Meaning in life moderates hopelessness, suicide ideation, and borderline psychopathology in participants with eating disorders: A longitudinal study

Clin Psychol Psychother. 2020 Mar;27(2):146-158. doi: 10.1002/cpp.2414. Epub 2019 Nov 28.

Abstract

Participants with eating disorders (EDs) experience identity problems, hopelessness, and suicide ideation. Research has confirmed the link between the experience of low meaning in life (MIL) and psychopathology. However, there is a lack of research focusing on MIL in ED.

Objectives: The objectives of this study are as follows: (a) to analyze whether MIL at baseline moderates the association between ED psychopathology at baseline and borderline symptoms, hopelessness, and suicide ideation at follow-up and (b) to analyze whether MIL moderates the association between suicide ideation, hopelessness, and borderline symptoms at baseline and at the 7-month follow-up.

Method: The sample was composed of 300 participants with ED at baseline and 122 at the 7-month follow-up. The participants filled out the Purpose in Life, Eating Attitude Test, Borderline Symptoms List, Hopelessness Scale, and Suicide Ideation Scale.

Results: (a) MIL at baseline moderated the association between ED psychopathology at baseline and borderline symptoms, hopelessness, and suicide ideation at the follow-up; (b) MIL moderated the association between suicide ideation, hopelessness, and borderline symptoms at baseline and at the 7-month follow-up.

Conclusion: MIL could be a relevant variable in the ED psychopathology.

Keywords: anorexia nervosa; bulimia nervosa; meaning in life; meaning making; suicide risk.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Feeding and Eating Disorders / complications
  • Feeding and Eating Disorders / psychology*
  • Female
  • Follow-Up Studies
  • Humans
  • Longitudinal Studies
  • Male
  • Mental Disorders / complications
  • Mental Disorders / psychology
  • Middle Aged
  • Risk Factors
  • Self Concept*
  • Suicidal Ideation*
  • Young Adult