Self-disgust as a potential mechanism underlying the association between body image disturbance and suicidal thoughts and behaviours

Journal article

Akram, Umair, Allen, Sarah, Stevenson, Jodie C., Lazarus, Lambros, Ypsilanti, Antonia, Ackroyd, Millicent, Chester, Jessica, Longden, Jessica, Peters, Chloe and Irvine, Kamila R. 2022. Self-disgust as a potential mechanism underlying the association between body image disturbance and suicidal thoughts and behaviours. Journal of Affective Disorders. 297, pp. 634-640. https://doi.org/10.1016/j.jad.2021.10.063
AuthorsAkram, Umair, Allen, Sarah, Stevenson, Jodie C., Lazarus, Lambros, Ypsilanti, Antonia, Ackroyd, Millicent, Chester, Jessica, Longden, Jessica, Peters, Chloe and Irvine, Kamila R.
Abstract

This study examined whether self-disgust added incremental variance to and mediated the multivariate association between measures of body image disturbance and suicidal thoughts and behaviours. We hypothesized that self-disgust would be associated with suicidal ideation above the effects of body image disturbance, and that self-disgust would mediate the relationship between body image disturbance and suicidal ideation. A total of N=728 participants completed The Body Image Disturbance Questionnaire, The Self-Disgust Scale, and the Suicidal Behaviours Questionnaire-Revised. Suicidality was significantly related to increased levels of self-disgust and body image disturbance, whereas self-disgust was associated with greater body image disturbance. Linear regression analysis showed that self-disgust was associated with suicidal thoughts and behaviours, over and above the effects of body image disturbance. Multiple mediation modelling further showed that self-disgust mediated the relationship between body image disturbance and suicidal thoughts and behaviours. Our findings highlight the role of self-disgust in the context of body image disturbance and support the notion that body image disturbance is associated with aversive self-conscious emotions. Interventions aiming to reduce the risk of suicidality in people with body image disturbance may address self-disgust and negative self-conscious emotions.

KeywordsPsychiatry and Mental health; Clinical Psychology
Year2022
JournalJournal of Affective Disorders
Journal citation297, pp. 634-640
PublisherElsevier BV
ISSN0165-0327
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jad.2021.10.063
Web address (URL)http://hdl.handle.net/10545/626171
https://www.elsevier.com/tdm/userlicense/1.0/
http://creativecommons.org/licenses/by-nc/4.0/
hdl:10545/626171
Publication dates26 Oct 2022
Publication process dates
Deposited15 Dec 2021, 16:55
Accepted23 Oct 2021
Rights

© 2021 Elsevier B.V. All rights reserved.

Attribution-NonCommercial 4.0 International

ContributorsSheffield Hallam University, University of Teeside, University of Lincoln and University of Derby
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