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Depression, Anxiety and Eating Disorder-Related Impairment: Moderators in Female Adolescents and Young Adults

Author

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  • Johanna Sander

    (Center for Psychotherapy Research, Heidelberg University Hospital, 69115 Heidelberg, Germany)

  • Markus Moessner

    (Center for Psychotherapy Research, Heidelberg University Hospital, 69115 Heidelberg, Germany)

  • Stephanie Bauer

    (Center for Psychotherapy Research, Heidelberg University Hospital, 69115 Heidelberg, Germany)

Abstract

Adolescents and young adults, particularly females, are highly vulnerable to the development of anxiety disorders, depression, and eating disorders. Comorbid anxiety disorder or depression in eating disorders are associated with greater symptom severity, poorer prognosis, and burden of illness. Nonetheless, studies on what affects the relationship between anxiety, depression, and eating disorders in female at-risk samples are scarce. Using hierarchical linear modeling, the present study examined potential moderators to explain between-person differences in the association between anxiety, depression, and eating disorder-related impairment within 12- to 25-year-old females ( N = 320). High impairment in anxiety/depression was associated with more severe eating disorder symptoms. Older age as well as greater impairment in mood dysregulation, self-esteem, and perfectionism were linked to more severe eating disorder symptomatology. Whereas mood dysregulation, self-esteem, and perfectionism had no statistically significant moderating effects, younger age appeared to augment the association of anxiety/depression and eating disorder symptomatology. Preventive care in particular needs to consider age-related effects as eating disorder symptoms are associated more strongly with symptoms of anxiety and depression in early adolescence.

Suggested Citation

  • Johanna Sander & Markus Moessner & Stephanie Bauer, 2021. "Depression, Anxiety and Eating Disorder-Related Impairment: Moderators in Female Adolescents and Young Adults," IJERPH, MDPI, vol. 18(5), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2779-:d:513666
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    References listed on IDEAS

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    1. Francesca Pazzaglia & Angelica Moè & Sabrina Cipolletta & Monica Chia & Paola Galozzi & Stefano Masiero & Leonardo Punzi, 2020. "Multiple Dimensions of Self-Esteem and Their Relationship with Health in Adolescence," IJERPH, MDPI, vol. 17(8), pages 1-12, April.
    2. Wenceslao Peñate & Melissa González-Loyola & Cristian Oyanadel, 2020. "The Predictive Role of Affectivity, Self-Esteem and Social Support in Depression and Anxiety in Children and Adolescents," IJERPH, MDPI, vol. 17(19), pages 1-11, September.
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    1. Eduardo Melguizo-Ibáñez & Pilar Puertas-Molero & Gabriel González-Valero & José Manuel Alonso-Vargas, 2022. "An Explanatory Model of Sport Motivation, Physical Self-Concept and Anxiety as a Function of the Degree of Adherence to the Mediterranean Diet in Future Physical Education Teachers," IJERPH, MDPI, vol. 19(20), pages 1-12, October.
    2. Gilda Gómez-Peresmitré & Romana Silvia Platas-Acevedo & Rodrigo León-Hernández & Gisela Pineda-García & Rebeca Guzmán-Saldaña, 2022. "Psychometric Assessment of an Online Self-Test Measuring Risky Eating Behavior, Depression, Social Anxiety, and Self-Injury in Mexican Adolescents," IJERPH, MDPI, vol. 20(1), pages 1-16, December.
    3. Mario J. Valladares-Garrido & Darwin A. León-Figueroa & Cinthia Karina Picón-Reátegui & Abigaíl García-Vicente & Danai Valladares-Garrido & Virgilio E. Failoc-Rojas & César Johan Pereira-Victorio, 2023. "Prevalence and Factors Associated with Eating Disorders in Military First Line of Defense against COVID-19: A Cross-Sectional Study during the Second Epidemic Wave in Peru," IJERPH, MDPI, vol. 20(4), pages 1-17, February.

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