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From Interpersonal Insecurity to Disordered Eating: The Mediating Pathway of Appearance-Based Rejection Sensitivity.

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Attachment anxiety is linked to anorexia nervosa (AN) symptoms. Appearance-based rejection sensitivity mediates this, with stronger effects in females, highlighting the need for interventions addressing attachment styles.

Keywords:
anorexia nervosaappearance-based rejection sensitivityattachment anxietyeating disordergender difference

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Area of Science:

  • Psychology
  • Public Health
  • Clinical Psychology

Background:

  • Eating disorders, particularly anorexia nervosa (AN), are a growing global health issue.
  • Attachment anxiety is a recognized risk factor for AN symptoms.
  • Heightened sensitivity to rejection and body image concerns are linked to attachment anxiety.

Purpose of the Study:

  • To investigate the mediating role of appearance-based rejection sensitivity (ARS) in the link between attachment anxiety and AN symptoms.
  • To examine the moderating effect of sex on this relationship.
  • To explore these dynamics in Chinese college students.

Main Methods:

  • Online surveys administered to 826 Chinese college students (aged 16-25).
  • Validated scales used: Revised Adult Attachment Scale (RAAS), Appearance-based Rejection Sensitivity Scale (ARSS), and Eating Disorders Inventory (EDI).
  • Statistical analyses to assess correlations, mediation, and moderation.

Main Results:

  • No significant sex differences in attachment anxiety.
  • Females reported higher ARS and AN symptoms than males.
  • Attachment anxiety positively correlated with AN symptoms, mediated by ARS.
  • Sex moderated the ARS-AN symptom relationship, with a stronger effect in females.

Conclusions:

  • AN symptoms are associated with attachment anxiety, with ARS playing a mediating role.
  • Interventions for adolescent AN should consider attachment styles and communication, especially for females.
  • Appearance-based rejection sensitivity is a key factor linking attachment anxiety to AN symptoms.