Evidence map›Paper›PMID 39989636›Full record

ArticleFrontiers in psychology2025

Meta-analytic prospective associations between self-esteem and eating disorders appear to be spurious: a reanalysis and comment on Krauss et al. (2023).

Kimmo Sorjonen, Ata Ghaderi, Bo Melin

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Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kimmo SorjonenKarolinska Institutet (KI), Solna, Sweden.
Ata GhaderiKarolinska Institutet (KI), Solna, Sweden.
Bo MelinKarolinska Institutet (KI), Solna, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a recent meta-analysis, Krauss et al. found support for a reciprocal model of low self-esteem and eating disorders where, in a vicious circle, low self-esteem makes people more vulnerable to developing eating disorders and eating disorders, in turn, scars individuals' self-esteem. However, in the present reanalyses of the same meta-analytic data, we found that the prospective effects between self-esteem and eating disorders are likely spurious, meaning they do not reflect a true causal effect, but rather correlations with residuals and regression to the mean. Consequently, the claims by Krauss et al. can be challenged. To avoid statistical artifacts, we recommend researchers to fit, as we did in the present study, complementary models to their data in order to evaluate if prospective effects may be genuinely increasing or decreasing or if they appear to be spurious.

Indexed as

cross-lagged effectseating disordersmeta-analysisoverinterpretation of findingsreanalysisself-esteemspurious associations

Identifiers

PMID39989636
PMCPMC11842458

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Registered trials

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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.