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

Johanna Sander, Markus Moessner and Stephanie Bauer
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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

IJERPH, 2021, vol. 18, issue 5, 1-12

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.

Keywords: eating disorders; depression; anxiety; adolescence; perfectionism; self-esteem; mood; emotion regulation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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