Attachment insecurity, mentalization and their relation to symptoms in eating disorder patients

Attachment & Human Development
Greet S KuipersMarrie H J Bekker

Abstract

To investigate the relationships of attachment security and mentalization with core and co-morbid symptoms in eating disorder patients. We compared 51 eating disorder patients at the start of intensive treatment and 20 healthy controls on attachment, mentalization, eating disorder symptoms, depression, anxiety, personality disorders, psycho-neuroticism, autonomy problems and self-injurious behavior, using the Adult Attachment Interview, the SCID-I and II and several questionnaires. Compared with the controls, the eating disorder patients showed a higher prevalence of insecure attachment; eating disorder patients more often than controls received the AAI classification Unresolved for loss or abuse. They also had a lower level of mentalization and more autonomy problems. In the patient group eating disorder symptoms, depression, anxiety, psycho-neuroticism and autonomy problems were neither related to attachment security nor to mentalization; self-injurious behavior was associated with lesser attachment security and lower mentalization; borderline personality disorder was related to lower mentalization. In the control group no relations were found between attachment, mentalization and psychopathologic variables. Eating disorder p...Continue Reading

References

Nov 1, 1994·Psychological Medicine·D L BraunK A Halmi
Jul 1, 1994·Comprehensive Psychiatry·D L SegalV B Van Hasselt
Feb 1, 1996·Journal of Consulting and Clinical Psychology·P FonagyA Gerber
May 1, 1997·The International Journal of Eating Disorders·C PolliceT E Weltzin
Jan 19, 1999·Journal of Clinical and Experimental Neuropsychology·J L Mathias, P S Kent
Apr 12, 2000·The British Journal of Medical Psychology·A WardJ Treasure
Oct 9, 2001·Eating and Weight Disorders : EWD·A RamacciottiS Pallanti
Jan 10, 2002·The British Journal of Medical Psychology·A WardJ Treasure
Jun 24, 2003·Physiology & Behavior·Frances ConnanJanet Treasure
Apr 14, 2005·The British Journal of Clinical Psychology·Alfonso TroisiMassimo Cuzzolaro
Oct 19, 2005·The International Journal of Eating Disorders·Manfred M FichterSusanne Hedlund
Jun 28, 2006·Eating and Weight Disorders : EWD·O MontebarocciN Rossi
Dec 29, 2006·Journal of Personality Disorders·Peter Fonagy, Mary Target
Feb 23, 2007·Psychology and Psychotherapy·Christian MüllerRalph Grabhorn
May 2, 2007·Journal of Personality and Social Psychology·Glenn I RoismanAlexis Clarke
Aug 7, 2007·European Eating Disorders Review : the Journal of the Eating Disorders Association·Finn Skårderud
Aug 7, 2007·European Eating Disorders Review : the Journal of the Eating Disorders Association·Finn Skårderud
Apr 22, 2008·Journal of Clinical Psychology·Marrie H J BekkerJennifer B G Vermee
Oct 28, 2008·The International Journal of Eating Disorders·Kelly L KlumpEdward Tyson
Feb 28, 2009·The International Journal of Eating Disorders·Karianne R VrabelJan H Rosenvinge
Nov 26, 2009·Eating and Weight Disorders : EWD·U M E SchulzeC Mehler-Wex
Dec 10, 2009·Psychosomatic Medicine·Anna OldershawUlrike Schmidt
Feb 12, 2010·European Eating Disorders Review : the Journal of the Eating Disorders Association·Henrik Daae Zachrisson, Finn Skårderud
Jul 9, 2010·The Journal of Nervous and Mental Disease·Lily Rothschild-YakarDaniel Stein
Jul 9, 2010·The Journal of Nervous and Mental Disease·Giovanni Abbate-DagaSecondo Fassino
Sep 9, 2010·The Journal of Nervous and Mental Disease·Vanessa IllingHany Bissada
Nov 27, 2010·Clinical Psychology & Psychotherapy·Thanos KaratziasDavid Grierson
Mar 11, 2011·Attachment & Human Development·Pedro DiasGlenn I Roisman
Jan 4, 2012·The International Journal of Eating Disorders·Martha KenyonUlrike Schmidt
Feb 4, 2012·European Eating Disorders Review : the Journal of the Eating Disorders Association·Signe Holm PedersenStig Poulsen
Jul 11, 2012·Psychological Assessment·Svenja TaubnerJohannes Zimmermann
Dec 4, 2012·Journal of the American Academy of Child and Adolescent Psychiatry·Trudie I Rossouw, Peter Fonagy
Feb 4, 2014·Clinical Psychology Review·Hannah Katznelson
Sep 1, 2015·Frontiers in Psychology·Manuela GanderAnna Buchheim

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Citations

Feb 22, 2018·European Eating Disorders Review : the Journal of the Eating Disorders Association·Carrie J McAdamsErin Van Enkevort
Jun 24, 2017·Clinical Psychology & Psychotherapy·Hilary MaxwellLouise Balfour
Aug 5, 2017·PloS One·Marrie H J Bekker, Marcel A L M van Assen
Jun 29, 2018·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Andrew J Wrath, G Camelia Adams
Jan 8, 2020·Nordic Journal of Psychiatry·Caroline Bach SimonsenGry Kjaersdam Telléus
Aug 12, 2020·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Jennifer WooG Camelia Adams
Mar 16, 2021·Eating and Weight Disorders : EWD·Emma M GilesJ Hubert Lacey
Jul 18, 2021·European Eating Disorders Review : the Journal of the Eating Disorders Association·Almut ZeeckArmin Hartmann

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