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Childhood Maltreatment, Depressive Symptoms, and Body Dissatisfaction in Patients With Binge Eating Disorder: The Mediating Role of Self-criticism

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About the Course

Objective: We examined the mediating role of self-criticism in the relation between childhood maltreatment and both depressive symptoms and body dissatisfaction in patients with binge eating disorder (BED).
Method: Participants were 170 BED patients who completed measures of childhood maltreatment, self-criticism, self-esteem, depressive symptoms, and body dissatisfaction.
Results: Specific forms of childhood maltreatment (emotional abuse, sexual abuse) were significantly associated with body dissatisfaction. Path analyses demonstrated that self-criticism fully mediated the relation between emotional abuse and both depressive symptoms and body dissatisfaction. Specificity for the mediating role of self-criticism was demonstrated in comparison to other potential mediators (low self-esteem) and alternative competing mediation models.
Conclusion: These results highlight self-criticism as a potential mechanism through which certain forms of childhood maltreatment may be associated with depressive symptoms and body dissatisfaction in BED patients.

This course is based on the reading-based online article, Childhood Maltreatment, Depressive Symptoms, and Body Dissatisfaction in Patients With Binge Eating Disorder: The Mediating Role of Self-criticism created by David Dunkley, Ph.D.,, Robin M. Masheb, and Carlos M. Grilo, PhD


International Journal of Eating Disorders/Wiley InterScience

Publication Date:

April 2010 EAT 43:3

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

David Dunkley, Ph.D.,

Dr. Dunkley was trained in clinical psychology at McGill University, receiving his Ph.D. in 2001. He then pursued postdoctoral training in longitudinal diagnostic assessment of psychiatric disorders at Yale University from 2001-2003, followed by a postdoctoral fellowship in psychotherapy studies in depression at the Institute of Community and Family Psychiatry at the Jewish General Hospital (ICFP-JGH) from 2003-2004. Since 2004, he has been a Researcher with the Lady Davis Institute, an associate with the Cognitive Behaviour Therapy (CBT) Service of the ICFP-JGH, and Assistant Professor of Psychiatry and Associate Member of Psychology at McGill. Dr. Dunkley is a FRSQ Chercheur-Boursier and the primary goal of his research has been to examine the mechanisms through which perfectionism is a personality vulnerability factor to depression. He has received numerous fellowships, obtained grants from federal and provincial agencies, and has published several articles in respected journals using structural equation modeling/path analysis and multilevel modeling as the primary data analytic techniques. In 2005, he received the Canadian Psychological Association President's New Researcher Award.

Robin M. Masheb

Carlos M. Grilo, PhD

Course Creator

Dan Rebek, Ph.D.

Recommended For:

This course is recommended for Mental Health Professionals who seek knowledge about the potential mechanisms through which childhood abuse impacts on maladjustment. It is appropriate for all levels of participants' knowledge.

Course Objectives:

After taking this course, you should be able to:

  1. Consider self-criticism as a cognitive-personality construct that has broader relevance that extends beyond depression-related problems to various forms of eating disorder psychopathology
  2. Identify specific forms of childhood maltreatment (emotional abuse, sexual abuse) that are significantly associated with body dissatisfaction
  3. Identify self-criticism as a potential mechanism through which certain forms of childhood maltreatment may be associated with depressive symptoms and body dissatisfaction in BED patients

Disclosure to Learners

Disclosure of Relevant Financial Relationships

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Commercial support

There is no commercial support for this distance-learning course.

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Course Retired
Course Number 101667
1 CE credit hour
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  • Reading-Based Online
Exam Fee $5.97
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