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Mediating role of depressive symptoms linking insecure attachment and disordered eating in adolescents: A multiwave longitudinal study

Published online by Cambridge University Press:  15 September 2020

L. Cortés-García Open the ORCID record for L. Cortés-García [Opens in a new window] ,
K. R. Viddal ,
L. Wichstrøm  and
C. Senra
L. Cortés-García*
Affiliation:
Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain
K. R. Viddal
Affiliation:
Department of Psychology, NTNU Norwegian University of Science and Technology, Trondheim, Norway
L. Wichstrøm
Affiliation:
Department of Psychology, NTNU Norwegian University of Science and Technology, Trondheim, Norway
C. Senra
Affiliation:
Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain
*
Author for Correspondence: Laura Cortés-García, Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Santiago de Compostela. Campus Vida, Calle Xosé María Suárez Núñez, s/n, 15782, Santiago de Compostela, A Coruña, Spain; E-mail: laura.cortes@usc.es
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Abstract

Research has supported a link between insecure attachment and disordered eating in adolescents; however, how this influence is exerted remains unclear. This study explored whether depressive symptoms constitute a pathway through which insecure attachment to parents predicts subsequent development of disordered eating in the transition from childhood to adolescence. The study also examines whether there are differential effects regarding the attachment figure, child's gender, or reciprocity between variables. A community-based sample of Spanish youth (n = 904; 49.4% girls) was followed biennially from age 10 to 16 years. Attachment, depressive symptoms, and disordered eating were measured using the Inventory of Parental and Peer Attachment, Children's Depression Inventory, and Children's Eating Attitudes Test, respectively. Prospective data were analyzed using a dynamic panel model, which accounts for unmeasured time-invariant factors. Whereas insecure attachment to the father did not predict later depression or disordered eating, higher insecure attachment to the mother at ages 10 and 12 years predicted more disordered eating at ages 14 and 16 years via increased depressive symptoms at ages 12 and 14 years. No child's gender-specific or reverse mediational effects were found. This study suggests that an increase in depressive symptoms might be one mechanism by which insecure attachment exerts its influence on the development of eating disorders symptomatology in adolescence. Intervention efforts aimed at strengthening particularly the mother–child attachment relationship may reduce the vulnerability to develop depressive symptoms and disordered eating.

Keywords

adolescentsdepressive symptomsdisordered eatingdynamic panel modelinsecure attachment

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Type
Regular Article
Information
Development and Psychopathology , Volume 34 , Issue 1 , February 2022 , pp. 115 - 127
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© The Author(s), 2020. Published by Cambridge University Press

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