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. |