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The disorder of lived corporeality: A possible link between attachment style and eating disorder psychopathology

Published online by Cambridge University Press:  23 March 2020

A.M. Monteleone ,
G. Castellini ,
U. Volpe ,
M. Nigro ,
F. Zamponi ,
V. Ricca ,
G. Stanghellini  and
P. Monteleone
A.M. Monteleone
Affiliation:
Second University of Naples, Department of Psychiatry, Naples, Italy
G. Castellini
Affiliation:
University of Florence, Psychiatric Unit, Department of Neuroscience, Psychology, Drug Research and Child Health, Florence, Italy
U. Volpe
Affiliation:
Second University of Naples, Department of Psychiatry, Naples, Italy
M. Nigro
Affiliation:
Second University of Naples, Department of Psychiatry, Naples, Italy
F. Zamponi
Affiliation:
University of Florence, Psychiatric Unit, Department of Neuroscience, Psychology, Drug Research and Child Health, Florence, Italy
V. Ricca
Affiliation:
University of Florence, Psychiatric Unit, Department of Neuroscience, Psychology, Drug Research and Child Health, Florence, Italy
G. Stanghellini
Affiliation:
Università G D’Annunzio, Department of Psychological, Humanistic and Territorial Sciences, Chieti, Italy
P. Monteleone
Affiliation:
University of Salerno, Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana” Section of Neurosciences, Salerno, Italy

Abstract

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Introduction

According to the trans-diagnostic perspective, disturbances in eating patterns of eating disorders (EDs) are considered as epiphenomena secondary to the patient's overvaluation of his/her body shape and weight.

Objectives

The phenomenological theory states that the main feature of ED psychopathology is a disturbance in the way affected persons experience their own body (embodiment). Insecure attachment may promote the development of unstable self-identity leading to use body weight as a source of self-definition.

Aims

The aim of our study was to assess the role of embodiment impairments in the relationships between attachment stiles and ED psychopathology.

Methods

One hundred twelve ED patients and 108 healthy subjects filled in the Identity and Eating Disorders (IDEA) questionnaire, which assesses embodiment and personal identity abnormalities, the eating disorder inventory-2 (EDI-2) and the experiences in close relationships (ECR) scale, which defines attachment styles.

Results

ED patients showed IDEA, EDI-2 and ECR scores significantly higher than controls. Significant correlations between IDEA scores, insecure attachment and almost all EDI-2 sub-item scores emerged in ED patients but not in controls. IDEA total score mediated the relationship between avoidant attachment and EDI-2 interoceptive awareness.

Conclusions

These findings demonstrate that in ED patients insecure attachment is correlated to disorder of identity and lived corporeality that, in turn, mediates the association between attachment and a specific ED psychopathological trait. Therefore, we suppose that early relationships, through the development of disturbances in identity and embodiment, lead to altered perception of bodily signals and deranged discrimination of one's emotions, which could contribute to EDs.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Viewing: Eating Disorders
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S557 - S558
Copyright
Copyright © European Psychiatric Association 2017
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