Assessing Longitudinal Relationships among Thwarted Belongingness, Perceived Burdensomeness, and Eating Disorder Symptoms.

Published on Dec 1, 2019in Suicide and Life Threatening Behavior4.45
· DOI :10.1111/SLTB.12541
Alejandro Trujillo1
Estimated H-index: 1
 (Miami University), Lauren N. Forrest14
Estimated H-index: 14
 (Miami University)+ 1 AuthorsApril R. Smith25
Estimated H-index: 25
 (Miami University)
Sources
Abstract
OBJECTIVE: Past work has documented a cross-sectional relationship between eating disorders (ED) and suicidality, but few studies have examined the directionality of this relationship. Informed by the interpersonal-psychological theory of suicide (IPTS), this study examines the bidirectional, longitudinal relationship between ED symptoms and two determinants of suicide ideation-thwarted belongingness (TB) and perceived burdensomeness (PB). METHOD: Ninety-two treatment-seeking individuals with ED (94.5% White, 95.6% female) completed baseline (T1) measures of ED symptoms along with TB and PB. Of those, 75 (81.5%) completed a follow-up assessment eight weeks later (T2). RESULTS: Separate linear regression models revealed that T1 ED symptoms did not predict T2 TB (b = .03, p = .42) or T2 PB (b = -.01, p = .68). Similarly, T1 TB did not predict T2 ED symptoms (b = .25, p = .37). T1 PB did significantly predict T2 ED symptoms (b = 0.52, p = .04). Further, among participants with AN/sub-AN, T1 TB and PB predicted T2 ED symptoms (p's ≤ .03). CONCLUSION: Our results reveal the need for a nuanced understanding of the relationship between ED and suicidality. This study found that PB predicts greater ED symptoms and, among the AN/sub-AN sample, TB does as well.
References51
Newest
Feb 1, 2019·Suicide and Life Threatening Behavior4.45
#1April R. Smith (Miami University)H-Index: 25
#2Elizabeth A. Velkoff (Miami University)H-Index: 7
Last. Joseph C. Franklin (FSU: Florida State University)H-Index: 30
view all 4 authors...
: This meta-analysis addressed whether eating disorders (EDs) are risk factors (i.e., longitudinal predictors) for suicidal thoughts and behaviors. We identified 2,611 longitudinal studies published through August 1, 2017. Inclusion required studies include at least one longitudinal analysis predicting suicide ideation, attempt, or death using an ED diagnosis and/or symptom. Fourteen studies (42 prediction cases) met criteria. Results indicated that clinically diagnosed EDs and disordered eating...
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Aug 9, 2018·Current Psychiatry Reports5.29
#1April R. Smith (Miami University)H-Index: 25
#2Shelby N. Ortiz (Miami University)H-Index: 7
Last. Dorian R. Dodd (Miami University)H-Index: 15
view all 5 authors...
Purpose of Review This narrative review evaluates recent literature on the associations between eating disorders and suicidality and discusses potential shared mechanisms that may account for these relationships. Additionally, the review highlights shortcomings with the literature to date and suggests avenues for future research.
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Aug 1, 2018·Current opinion in psychology5.72
#1April R. Smith (Miami University)H-Index: 25
#2Kelly L. Zuromski (AU: Auburn University)H-Index: 13
Last. Dorian R. Dodd (Miami University)H-Index: 15
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Suicide is the second leading cause of death among individuals with anorexia nervosa (AN), and suicidal behavior is elevated in bulimia nervosa (BN) and binge eating disorder (BED) relative to the general population. This paper reviews the suicidality literature within each ED, as well as theoretical explanations for the elevated risk for suicidality among those with EDs. Approximately one-quarter to one-third of people with AN, BN, or BED have thought about suicide, and one-quarter to one-third...
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Apr 1, 2018·International Journal of Eating Disorders4.86
#1April R. Smith (Miami University)H-Index: 25
#2Lauren N. Forrest (Miami University)H-Index: 14
Last. Joseph C. Franklin (FSU: Florida State University)H-Index: 30
view all 5 authors...
OBJECTIVE: The current study tested whether people with and without eating disorders (EDs) varied in their implicit attitudes toward ED-relevant stimuli. Additionally, the study tested whether implicit evaluations of ED-relevant stimuli predicted ED symptoms and behaviors over a 4-week interval. METHOD: Participants were people without EDs (N = 85) and people seeking treatment for EDs (N = 92). All participants completed self-report questionnaires and a version of the affect misattribution proce...
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Feb 1, 2017·International Journal of Eating Disorders4.86
#1Emily M. Pisetsky (UMN: University of Minnesota)H-Index: 16
#2Scott J. Crow (UMN: University of Minnesota)H-Index: 91
Last. Carol B. Peterson (UMN: University of Minnesota)H-Index: 42
view all 3 authors...
Objective The Interpersonal Theory of Suicide (IPTS) model has not been fully tested in a clinical eating disorder (ED) population. Method Participants (N = 114) completed questionnaires assessing suicidal ideation (SI), suicide attempts (SA), and constructs of the IPTS. Logistic regressions determined whether thwarted belongingness and perceived burdensomeness were associated with lifetime SI. Among those who endorsed lifetime SI, logistic regressions were used to determine whether elements of ...
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Dec 1, 2016·International Journal of Eating Disorders4.86
#1April R. Smith (Miami University)H-Index: 25
#2Dorian R. Dodd (Miami University)H-Index: 15
Last. Mary BartlettH-Index: 5
view all 9 authors...
Objective The current study tested whether the Interpersonal–Psychological Theory of Suicide (IPTS) provides a useful framework for understanding elevated suicide rates among individuals with eating disorders (EDs). Method Based on predictions of the IPTS, we tested whether the combination of thwarted belongingness and perceived burdensomeness was associated with suicidal desire, and whether the combination of thwarted belongingness, perceived burdensomeness, and fearlessness about death was ass...
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May 1, 2016·Omega-journal of Death and Dying2.85
#1Victoria M. O'Keefe (OSU: Oklahoma State University–Stillwater)H-Index: 15
#2DeMond M. Grant (OSU: Oklahoma State University–Stillwater)H-Index: 25
Last. LaRicka R. Wingate (OSU: Oklahoma State University–Stillwater)H-Index: 29
view all 7 authors...
This study examined the relationship between sociotropy, autonomy, depression symptoms, perceived burdensomeness, and thwarted belongingness in a sample of 113 undergraduate students. A prospective design with three time points was utilized to determine whether personality styles and depression symptoms play a role in the development of perceived burdensomeness and thwarted belongingness, two interpersonal suicide risk factors. Time 1 autonomy predicted depression symptoms at Time 2; Time 2 depr...
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May 1, 2016·Journal of Affective Disorders4.84
#1Lauren N. Forrest (Miami University)H-Index: 14
#2Lindsay P. Bodell (University of Pittsburgh)H-Index: 22
Last. April R. Smith (Miami University)H-Index: 25
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Abstract Background Suicidal ideation is relatively common among people with eating disorders (EDs). The Interpersonal–Psychological Theory of Suicide holds that suicidal ideation has two proximal causes: thwarted belongingness and perceived burdensomeness. It is unknown which ED symptoms are positively associated with suicidal ideation, and whether thwarted belongingness and perceived burdensomeness explain those associations. Method We tested two parallel mediation models to determine whether ...
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Mar 1, 2016·Behavior Research Methods6.24
#1David J. Hauser (UM: University of Michigan)H-Index: 10
#2Norbert Schwarz (SC: University of Southern California)H-Index: 136
Participant attentiveness is a concern for many researchers using Amazon’s Mechanical Turk (MTurk). Although studies comparing the attentiveness of participants on MTurk versus traditional subject pool samples have provided mixed support for this concern, attention check questions and other methods of ensuring participant attention have become prolific in MTurk studies. Because MTurk is a population that learns, we hypothesized that MTurkers would be more attentive to instructions than are tradi...
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Jan 30, 2016·Psychiatry Research-neuroimaging2.38
#1Tracy K. Witte (AU: Auburn University)H-Index: 31
#2Kelly L. Zuromski (AU: Auburn University)H-Index: 13
Last. Natalie GoodwinH-Index: 5
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Cited By3
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Mar 17, 2021·Behavior Therapy4.18
#1Natalie M. Perkins (Miami University)H-Index: 4
#2Shelby N. Ortiz (Miami University)H-Index: 7
Last. Amy M. Brausch (Western Kentucky University)H-Index: 17
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Abstract Eating disorder symptoms and suicidal ideation are relatively common, and often begin to emerge in adolescence. Interoceptive deficits, or the inability to perceive and accurately identify the physiological condition of the body, is an established risk factor for both eating disorders and suicidal thoughts and behaviors. Despite this, longitudinal research examining the temporal dynamics between these variables is scarce, especially within adolescent samples. Using a three-wave longitud...
Source
Suicide is a major cause of death in Eating Disorders (EDs) and particularly in anorexia nervosa (AN). The aim of the present mini-review was to summarize the literature focusing on the interpersonal-psychological theory of suicide (IPTS) by Thomas E. Joiner, as applied to explain suicidal risk in EDs. PubMed database was used to search articles focused on IPTS in EDs; 10 studies were eventually included. The majority of the included studies reported data from the same sample, even though the hy...
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Jan 1, 2020·International Journal of Eating Disorders4.86
#1Shelby N. Ortiz (Miami University)H-Index: 7
#2April R. Smith (Miami University)H-Index: 25
OBJECTIVE: Cross-sectional research demonstrates significant correlations between eating disorders (EDs) and suicidal thoughts and behaviors. Although suicide ideation (SI) is a risk factor for suicidal behavior, longitudinal research investigating SI among EDs is limited. Thus, the aim of this study was to offer insight into the dynamic relationship between EDs and SI by investigating if these variables predicted one another at weekly time points. METHOD: Autoregressive cross-lagged modeling wa...
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