Mindfulness and eating disorders: A network analysis.

Date

2021

Journal Title

Journal ISSN

Volume Title

Publisher

Elsevier

Abstract

Higher trait mindfulness may be protective against eating disorder (ED) pathology. However, little is understood about which specific mindfulness processes connect to specific ED symptoms. This study (N = 1,056 undergraduates) used network analysis at the symptom/process level to identify: (1) central nodes, or symptoms/processes with the greatest collective connection with all other symptoms/processes; and (2) bridge nodes, or symptoms/processes driving interconnection between mindfulness processes and ED symptoms. We conducted analyses both with and without food- and body-related mindfulness items. Central nodes included: describing how one feels in detail, expressing how one feels in words, and feeling guilty about eating due to shape/weight. Bridge nodes connecting higher mindfulness processes with lower ED symptoms included: the eating disorder symptom, being uncomfortable about others seeing one eat, and the mindfulness process, not criticizing oneself for having irrational/inappropriate emotions. Bridge nodes connecting higher mindfulness processes with higher ED symptoms included: noticing sensations of the body moving when walking and noticing how food/drinks affect thoughts, bodily sensations, and emotions. Findings suggest that future research should explore whether mindfulness-based interventions for EDs may be more effective by targeting mindfulness processes related to describing, expressing, and accepting emotions, accepting discomfort when eating with others, and reducing hyper-focus on and reactivity to food-and-body related sensations.

Description

Scholarly article

Keywords

mindfulness, acceptance, anorexia nervosa, bulimia nervosa, binge eating disorder

Citation

Sala, M., Vanzhula, I., Roos, C. R., & Levinson, C. A. (2022). Mindfulness and eating disorders: A network analysis.. Behavior Therapy, 53(2), 224–239. https://doi.org/10.1016/j.beth.2021.07.002