A psychosocial risk factor model for female eating disorders: a European multicentre project

To investigate through Structural Equation Modelling (SEM), the relationship between parenting styles, teasing about body weight/shape or eating, internalization of the thin ideal and body dissatisfaction amongst eating disorders (EDs) and controls and to see whether the risk factor model differed across various European countries and ED subtypes.

The total sample comprised 1373 participants(ED patients=618).The Cross-Cultural Questionnaire (CCQ) was used to assess the above-mentioned risk factors.

SEM analyses showed that the best fitting model was one allowing risk paths to vary across countries [χ2(425)=2105.271,p<.0001,RMSEA,=.022,CFI=.980]. In all countries teasing about weight/shape or eating was associated with body dissatisfaction(directly and via internalization of the thin ideal).There was a strong significant path from body dissatisfaction to ED(standardised path coefficient across countries:0.44-0.69, p<0.0001).Teasing about weight/shape or eating also directly predicted EDs (in the UK, Spain and Slovenia).There was however a weak effect of parenting on both teasing about weight/shape or eating and EDs directly.Risk models slightly varied across ED diagnoses.

Our hypothesised model was partially confirmed; in particular the central role of teasing on EDs both directly and mediated by internalization of the thin ideal and body dissatisfaction was shown across five European countries.Conversely, the effect of parenting varied by country and therefore might have cross-cultural effects.

This abstract was presented in the Prevention & Public Health stream of the 2014 ANZAED Conference.

Affiliations

1. The University of Melbourne, Melbourne, Australia
   • Isabel Krug
2. Deakin University, Melbourne, Australia
   • Matthew Fuller-Tyszkiewicz
3. Monash University, Melbourne, Australia
   • Sarah Mitchell
4. University Hospital of Bellvitge, Barcelona, Spain
   • Fernando Fernandez-Aranda
5. University of Vienna, Vienna, Austria
   • Andreas Karwautz
   •  & Gudrun Wagner
6. University Medical Centre Ljubljana, Ljubljana, Slovenia
   • Marija Anderluh
7. Fondazione Centro S.Raffaele del Monte Tabor, Milan, Italy
   • Laura Bellodi
8. University of Florence, Florence, Italy
   • Benedetta Nacmias
   • , Valdo Rica
   •  & Sandro Sorbi
9. King's College London, London, UK
   • Kate Tchanturia
   • , David Collier
   •  & Janet Treasure
10. University College London, London, UK
    • Nadia Micali

Corresponding author

Correspondence to Isabel Krug.

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