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Adverse relationship processes: the attempts of women with Bulimia Nervosa symptoms to fit the perceived ideal of intimate partners
Author(s) -
Schembri Charlene,
Evans Lynette
Publication year - 2007
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.797
Subject(s) - eating disorders , psychology , association (psychology) , clinical psychology , bulimia nervosa , psychopathology , interpersonal communication , interpersonal relationship , psychiatry , developmental psychology , psychotherapist , social psychology
Objective This study drew together research on anxious attachment, self‐silencing, self‐consciousness during sexual activity and bulimic symptoms. Method A mixed community/university sample of 225 women aged 18–63 ( M = 30.24, SD = 10.44) and involved in an intimate relationship completed questionnaires. Results Adverse relationship processes were significantly associated and each was also associated with bulimic symptoms. Self‐consciousness during sexual activity was the best predictor of bulimic symptoms, followed by anxious attachment. Self‐silencing was redundant when the other relationship processes were included in the regression. General psychopathology mediated the association between self‐silencing and bulimic symptoms, and partially mediated associations between bulimic symptoms and both anxious attachment and self‐consciousness during sexual activity. Discussion Women with bulimic symptoms attempt to change themselves by engaging in adverse processes in intimate relationships to meet the perceived expectations of their partners. Targeting these relationship processes in therapy might further add to the success of relationship‐oriented treatments (e.g. Interpersonal Therapy). Copyright © 2007 John Wiley & Sons, Ltd and Eating Disorders Association.