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Creators/Authors contains: "Forrest, Lauren N."

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  1. Abstract Objective

    Despite the high rates of suicidality in body dysmorphic disorder and eating disorders (EDs), research on suicidality in a related disorder, muscle dysmorphia (MD), is essentially nonexistent. Thus, this study tested relations between suicidal thoughts and behaviors and MD and ED symptoms in an online male community sample.

    Method

    A total of 464 males (Mage = 40.3; 85% Caucasian) recruited from Amazon's Mechanical Turk completed measures that evaluated ED symptoms, MD symptoms, current suicidal ideation, and past suicide attempts.

    Results

    Most MD and ED symptoms were correlated with current suicidal ideation and previous suicide attempts. In multivariate regression models, vomiting and appearance intolerance remained significantly related to suicidal ideation, while hard exercise and lower functional impairment were significantly related to prior suicide attempts.

    Conclusion

    Results indicate that appearance dissatisfaction, a core MD criterion, and hard exercise, a common behavioral symptom of MD, are associated with suicidality.

     
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  2. Abstract Objective

    The current study tested whether people with and without eating disorders (EDs) varied in their implicit attitudes toward ED‐relevant stimuli. Additionally, the study tested whether implicit evaluations of ED‐relevant stimuli predicted ED symptoms and behaviors over a 4‐week interval.

    Method

    Participants were people without EDs (N =85) and people seeking treatment for EDs (N =92). All participants completed self‐report questionnaires and a version of the affect misattribution procedure (AMP) at baseline. The AMP indexed implicit evaluations of average body stimuli, eating stimuli, and ED‐symptom stimuli. Participants with EDs completed weekly follow‐up measures of ED symptoms and behaviors for 4 weeks.

    Results

    Contrary to predictions, the anorexia nervosa (AN) group did not differ from the no ED group on implicit attitudes toward ED‐symptom stimuli, and the bulimia nervosa (BN) group had less positive implicit attitudes toward ED‐symptom stimuli relative to the no ED group. In line with predictions, people with AN and BN had more negative implicit attitudes toward average body and eating stimuli relative to the no ED group. In addition, among the ED group more negative implicit attitudes toward eating stimuli predicted ED symptoms and behaviors 4 weeks later, over and above baseline ED symptoms and behaviors.

    Discussion

    Taken together, implicit evaluations of eating stimuli differentiated people with AN and BN from people without EDs and longitudinally predicted ED symptoms and behaviors. Interventions that increase implicit liking of eating‐related stimuli may reduce ED behaviors.

     
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