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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 of Relevant Financial Relationships

Disclosure of Relevant Financial Relationships

CE Learning Systems, LLC is an independent provider of continuing medical education. CE Learning Systems, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.

In accordance with our disclosure policies, CE Learning Systems, LLC is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest).

Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:

  1. Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and
  2. any investigational, off-label, or non-FDA approved content or discussion

CE Learning Systems, LLC has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.

Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:

  1. All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
  2. All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
  3. Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.

The planners have reported the following: There are no relevant disclosures.

Course Material Authors

The authors have disclosed any disclosures within the material.

Course Creator: Dan Rebek, Ph.D.
There are no relevant disclosures.
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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