Self-Discrepancy and Eating Disorder Symptoms Across Eating Disorder Diagnostic Groups.

Journal Article (Journal Article)

This study examined self-discrepancy, a construct of theoretical relevance to eating disorder (ED) psychopathology, across different types of EDs. Individuals with anorexia nervosa (AN; n = 112), bulimia nervosa (BN; n = 72), and binge eating disorder (BED; n = 199) completed semi-structured interviews assessing specific types of self-discrepancies. Results revealed that actual:ideal (A:I) discrepancy was positively associated with AN, actual:ought (A:O) discrepancy was positively associated with BN and BED, and self-discrepancies did not differentiate BN from BED. Across diagnoses, A:O discrepancy was positively associated with severity of purging, binge eating, and global ED psychopathology. Further, there were significant interactions between diagnosis and A:O discrepancy for global ED psychopathology and between diagnosis and A:I discrepancy for binge eating and driven exercise. These results support the importance of self-discrepancy as a potential causal and maintenance variable in EDs that differentiates among different types of EDs and symptom severity. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.

Full Text

Duke Authors

Cited Authors

  • Mason, TB; Lavender, JM; Wonderlich, SA; Crosby, RD; Engel, SG; Strauman, TJ; Mitchell, JE; Crow, SJ; Le Grange, D; Klein, MH; Smith, TL; Peterson, CB

Published Date

  • November 2016

Published In

Volume / Issue

  • 24 / 6

Start / End Page

  • 541 - 545

PubMed ID

  • 27670130

Pubmed Central ID

  • PMC5293148

Electronic International Standard Serial Number (EISSN)

  • 1099-0968

International Standard Serial Number (ISSN)

  • 1072-4133

Digital Object Identifier (DOI)

  • 10.1002/erv.2483


  • eng