self-hate and capability each associated with suicidal behavior, as predicted.•Dissociation did not predict suicidal behavior in an ED sample.</description><subject>Bulimia Nervosa</subject><subject>Dissociation</subject><subject>Eating disorders</subject><subject>Female</subject><subject>Hate</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Perceived burdensomeness</subject><subject>Risk Factors</subject><subject>Self-hate</subject><subject>Suicidal behavior</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kDtPwzAURi0EoqXwA1hQRoYm-BHHsZiqipdUiQGYLT9VR0lc7KQS_55UBUamu5zvSPcAcI1ggSCq7pqikabAEJMC0gIiegLmiDKSY4rYKZhPDM0hwWwGLlJqIIQVZ_AczAhDrK5xOQerN9u6fCsHu8yMTyloLwcf-mUme5Ol0WtvZJspu5V7H2Lm-0yNre-8zHob9yHJS3DmZJvs1c9dgI_Hh_f1c755fXpZrza5Jrwacg0rRSgntYMcO41qrrnRZU2d06qsEaNEOmJIrbQhSjGImSud5AgRLBmnZAFuj95dDJ-jTYPofNK2bWVvw5gErhGhFcIVmVB0RHUMKUXrxC76TsYvgaA4lBONmMqJQzkBqZjKTZubH_2oOmv-Fr-pJuD-CNjpyb23USTtba-t8dHqQZjg_9F_A1RNfWY</recordid><startdate>20230815</startdate><enddate>20230815</enddate><creator>Lieberman, Amy</creator><creator>Robison, Morgan</creator><creator>Wonderlich, Stephen A.</creator><creator>Crosby, Ross D.</creator><creator>Mitchell, James E.</creator><creator>Crow, Scott J.</creator><creator>Peterson, Carol B.</creator><creator>Le Grange, Daniel</creator><creator>Bardone-Cone, Anna M.</creator><creator>Kolden, Gregory</creator><creator>Joiner, Thomas E.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20230815</creationdate><title>Self-hate, dissociation, and suicidal behavior in bulimia nervosa</title><author>Lieberman, Amy ; Robison, Morgan ; Wonderlich, Stephen A. ; Crosby, Ross D. ; Mitchell, James E. ; Crow, Scott J. ; Peterson, Carol B. ; Le Grange, Daniel ; Bardone-Cone, Anna M. ; Kolden, Gregory ; Joiner, Thomas E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-c06b35938f092fc189c9dc485ffcb481753af3d38bcd3bb7027f4fa91132a7953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bulimia Nervosa</topic><topic>Dissociation</topic><topic>Eating disorders</topic><topic>Female</topic><topic>Hate</topic><topic>Humans</topic><topic>Interpersonal Relations</topic><topic>Perceived burdensomeness</topic><topic>Risk Factors</topic><topic>Self-hate</topic><topic>Suicidal behavior</topic><topic>Suicidal Ideation</topic><topic>Suicide</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lieberman, Amy</creatorcontrib><creatorcontrib>Robison, Morgan</creatorcontrib><creatorcontrib>Wonderlich, Stephen A.</creatorcontrib><creatorcontrib>Crosby, Ross D.</creatorcontrib><creatorcontrib>Mitchell, James E.</creatorcontrib><creatorcontrib>Crow, Scott J.</creatorcontrib><creatorcontrib>Peterson, Carol B.</creatorcontrib><creatorcontrib>Le Grange, Daniel</creatorcontrib><creatorcontrib>Bardone-Cone, Anna M.</creatorcontrib><creatorcontrib>Kolden, Gregory</creatorcontrib><creatorcontrib>Joiner, Thomas E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lieberman, Amy</au><au>Robison, Morgan</au><au>Wonderlich, Stephen A.</au><au>Crosby, Ross D.</au><au>Mitchell, James E.</au><au>Crow, Scott J.</au><au>Peterson, Carol B.</au><au>Le Grange, Daniel</au><au>Bardone-Cone, Anna M.</au><au>Kolden, Gregory</au><au>Joiner, Thomas E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self-hate, dissociation, and suicidal behavior in bulimia nervosa</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2023-08-15</date><risdate>2023</risdate><volume>335</volume><spage>44</spage><epage>48</epage><pages>44-48</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>Individuals with eating disorders (EDs) often struggle with markedly low self- esteem and are at risk for suicidal behavior. Dissociation and perceived burdensomeness are often cited as facilitators of suicidal outcomes. Specifically, perceived burdensomeness is comprised of self-hate and liability on others, although it remains unclear which variables most heavily influence suicidal behavior in EDs.
In a sample of 204 women with bulimia nervosa, the present study examined the potential impact of self-hate and dissociation on suicidal behavior. We hypothesized that suicidal behavior would be equally, and potentially more strongly, related to self-hate than dissociation. Regression analyses investigated the unique effects of these variables on suicidal behavior.
Consistent with our hypothesis, a significant relationship emerged between self-hate and suicidal behavior (B = 0.262, SE = 0.081, p < .001, CIs = 0.035–0.110, R-squared =0.07) but not between dissociation and suicidal behavior (B = 0.010, SE = 0.007, p = .165, CIs = −0.389–2.26, R-squared =0.010). Additionally, when controlling for one another, both self-hate (B = 0.889, SE = 0.246, p < .001, CIs = 0.403–1.37) and capability for suicide (B = 0.233, SE = 0.080, p = .004, CIs = 0.076–0.391) were uniquely and independently associated with suicidal behavior.
Future work should include longitudinal analyses to understand temporal relationships among study variables.
In sum, when considering suicidal outcomes, these findings support a view that highlights personal loathing rooted in self-hate rather than de-personalizing aspects of dissociation. Accordingly, self-hate may emerge as a particularly valuable target for treatment and suicide prevention in EDs.
•Eating disorders (ED) often yield low self-esteem, self-hate, and/or suicidal behavior.•Dissociation and capability for suicide are often cited as facilitators of suicidal outcomes.•In an ED sample, self-hate and capability each associated with suicidal behavior, as predicted.•Dissociation did not predict suicidal behavior in an ED sample.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>37178824</pmid><doi>10.1016/j.jad.2023.05.015</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0165-0327 |
| ispartof | Journal of affective disorders, 2023-08, Vol.335, p.44-48 |
| issn | 0165-0327 1573-2517 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2813561263 |
| source | ScienceDirect Freedom Collection |
| subjects | Bulimia Nervosa Dissociation Eating disorders Female Hate Humans Interpersonal Relations Perceived burdensomeness Risk Factors Self-hate Suicidal behavior Suicidal Ideation Suicide |
| title | Self-hate, dissociation, and suicidal behavior in bulimia nervosa |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T18%3A15%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Self-hate,%20dissociation,%20and%20suicidal%20behavior%20in%20bulimia%20nervosa&rft.jtitle=Journal%20of%20affective%20disorders&rft.au=Lieberman,%20Amy&rft.date=2023-08-15&rft.volume=335&rft.spage=44&rft.epage=48&rft.pages=44-48&rft.issn=0165-0327&rft.eissn=1573-2517&rft_id=info:doi/10.1016/j.jad.2023.05.015&rft_dat=%3Cproquest_cross%3E2813561263%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c396t-c06b35938f092fc189c9dc485ffcb481753af3d38bcd3bb7027f4fa91132a7953%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2813561263&rft_id=info:pmid/37178824&rfr_iscdi=true |