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Distress, emotional clarity, and disordered eating in young people with complex emotional and behavioural difficulties

journal contribution
posted on 2018-07-01, 00:00 authored by Elise Sloan, Renee O'Donnell, V Bianchi, Angela SimpsonAngela Simpson, Rachael Cox, Kate HallKate Hall
Background: Disordered eating frequently co-occurs in young people seeking treatment for mental health and substance use difficulties. High levels of psychological distress and a lack of emotional clarity (LEC) are two constructs that have received recent attention as important constructs underlying this harmful behaviour; however how they interact to precipitate and maintain disordered eating still remains unclear. This study sought to address this gap by examining whether psychological distress moderates the relationship between LEC and disordered eating in a sample of young people with complex emotional and behavioural difficulties. Methods: Participants were young people (N = 306, M = 20.8 years) accessing youth specific alcohol and other drugs and/or primary mental health services in Australia who completed an online questionnaire which examined their level of emotional clarity, degree of distress, and engagement in disordered eating behaviours. Results: Moderation analysis was employed to examine if psychological distress (i.e., anxiety and depression) significantly moderates the relationship between LEC and disordered eating. A small, significant interactive effect of high levels of depressive symptoms on the relationship between LEC and disordered eating was found. Whereas, anxious affect did not significantly interact with LEC to predict disordered eating. Conclusions: Young people who struggle to identify and articulate their emotions are more likely to engage in disordered eating in the presence of high distress relating to depressive symptomatology. Addressing LEC through increasing emotional literacy, while treating depressive symptomatology, are key intervention strategies that may assist young people with complex emotional and behavioural difficulties manage disordered eating.

History

Journal

Clinical psychologist

Volume

22

Issue

2

Pagination

148 - 157

Publisher

John Wiley & Sons

Location

Chichester, Eng.

ISSN

1328-4207

eISSN

1742-9552

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2018, The Australian Psychological Study