TY  - JOUR
PY  - 2023//
TI  - Self-hate, dissociation, and suicidal behavior in bulimia nervosa
JO  - Journal of affective disorders
A1  - Lieberman, Amy
A1  - Robison, Morgan
A1  - Wonderlich, Stephen A.
A1  - Crosby, Ross D.
A1  - Mitchell, James E.
A1  - Crow, Scott J.
A1  - Peterson, Carol B.
A1  - le Grange, Daniel
A1  - Bardone-Cone, Anna M.
A1  - Kolden, Gregory
A1  - Joiner, Thomas E.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Individuals with eating disorders (EDs) often struggle with markedly low self- esteem and are at risk for suicidal behavior. Dissociation and perceived burdensomeness are often cited as facilitators of suicidal outcomes. Specifically, perceived burdensomeness is comprised of self-hate and liability on others, although it remains unclear which variables most heavily influence suicidal behavior in EDs. <br><br>METHODS: In a sample of 204 women with bulimia nervosa, the present study examined the potential impact of self-hate and dissociation on suicidal behavior. We hypothesized that suicidal behavior would be equally, and potentially more strongly, related to self-hate than dissociation. Regression analyses investigated the unique effects of these variables on suicidal behavior. <br><br>RESULTS: Consistent with our hypothesis, a significant relationship emerged between self-hate and suicidal behavior (B = 0.262, SE = 0.081, p < .001, CIs = 0.035-0.110, R-squared =0.07) but not between dissociation and suicidal behavior (B = 0.010, SE = 0.007, p = .165, CIs = -0.389-2.26, R-squared =0.010). Additionally, when controlling for one another, both self-hate (B = 0.889, SE = 0.246, p < .001, CIs = 0.403-1.37) and capability for suicide (B = 0.233, SE = 0.080, p = .004, CIs = 0.076-0.391) were uniquely and independently associated with suicidal behavior. LIMITATIONS: Future work should include longitudinal analyses to understand temporal relationships among study variables. <br><br>CONCLUSIONS: In sum, when considering suicidal outcomes, these findings support a view that highlights personal loathing rooted in self-hate rather than de-personalizing aspects of dissociation. Accordingly, self-hate may emerge as a particularly valuable target for treatment and suicide prevention in EDs.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-0327
UR  - http://dx.doi.org/10.1016/j.jad.2023.05.015
ID  - ref1
ER  -