Corrigendum: Meaning in Life Mediates Between Emotional Deregulation and Eating Disorders Psychopathology: A Research From the Meaning-Making Model of Eating Disorders.

[This corrects the article DOI: 10.3389/fpsyg.2021.635742.].

Meaning in Life Mediates Between Emotional Deregulation and Eating Disorders Psychopathology: A Research From the Meaning-Making Model of Eating Disorders.

Emotional dysregulation, age, gender, and obesity are transdiagnostic risk factors for the development and maintenance of eating disorders (EDs). Previous studies found that patients with ED had less meaning in life than the non-clinical population, and that meaning in life acted as a buffer in the course of ED; however, to the data, there are no studies about the mediator role of meaning in life in association between the emotional dysregulation and the ED psychopathology. Objective: To analyze the mediating role of meaning in life in the relationship between emotional dysregulation and the ED psychopathology in three samples with diverse risk factors for ED. Method: Sample 1, n = 153 undergraduate young women; sample 2, n = 122 participants with obesity; and sample 3, n = 292 participants with ED. Multiple mediation analysis was performed. Results: Sample 1: meaning in life showed a mediation effect between emotional dysregulation and the ED psychopathology (direct effect ß = 0.390, p < 0.05) (indirect effect ß = 0.227, p < 0.05), body satisfaction (direct effect ß = -0.017, p < 0.05) (indirect effect ß = -0.013, p < 0.01), and depression symptoms (direct effect ß = 1.112, p < 0.001) (indirect effect ß = 0.414, p < 0.001); sample 2: meaning in life showed a mediation effect between emotional dysregulation and binge eating and purging behaviors (direct effect ß = 0.194, p < 0.01) (indirect effect ß = 0.054, p < 0.05) and depression symptoms (direct effect ß = 0.357, p < 0.001) (indirect effect ß = 0.063, p < 0.05); sample 3: meaning in life showed a mediation effect between emotional dysregulation and the ED psychopathology (direct effect ß = 0.884, p < 0.001) (indirect effect ß = 0.252, p < 0.007), body satisfaction (direct effect ß = -0.033, p < 0.05) (indirect effect ß = -0.021, p < 0.001), borderline symptoms (direct effect ß = 0.040, p < 0.001) (indirect effect ß = 0.025, p < 0.001), and hopelessness (direct effect ß = 0.211, p < 0.001) (indirect effect ß = 0.087, p < 0.001). Conclusions: These studies suggest the importance of considering meaning in life as a variable in the onset and maintenance of ED.

Confirmatory factor analysis of the Inventory of Statements About Self-injury in a Spanish clinical sample.

OBJECTIVES: The main aim of the present study was to confirm the two-factor structure of the Inventory of Statements About Self-injury- Part II (ISAS-II), analyze its psychometric properties and test-retest reliability of Parts I and II of the ISAS. METHOD: The sample was composed of 355 Spanish participants diagnosed with eating disorders or borderline personality disorder (mean age 27.89, standard deviation = 13.31; 315 women, 40 men). Two models proposed for the ISAS-II were analyzed by means of confirmatory factorial analysis. RESULTS: A two-factor model was confirmed, and a model with self-care included in the intrapersonal factor was preferable. The ISAS-II showed positive correlations with emotional dysregulation. Test-retest reliability showed statistically significant correlations at 7 months (n = 123). CONCLUSION: The ISAS-II is a valid instrument to assess nonsuicidal self-injury in Spanish populations, making it possible to assess these behaviors, which require valid and reliable measures worldwide.

Meaning in life moderates hopelessness, suicide ideation, and borderline psychopathology in participants with eating disorders: A longitudinal study.

Participants with eating disorders (EDs) experience identity problems, hopelessness, and suicide ideation. Research has confirmed the link between the experience of low meaning in life (MIL) and psychopathology. However, there is a lack of research focusing on MIL in ED. OBJECTIVES: The objectives of this study are as follows: (a) to analyze whether MIL at baseline moderates the association between ED psychopathology at baseline and borderline symptoms, hopelessness, and suicide ideation at follow-up and (b) to analyze whether MIL moderates the association between suicide ideation, hopelessness, and borderline symptoms at baseline and at the 7-month follow-up. METHOD: The sample was composed of 300 participants with ED at baseline and 122 at the 7-month follow-up. The participants filled out the Purpose in Life, Eating Attitude Test, Borderline Symptoms List, Hopelessness Scale, and Suicide Ideation Scale. RESULTS: (a) MIL at baseline moderated the association between ED psychopathology at baseline and borderline symptoms, hopelessness, and suicide ideation at the follow-up; (b) MIL moderated the association between suicide ideation, hopelessness, and borderline symptoms at baseline and at the 7-month follow-up. CONCLUSION: MIL could be a relevant variable in the ED psychopathology.

Meaning in life is associated with the psychopathology of eating disorders: differences depending on the diagnosis.

Previous studies indicated that meaning in life was inversely associated with eating behaviors and a negative attitude toward food, body satisfaction, and borderline symptoms. However, research on the association between meaning in life and eating disorder psychopathology is scarce, and there are no studies on the association between meaning in life and the eating disorder psychopathology depending on the diagnosis. The aim of the present study is to verify whether meaning in life is differentially associated with a broad range of psychopathology symptoms commonly observed in people with ED, depending on the diagnosis, in a sample of 240 ED patients. We found that meaning in life was negatively associated with eating behaviors and a negative attitude toward food, body satisfaction, borderline symptoms, and hopelessness in all types of eating disorders, regardless of the specific diagnosis. Moreover, the association with meaning in life was different depending on the type of eating disorders. Specifically in the participants with Anorexia Nervosa Restrictive, meaning in life had a higher percentage of explained variance in the eating disorders psychopathology (between 30% and 65%). Therefore, these results seem to indicate that, although meaning in life is an important variable in all the eating disorders subtypes, it is especially relevant in participants with the Anorexia Nervosa Restrictive subtype.

Associations Among Meaning in Life, Body Image, Psychopathology, and Suicide Ideation in Spanish Participants With Eating Disorders.

OBJECTIVE: The aims of this study were to (a) analyze whether participants with eating disorders have lower meaning in life than the nonclinical population; (b) discover whether participants with eating disorders with low meaning in life have more body image disturbances, more psychopathology, and higher suicide ideation than participants with high meaning in life; (c) analyze whether meaning in life is associated with eating disorder psychopathology; and (d) analyze whether meaning in life is able to predict eating disorder psychopathology and suicide ideation, when body image is controlled. METHOD: The clinical sample comprised 247 Spanish participants diagnosed with eating disorders, and the nonclinical sample comprised Spanish 227 participants. RESULTS: Participants with eating disorders had lower meaning in life than the nonclinical population. Patients with low meaning in life had higher psychopathology and suicide ideation than participants with high meaning in life. Meaning in life was a significant predictor of the eating disorder psychopathology and suicide ideation. CONCLUSION: Low meaning in life is associated with eating disorder psychopathology in a Spanish sample with eating disorders.