The Secret Society: Descendants of Crypto-Jews in the San Antonio ...

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Disordered Eating, Anxiety, and Written Emotional Disclosure: A Prevention. Laura M. Dewey PSY 359H and PSY 379H Special Honors in the Department of Psychology The University of Texas at Austin December 2006 Faculty Advisor: Charles J. Holahan, Ph.D., Department of Psychology
Disordered Eating, Anxiety 2 Abstract This study sought to use the written emotional disclosure paradigm to lower anxiety, body dissatisfaction, and negative affect, and ultimately, to lower disordered eating symptomology. Participants were 56 college women prescreened for concerns about their body image or eating habits and randomly assigned to either a written emotional disclosure treatment or to a neutral writing control. Their disordered eating symptomology was measured at a pre-test, at a post-test one week later, and at a onemonth follow-up. As predicted, a non-significant trend was found toward lower disordered eating symptomology at the post-test and follow-up for those who participated in the written emotional disclosure treatment then for those who participated in the neutral writing control. Furthermore, the preoccupation measure of disordered eating was significantly correlated with anxiety, body dissatisfaction, and negative affect, revealing that these mediators do play a role in disordered eating. These findings strengthen the link between disordered eating and anxiety and suggest that future preventions for eating disorders may eliminate this anxiety through writing. Disordered Eating, Anxiety, and Written Emotional Disclosure: A Prevention. The prevalence of eating disorders, which frequently plague college women, is on the rise. Anorexia nervosa, characterized by a dangerously low body weight and extreme dieting, affects approximately 0.5-1% of women overall in the United States; bulimia nervosa, characterized by over-eating and compensatory behavior such as purging, affects approximately 1-3% of women (Franko & Orosan-Weine, 1998). However, prevalence rates are even higher among college women than in the normal population—in one study, while only 4% of first-year college women had diagnosable eating disorders, 19% exhibited sub-clinical risk factors for disordered eating (Mintz, O’Halloran, Mulholland, & Schneider, 1997). These risk factors, including body-dissatisfaction and negative affect, can lead to emotional eating—an example of a poor coping strategy. Emotional eating occurs when a person uses food to cope with emotions, usually negative emotions. Furthermore, these risk factors often coexist with anxiety, and when this anxiety is left unchecked eating disorders may develop (Keel et al., 2005). Written emotional disclosure may help to eliminate this underlying anxiety and to serve as a positive coping mechanism, thus ameliorating potential risk factors for disordered eating. The current study uses written emotional disclosure as a prevention for eating disorders in a subclinical population of college women. Disordered Eating The criteria for a diagnosable eating disorder are narrow, and many women fall outside of this standard while still exhibiting disordered eating behavior (Mintz, O’Halloran, Mulholland, & Schneider, 1997). Disordered eating is manifested in different ways. Disordered eating could refer to dieting (Polivy & Herman, 1985), both purging and non-purging compensatory behaviors (such as throwing up food or overexercising), and overeating (consuming more food than is comfortable or healthy; Stice, 2002). Disordered eating could also refer to emotional eating which is highly correlated with eating disorder pathology, especially among women (Tanofsky et al., 1997).
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