Table 1.
Highlights and controversies in the seven theories and major covariates upon explaining disordered eating.
| Theory | Highlights & Controversies |
|---|---|
| 1. Self-esteem | Intrapersonal motivation factor; A vicious cycle of low self-esteem, body dissatisfaction, and disordered eating; Bidirectional mediation impact on disordered eating |
| 2. Interpersonal | Social factor; Stress from relationships; Conflict and negative interpersonal evaluations; Mediates the impact of social anxieties upon disordered eating symptomatology |
| 3. Emotion regulation | Stress reactivity factor; Overall affect; Numb negative emotions through binge eating/compensatory behaviours; Enhance self-regulation through restrictive dieting |
| 4. Executive function (EF) | Cognitive and neurological factor; Impulsivity, decision-making, mental flexibility/shifting capacities, global processing, attention; Directional ambiguity between executive function deficits and problematic eating behaviour |
| 5. Social neuroscience | Biological component; Neural mechanisms and activation of certain brain regions during social processing; Impact upon body shape concerns and unstable eating behaviours |
| 6. Theory of mind (ToM) | Developmental factor on perspective taking; Capacity to decode the mental states, thoughts, beliefs and emotions of others; Mixed results pertaining to ToM deficits in those with disordered eating |
| 7. Transdiagnostic | Shared factors impacting both restrictive and binge eating; Psychological, neurological and cognitive transdiagnostic mechanisms involved in explaining the spectrum of various eating behaviours |
| Covariate | |
| 1. Depression | Comorbid mood issues; indirect effect with concurrent low self-esteem through body dissatisfaction; impaired EF such as set shifting; transdiagnostic between binge and restrictive eating disorders. |
| 2. Anxiety | Comorbid mental disturbance; diminished mental flexibility as in depression; inability to regulate eating; underlying neurotic tendency |
| 3. Social norms | Socio-cultural standards and normative pressure on body image; perceived descriptive and injunctive social norms impacting on eating behaviour; interpersonal and social appraisals; norm-based clinical interventions addressing internalised needs. |
| 4. Family functioning | Main clinical streams of family-based intervention and rehabilitation; family communication, cohesion, and conflict factors; family interaction patterns and psychological distress; mixed evidence on the difference between binge and restrictive eating disorders. |