A path model linking emotion regulation difficulties to disturbed eating and compensatory behavior in young females

An increasing number of young females are reporting disturbed eating and compensatory behaviors (DECB), with studies showing that higher levels during adolescence not only persist into early adulthood but also are associated with the onset of subthreshold/threshold eating disorders. Emotion regulation difficulties (ERD) have been identified as one of the most relevant transdiagnostic risk factors associated with the development and maintenance of various DECB. The aim of this study was to explore the mediating mechanisms between ERD and DECB within a newly developed path model.

A total of 627 females (mean age 19.90, SD = 2.50) participated in a cross-sectional online questionnaire study.

The results highlighted body-related cognitive distortions (TSF-B), either alone (β = 0.160, p < 0.000), or in conjunction with body dissatisfaction (β = 0.124, p < 0.000), as key mediators.

This study identifies TSF-B and body dissatisfaction as key mediators in the link between ERD and DECB. These findings emphasize the importance of addressing maladaptive information processing in theoretical models and incorporating corresponding interventions in prevention and intervention programs. Further cross-sectional and longitudinal research across genders and in both clinical and community samples remain crucial.