SynthesisPloS one2019
Mediators linking insecure attachment to eating symptoms: A systematic review and meta-analysis.
Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Linking Cognitive Reappraisal and Expressive Suppression to Mindfulness: A Three-Level Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- The role of attachment style in unhealthy music use.Musicae scientiae : the journal of the European Society for the Cognitive Sciences of Music · 2026Article
- Childhood trauma, emotions, and the eating disorder voice.Journal of eating disorders · 2026Article
- Strong feelings, small bites: investigating emotional undereating in children's picky eating and food neophobia within the family context.Frontiers in child and adolescent psychiatry · 2026Article
- Indirect association between childhood maltreatment and food and alcohol disturbance through insecure attachment in university students.Journal of eating disorders · 2025Article
- Parent-daughter emotional dyssynchrony correlates with personality and psychopathology in adolescents with anorexia nervosa.Eating and weight disorders : EWD · 2025Article
- The current clinical approach to feeding and eating disorders aimed to increase personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Mediation role of interpersonal problems between insecure attachment and eating disorder psychopathology.Eating and weight disorders : EWD · 2024Article
- Reflective functioning mediates the relationship between insecure adult attachment and the severity of prolonged grief symptoms.Health psychology research · 2024Article
- Attachment orientations and emotion regulation: new insights from the study of interpersonal emotion regulation strategies.Research in psychotherapy (Milano) · 2023Article
- Relation between increasing attachment security and weight gain: a clinical study of adolescents and their parents at an outpatient ward.Eating and weight disorders : EWD · 2023Article
- State of Mind Assessment in Relation to Adult Attachment and Text Analysis of Adult Attachment Interviews in a Sample of Patients with Anorexia Nervosa.European journal of investigation in health, psychology and education · 2022Article
- Mechanisms by which adverse childhood experiences, other traumas and PTSD influence the health and well-being of individuals with eating disorders throughout the life span.Journal of eating disorders · 2022Review
- Family, friends, and feelings: the role of relationships to parents and peers and alexithymia in adolescents with anorexia nervosa.Journal of eating disorders · 2022Article
- Attachment insecurity predicts worse outcome in patients with eating disorders treated with enhanced cognitive behavior therapy: A one-year follow-up study.The International journal of eating disorders · 2022Article
- Binge eating attitudes in community adolescent sample and relationships with interview-assessed attachment representations in girls: a multi-center study from North Italy.Eating and weight disorders : EWD · 2022Article
- Psychological Correlates of Excessive Healthy and Orthorexic Eating: Emotion Regulation, Attachment, and Anxious-Depressive-Stress Symptomatology.Frontiers in nutrition · 2022Article
- Mediational Effect of Fairburn's Transdiagnostic Mechanisms Between Attachment to the Mother and Eating Disorder Symptoms in a Clinical Sample.Frontiers in psychology · 2022Article
- The Interplay of Attachment Styles and Defense Mechanisms on Eating Disorders Risk: Cross-Sectional Observation in the Community Population.Clinical neuropsychiatry · 2021Article
- A new integrative model for the co-occurrence of non-suicidal self-injury behaviours and eating disorder symptoms.Journal of eating disorders · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the last two decades, the number of studies focused on the mediators connecting insecure attachment with Eating Disorders (EDs), at both clinical and sub-clinical level, has considerably increased. However, there has not been a systematic synthesis of this literature to date. To fill this gap, the current meta-analytic review aimed at identifying and quantifying the extent to which mediators contribute to the explanation of this relationship. The present study was registered with PROSPERO (CRD42017076807). A comprehensive search process in seven different electronic databases retrieved 24 studies that examined how insecure attachment leads to ED symptoms through mediation analysis. Standardized regression coefficients of the indirect and total paths of 21 mediation models were pooled. Studies were coded and ranked for quality. We found evidence to show that maladaptive emotion regulation and depressive symptoms had the highest effect size for mediation (mediation ratio [PM] = 0.71). Further, body dissatisfaction, neuroticism, perfectionism, mindfulness and social comparison had significant, but moderate to low mediating effects (PM = 0.21-0.58). The methodological quality of these studies was mostly low to moderate and potential areas for development were highlighted. Our findings support the direct targeting of these psychological constructs in prevention programs and treatment of EDs. Future investigations addressing the time sequence between the variables will provide valuable clues to untangle the prospective contribution of each variable on the development and maintenance of eating pathology.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.