Introduction. Among community adolescents, binge-eating is the prevalent symptom of Eating Disorder (ED), surpassing restrictive or compensatory behaviors (Marzilli, Cerniglia and Cimino, 2018). Findings in the attachment research reported a greater risk of ED’ symptoms for teenagers with insecure or disorganized attachment representations (Gander, Sevecke and Buchheim, 2015), but scarce studies investigated the relations between binge-eating symptoms and attachment in normative adolescents, usually using self-report questionnaires (Laghi et al., 2012). Therefore, in this comparative study we applied a semi-structured interview to compare attachment representations in community girls at risk or not for binge eating symptoms. Methods. Into a larger research, 382 high-school students (Mage =15.6y, 38% boys) were assessed in their risk for binge-eating symptoms, using the well-known specific self-report Binge Eating Scale (BES; Gormally et al., 1982), that measures the levels of binge-eating symptoms (at-risk with scores>17). For this study, we sub-sampled as participants 44 community girls (aged 14-18y, M=15.7, SD=1.1), 22 at-risk for binge-eating symptoms (Binge-Eating, BE) and 22 not-at-risk (NotBinge-Eating, NBE), preliminary compared as significantly different in BES scores (p=.000). Measures were: 1) the BES, used in the screening phase; 2) the Friends and Family Interview (FFI, Steele and Steele, 2005), a semi-structured interview to assess adolescents’ attachment representations as Secure-Autonomous, Insecure-Dismissing, Insecure-Preoccupied, Disorganized-Disoriented, both in terms of classifications and scores, focusing on narrative’s coherence. Results. There were no significant differences between groups in FFI’s attachment classifications (p>.04). However, we found significant differences in the scales of the FFI (Table1), as the BE group had higher scores of preoccupation (p=.02) and lower scores of security (p=.05) in attachment representations, showing also poorest narrative coherence (p=.01). Discussion. The attachment patterns showed by the community girls at-risk for binge-eating were consistent with those found in literature on bulimia, more than in anorexia. Authors discussed clinical implications and future directions.

Attachment representations in community girls at risk of Binge Eating Disorder.

Cecilia Serena Pace;Stefania Muzi
2019

Abstract

Introduction. Among community adolescents, binge-eating is the prevalent symptom of Eating Disorder (ED), surpassing restrictive or compensatory behaviors (Marzilli, Cerniglia and Cimino, 2018). Findings in the attachment research reported a greater risk of ED’ symptoms for teenagers with insecure or disorganized attachment representations (Gander, Sevecke and Buchheim, 2015), but scarce studies investigated the relations between binge-eating symptoms and attachment in normative adolescents, usually using self-report questionnaires (Laghi et al., 2012). Therefore, in this comparative study we applied a semi-structured interview to compare attachment representations in community girls at risk or not for binge eating symptoms. Methods. Into a larger research, 382 high-school students (Mage =15.6y, 38% boys) were assessed in their risk for binge-eating symptoms, using the well-known specific self-report Binge Eating Scale (BES; Gormally et al., 1982), that measures the levels of binge-eating symptoms (at-risk with scores>17). For this study, we sub-sampled as participants 44 community girls (aged 14-18y, M=15.7, SD=1.1), 22 at-risk for binge-eating symptoms (Binge-Eating, BE) and 22 not-at-risk (NotBinge-Eating, NBE), preliminary compared as significantly different in BES scores (p=.000). Measures were: 1) the BES, used in the screening phase; 2) the Friends and Family Interview (FFI, Steele and Steele, 2005), a semi-structured interview to assess adolescents’ attachment representations as Secure-Autonomous, Insecure-Dismissing, Insecure-Preoccupied, Disorganized-Disoriented, both in terms of classifications and scores, focusing on narrative’s coherence. Results. There were no significant differences between groups in FFI’s attachment classifications (p>.04). However, we found significant differences in the scales of the FFI (Table1), as the BE group had higher scores of preoccupation (p=.02) and lower scores of security (p=.05) in attachment representations, showing also poorest narrative coherence (p=.01). Discussion. The attachment patterns showed by the community girls at-risk for binge-eating were consistent with those found in literature on bulimia, more than in anorexia. Authors discussed clinical implications and future directions.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11567/1004272
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