Abstract
Purpose
This study investigated the relationships between pathological narcissism, alexithymia, and disordered eating attitudes among participants of pro‐anorexic online communities. Specifically, we explored the possible moderating role of alexithymia in the relationships between narcissistic vulnerability and disordered eating attitudes.
Methods
Participants included 97 Israeli female young adults who are active participants in pro-anorexic online communities. These participants completed a battery of self-reported questionnaires: The Pathological Narcissism Inventory (PNI); The Eating Attitudes Test-26 (EAT-26); and The Toronto Alexithymia Scale (TAS-20).
Results
Narcissistic grandiosity, vulnerability, and alexithymia were positively related to disordered eating attitudes. Alexithymia moderated the relationships between narcissistic vulnerability and the total score of disordered eating attitudes. Furthermore, alexithymia moderated the relationships between both narcissistic vulnerability and grandiosity and the oral control subscale of EAT-26.
Conclusions
These findings highlight the interaction between the pathological narcissism and the fundamental trait of alexithymia that might put individuals at risk for disordered eating.
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References
Pincus AL, Roche MJ (2011) Narcissistic grandiosity and narcissistic vulnerability. In: Campbell WK, Miller JD (eds) Handbook of narcissism and narcissistic personality disorder. Wiley, New York, pp 31–40
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, Arlington
Miller JD, Hoffman BJ, Gaughan ET, Gentile B, Maples J, Campbell WK (2011) Grandiose and vulnerable narcissism: a nomological network analysis. J Pers 79:1013–1042
Pincus AL, Lukowitsky MR (2010) Pathological narcissism and narcissistic personality disorder. Annu Rev Clin Psychol 6:421–426
Waller G, Sines J, Meyer C, Foster E, Skelton A (2007) Narcissism and narcissism defenses in the eating disorders. Int J Eat Disorder 40(2):143–148
Steiger H, Jabalpurwala S, Champagne J, Stotland S (1997) A controlled study of trait narcissism in anorexia and bulimia nervosa. Int J Eat Disorder 22(2):173–178
Gordon KH, Dombeck JJ (2010) The association between two facets of narcissism and eating disorder symptoms. Eat Behav 11:288–292
Davis C, Claridge G, Cerullo D (1997) Personality factors and weight preoccupation: a continuum approach to the association between eating disorders and personality disorders. J Psychiatr Res 31(4):467–480
Amin R, Strauss C, Waller G (2012) Body-related behaviors and cognitions in the eating disorders. Behav Cogn Psychother 1(1):1–9
Campbell M, Waller G (2010) Narcissistic characteristics and eating disordered behaviors. Int J Eat Disorder 43(6):560–564
Maples J, Collins B, Miller JD, Fischer S, Seibert A (2011) Differences between grandiose and vulnerable narcissism and bulimic symptoms in young women. Eat Behav 12(1):83–85
Sifneos PE (1973) The prevalence of ‘alexithymic’ characteristics in psychosomatic patients. Psychother Psychosom 22(2-6):255–262
De Berardis D, Carano A, Gambi F, Campanella D, Giannetti P, Ceci A, Ferro FM (2007) Alexithymia and its relationships with body checking and body image in a non-clinical female sample. Eat Behav 8(3):296–304
Nowakowski ME, McFarlane T, Cassin S (2013) Alexithymia and eating disorders: a critical review of the literature. J Eat Disorder 1(1):1–21
Fan Y, Wonneberger C, Enzi B, de Greck M, Ulrich C, Tempelmann C, Northoff G (2011) The narcissistic self and its psychological and neural correlates: an exploratory fMRI study. Psychol Med 41:1641–1650
Lawson R, Waller G, Sines J, Meyer C (2008) Emotional awareness among eating-disordered patients: the role of narcissistic traits. Eur Eat Disord Rev 16(1):44–48
Dimaggio G, Nicolò G, Popolo R, Semerari A, Carcione A (2006) Self-regulatory dysfunctions in personality disorders: the role of poor self-monitoring and mind reading. Appl Psychol Int Rev 55:397–407
Van Strien T, Ouwens AO (2007) Effect of distress, alexithymia and impulsivity on eating. Eat Behav 8:251–257
Cooper MJ (2005) Cognitive theory in anorexia nervosa and bulimia nervosa: Progress, development and future directions. Clin Psychol Rev 25:511–531
Hoek HW (2006) Incidence, prevalence and mortality of anorexia nervosa and other eating disorders. Curr Opin Psychiatr 19(4):389–394
Christodoulou M (2012) Pro-anorexia websites pose public health challenge. Lancet 379(9811):110–117
Norris ML, Boydell KM, Pinhas L, Katzman DK (2006) Ana and the internet: a review of pro-anorexia websites. Int J Eat Disorder 39:443–447
Harshbarger JL, Ahlers‐Schmidt CR, Mayans L, Mayans D, Hawkins JH (2009) Pro‐anorexia websites: what a clinician should know. Int J Eat Disorder 42(4):367–370
Rodgers RF, Skowron S, Chabrol H (2012) Disordered eating and group membership among members of a pro-anorexic online community. Euro Eat Disord Rev 20(1):9–12
Dias K (2013) The ana sanctuary: women’s pro-anorexia narratives in cyberspace. J Int Women Stud 4(2): 31–45
Pincus AL, Ansell EB, Pimentel CA, Cain NM, Wright AG, Levy KN (2009) Initial construction and validation of the Pathological Narcissism Inventory. Psychol Assess 21(3): 365–374
Besser A, Zeigler-Hill V (2010) The influence of pathological narcissism on emotional and motivational responses to negative events: the roles of visibility and concern about humiliation. J Res Pers 44(4):520–534
Garner DM, Olmsted MP, Bohr Y, Garfinkel PE (1982) The eating attitudes test: psychometric features and clinical correlates. Psychol Med 12(4):871–878
Eagles JM, McLeod IH, Mercer G, Watson F (2000) Seasonality of eating pathology on the eating attitudes test in a nonclinical population. Int J Eat Disorder 27(3):335–340
Koslowsky M, Scheinberg Z, Bleich A, Mark M, Apter A, Danon Y, Solomon Z (1992) The factor structure and criterion validity of the short form of the Eating Attitudes Test. J Personal Assess 58(1):27–35
Bagby RM, Parker JD, Taylor GJ (1994) The twenty-item Toronto alexithymia scale—I. Item selection and cross-validation of the factor structure. J Psychosom Res 38(1):23–32
Taylor GJ, Bagby RM, Parker JD (2003) The 20-Item Toronto alexithymia scale: IV. Reliability and factorial validity in different languages and cultures. J Psychosom Res 55(3): 277–283
Hayes AF (2012) PROCESS: a versatile computational tool for observed variable mediation, moderation, and conditional process modeling [Manuscript submitted for publication]
Williams S, Reid M (2010) Understanding the experience of ambivalence in anorexia nervosa: the maintainer’s perspective. Psychol Health 25(5):551–567
Vandereycken W (2006) Denial of illness in anorexia nervosa—a conceptual review: part 1 diagnostic significance and assessment. Euro Eat Disord Rev 14(5):341–351
Konstantakopoulos G, Tchanturia K, Surguladze SA, David AS (2011) Insight in eating disorders: clinical and cognitive correlates. Psychol Med 41(09):1951–1961
Acknowledgments
The author would like to thank Inbal Gridish, Danielle Or-Zion and Bell Miller for their help in the preparation of this manuscript
Conflict of interest
Dr. Gadi Zerach declares that he has no conflicts of interest.
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Zerach, G. The associations between pathological narcissism, alexithymia and disordered eating attitudes among participants of pro‐anorexic online communities. Eat Weight Disord 19, 337–345 (2014). https://doi.org/10.1007/s40519-013-0096-x
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DOI: https://doi.org/10.1007/s40519-013-0096-x