PMID- 27372445 OWN - NLM STAT- MEDLINE DCOM- 20170815 LR - 20181202 IS - 1873-7358 (Electronic) IS - 1471-0153 (Linking) VI - 23 DP - 2016 Dec TI - 'Not good enough:' Exploring self-criticism's role as a mediator between childhood emotional abuse & adult binge eating. PG - 1-6 LID - S1471-0153(16)30085-X [pii] LID - 10.1016/j.eatbeh.2016.06.005 [doi] AB - Empirical studies have identified emotional abuse in childhood (CEA) as a risk factor with long-term implications for psychological problems. Indeed, recent studies indicate it is more prevalent than behavioral forms of abuse, (i.e. childhood sexual and physical abuse) and the childhood trauma most clearly associated with subsequent eating pathology in adulthood. However, relatively little is understood about the mechanisms linking these distal experiences. This study explores three psychological mechanisms - self-criticism (SC), depression and anxiety symptoms - as plausible mediators that may account for the relationship between CEA and binge eating (BE) among adult women. Detailed telephone interviews conducted with a community-based sample of 498 adult women (mean age 44) assess BE, CEA and SC along with the most frequently researched psychological variables, anxiety and depression. Regression analyses reveal that BE is partially explained by CEA along with the three mediators. Bootstrapping analysis, which compares multiple mediators within a single model using thousands of repeated random sampling observations from the data set, reveals a striking finding: SC is the only psychological variable that makes a significant contribution to explaining BE severity. The unique role of punitive self-evaluations vis-a-vis binge eating warrants additional research and, in the interim, that clinicians consider broadening treatment interventions accordingly. CI - Copyright A(c) 2016. Published by Elsevier Ltd. FAU - Feinson, Marjorie C AU - Feinson MC AD - The Falk Institute for Mental Health Studies, Kfar Shaul Hospital, Givat Shaul, Jerusalem, Israel. Electronic address: falk1@012.net.il. FAU - Hornik-Lurie, Tzipi AU - Hornik-Lurie T AD - The Falk Institute for Mental Health Studies, Kfar Shaul Hospital, Givat Shaul, Jerusalem, Israel; Department of Emergency Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, 84105 Beer-sheva, Israel. LA - eng PT - Journal Article DEP - 20160602 PL - United States TA - Eat Behav JT - Eating behaviors JID - 101090048 SB - IM MH - Adult MH - Anxiety/psychology MH - Binge-Eating Disorder/*psychology MH - Child MH - Child Abuse/*psychology MH - Depression/psychology MH - Diagnostic Self Evaluation MH - Female MH - Humans MH - Middle Aged MH - Regression Analysis MH - Risk Factors MH - Self-Assessment MH - Stress, Psychological OTO - NOTNLM OT - Binge eating OT - Childhood emotional abuse OT - Self-criticism EDAT- 2016/07/04 06:00 MHDA- 2017/08/16 06:00 CRDT- 2016/07/04 06:00 PHST- 2015/08/16 00:00 [received] PHST- 2016/04/10 00:00 [revised] PHST- 2016/06/01 00:00 [accepted] PHST- 2016/07/04 06:00 [pubmed] PHST- 2017/08/16 06:00 [medline] PHST- 2016/07/04 06:00 [entrez] AID - S1471-0153(16)30085-X [pii] AID - 10.1016/j.eatbeh.2016.06.005 [doi] PST - ppublish SO - Eat Behav. 2016 Dec;23:1-6. doi: 10.1016/j.eatbeh.2016.06.005. Epub 2016 Jun 2.