The Relation of Eating Disorder with Body Dissatisfaction and Emotion Regulation in Female University Students in Iran

Assistant Professor, School of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran

Assistant Professor, School of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran


Background: The aim of the present study was to predict eating disorder on the basis of body dissatisfaction and emotional regulation.

Methods: The participants were 200 female students (age range: 25 to 45 years) who were selected using convenience sampling ‎from among the students of Karaj University in Iran. The instruments used consisted of Body Shape Questionnaire (BSQ), Cognitive Emotion Regulation Questionnaire (CERQ), and Eating Disorder Examination Questionnaire (EDE-Q). The Pearson correlation and stepwise regression methods, with inter and stepwise methods, were used during data analysis.

Results: The results of this study revealed that eating disorder has a strong relationship with body dissatisfaction and emotion regulation. In addition, both body dissatisfaction and emotional regulation predicted eating disorder, but body dissatisfaction, compared to emotion regulation, predicted more eating disorders in female students.

Conclusion: This study suggests that eating disorder can be predicted with both emotion regulation and body dissatisfaction.


  • Emotion regulation
  • Body dissatisfaction
  • Eating disorder

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Alizade L, Mohammadzadeh H, & Babai S. (2016). Relationship between cognitive emotion regulation strategies and body image with eating disorder symptoms in secondary school students in the city of Urmia. International Academic Journal of Psychology and Educational Studies, 1(3), 32-42.

Asberg, K. K. (2010). Emotion regulation abilities and perceived stress as predictors of negative body image and problematic eating behaviors in emerging adults. American Journal of Psychological Research, 6(1), 193-2017.

Brechan, I., & Kvalem, I. L. (2015). Relationship between body dissatisfaction and disordered eating: mediating role of self-esteem and depression. Eat.Behav, 17, 49-58. doi:S1471-0153(14)00180-9 [pii];10.1016/j.eatbeh.2014.12.008 [doi]. Retrieved from PM:25574864

Burton EM, Stice E, Bearman SK, Rohde P. An experimental test of the affect-regulation model of ‎bulimicsymptoms and substance use: An affective intervention. International Journal of Eating ‎Disorders2007;40:27–36. [PubMed: 16958129‎‏]

Cash, T. F., & Smolak, L. (2011). Body Image: A Handbook of Science, Practice, and Prevention. New York, NY: Guilford Publications.

Caslini, M., Rivolta, L., Zappa, L. E., Carra, G., & Clerici, M. (2015). Psychotherapeutic treatment of eating disorders improve dissociative experiences and impulse regulation but not alexithymia. A case series report. Riv.Psichiatr., 50(3), 143-147. doi:10.1708/1910.20798 [doi]. Retrieved from PM:26156820

Cooley, E., & Toray, T. (2001a). Disordered eating in college freshman women: a prospective study. J Am.Coll.Health, 49(5), 229-235. doi:10.1080/07448480109596308 [doi]. Retrieved from PM:11337898

Cooley, E., & Toray, T. (2001b). Body image and personality predictors of eating disorder symptoms during the college years. Int J Eat.Disord., 30(1), 28-36. doi:10.1002/eat.1051 [pii]. Retrieved from PM:11439406

Cooper, P. J., & Taylor, M. J. (1988). Body image disturbance in bulimia nervosa. Br.J Psychiatry Suppl.,(2), 32-36. Retrieved from PM:3072050

Cooper, P. J., Taylor, M. J., Cooper, Z., & Fairburn, C. G. (1987). The development and validation of the Body Shape Questionnaire. International Journal of Eating Disorders, 6(4), 485-494.

Crawford, J. R., & Henry, J. D. (2004). The positive and negative affect schedule (PANAS): construct validity, measurement properties and normative data in a large non-clinical sample. Br.J Clin Psychol, 43(Pt 3), 245-265. doi:10.1348/0144665031752934 [doi]. Retrieved from PM:15333231

Agras, W. S. (2010). The Oxford handbook of eating disorders. Oxford, UK: Oxford University Press.

Davodi, I., Firoozi, A. A., & Zargar, Y. (2016). The relationship between symptoms of eating disorders and worry about body image, attachment styles, and cognitive emotion regulation strategies among students of Ahvaz Jundishapur University of Medical Sciences. Jundishapur J Helath Res, 7(1), e27080.

Dingemans, A., Danner, U., & Parks, M. (2017). Emotion regulation in binge eating disorder: A review. Nutrients., 9(11). doi:nu9111274 [pii];10.3390/nu9111274 [doi]. Retrieved from PM:29165348

Dowson, J., & Henderson, L. (2001). The validity of a short version of the Body Shape Questionnaire. Psychiatry Res, 102(3), 263-271. doi:S0165-1781(01)00254-2 [pii]. Retrieved from PM:11440777

Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: interview or self-report questionnaire? Int J Eat.Disord., 16(4), 363-370. Retrieved from PM:7866415

Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. New York, NY: Guilford Publications

Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences, 30(8), 1311-1327.

Garnefski, N. , & Kraaij, V. (2007). The cognitive emotion regulation questionnaire: psychometric features and prospective relationships with depression and anxiety in adults. European Journal of Psychological Assessment, 23(3), 141-149.

Garner, D.M., Myerholtz, L.E., 2000. Eating disorders. In: Bellack, A.S., Hersen, M. (Eds.), Comprehensive Clinical Psychology. Elsevier Science.‎

Gianini, L. M., White, M. A., & Masheb, R. M. (2013). Eating pathology, emotion regulation, and emotional overeating in obese adults with Binge Eating Disorder. Eat.Behav, 14(3), 309-313. doi:S1471-0153(13)00051-2 [pii];10.1016/j.eatbeh.2013.05.008 [doi]. Retrieved from PM:23910772

Hilbert, A., de Zwaan M., & Braehler, E. (2012). How frequent are eating disturbances in the population? Norms of the eating disorder examination-questionnaire. PLoS One, 7(1), e29125. doi:10.1371/journal.pone.0029125 [doi];PONE-D-11-07217 [pii]. Retrieved from PM:22279527

Hilbert, A., Tuschen-Caffier, B., Karwautz, A., Niederhofer, H., & Munsch, S. (2007). Eating Disorder Examination-Questionnaire. Diagnostica, 53(3), 144-154.

Johnson, F., & Wardle, J. (2005). Dietary restraint, body dissatisfaction, and psychological distress: a prospective analysis. J Abnorm.Psychol, 114(1), 119-125. doi:2005-01472-012 [pii];10.1037/0021-843X.114.1.119 [doi]. Retrieved from PM:15709818

Kessler, R. C., Berglund, P. A., Chiu, W. T., Deitz, A. C., Hudson, J. I., Shahly, V. et al. (2013). The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biol Psychiatry, 73(9), 904-914. doi:S0006-3223(12)01028-1 [pii];10.1016/j.biopsych.2012.11.020 [doi]. Retrieved from PM:23290497

Lewer, M., Bauer, A., Hartmann, A. S., & Vocks, S. (2017). Different Facets of Body Image Disturbance in Binge Eating Disorder: A Review. Nutrients., 9(12). doi:nu9121294 [pii];10.3390/nu9121294 [doi]. Retrieved from PM:29182531

Lu, H. Y., & Hou, H. Y. (2009). Testing a model of the predictors and consequences of body dissatisfaction. Body Image., 6(1), 19-23. doi:S1740-1445(08)00100-9 [pii];10.1016/j.bodyim.2008.08.003 [doi]. Retrieved from PM:18996070

Moreno-Dominguez, S., Rodriguez-Ruiz, S., Fernandez-Santaella, M. C., Jansen, A., & Tuschen-Caffier, B. (2012). Pure versus guided mirror exposure to reduce body dissatisfaction: a preliminary study with university women. Body Image., 9(2), 285-288. doi:S1740-1445(11)00178-1 [pii];10.1016/j.bodyim. 2011.12.001 [doi]. Retrieved from PM:22244836

Nejati, S., Sabahi, P., Rafienia P, Esfehani SR. (2014). The Comparison of Emotion Regulation Strategies in Obese Women with Negative and Positive Body Image. Cognition and Education, 1(1), 1-6.

Ostir, G. V., Smith, P. M., Smith, D., & Ottenbacher, K. J. (2005). Reliability of the positive and negative affect schedule (PANAS) in medical rehabilitation. Clin Rehabil., 19(7), 767-769. doi:10.1191/ 0269215505cr894oa [doi]. Retrieved from PM:16250196

Polivy, J., & Herman, C. P. (2002). Causes of eating disorders. Annu Rev Psychol, 53, 187-213. doi:10.1146/annurev.psych.53.100901.135103 [doi];53/1/187 [pii]. Retrieved from PM:11752484

Raevuori, A., Keski-Rahkonen, A., & Hoek, H. W. (2014). A review of eating disorders in males. Curr Opin.Psychiatry, 27(6), 426-430. doi:10.1097/YCO.0000000000000113 [doi]. Retrieved from PM:25226158

Reas, D. L., Grilo, C. M., & Masheb, R. M. (2006). Reliability of the Eating Disorder Examination-Questionnaire in patients with binge eating disorder. Behav Res Ther, 44(1), 43-51. doi:S0005-7967(05)00029-X [pii];10.1016/j.brat.2005.01.004 [doi]. Retrieved from PM:16301013

Rohde, P., Stice, E., & Marti, C. N. (2015). Development and predictive effects of eating disorder risk factors during adolescence: Implications for prevention efforts. Int J Eat.Disord., 48(2), 187-198. doi:10.1002/eat.22270 [doi]. Retrieved from PM:24599841

Sharan, P., & Sundar, A. S. (2015). Eating disorders in women. Indian J Psychiatry, 57(Suppl 2), S286-S295. doi:10.4103/0019-5545.161493 [doi];IJPsy-57-286 [pii]. Retrieved from PM:26330646

Shriver, L. H., Wollenberg, G., & Gates, G. E. (2016). Prevalence of Disordered Eating and Its Association With Emotion Regulation in Female College Athletes. Int J Sport Nutr.Exerc Metab., 26(3), 240-248. doi:2015-0166 [pii];10.1123/ijsnem.2015-0166 [doi]. Retrieved from PM:26568582

Spoor, S. T., Bekker, M. H., Van, Strien T., & van Heck, G. L. (2007). Relations between negative affect, coping, and emotional eating. Appetite., 48(3), 368-376. doi:S0195-6663(06)00633-7 [pii];10.1016/j.appet. 2006.10.005 [doi]. Retrieved from PM:17145096

Stice, E. (2001). A prospective test of the dual-pathway model of bulimic pathology: mediating effects of dieting and negative affect. J Abnorm.Psychol, 110(1), 124-135. Retrieved from PM:11261386

Stice, E., & Shaw, H. E. (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. J Psychosom.Res, 53(5), 985-993. doi:S0022399902004889 [pii]. Retrieved from PM:12445588

Stice, E., Presnell, K., & Spangler, D. (2002). Risk factors for binge eating onset in adolescent girls: a 2-year prospective investigation. Health Psychol, 21(2), 131-138. Retrieved from PM:11950103

Svaldi, J., Griepenstroh, J., Tuschen-Caffier, B., & Ehring, T. (2012). Emotion regulation deficits in eating disorders: a marker of eating pathology or general psychopathology? Psychiatry Res, 197(1-2), 103-111. doi:S0165-1781(11)00763-3 [pii];10.1016/j.psychres.2011.11.009 [doi]. Retrieved from PM:22401969

Tiggemann, M. (2004). Body image across the adult life span: stability and change. Body Image., 1(1), 29-41. doi:S1740-1445(03)00002-0 [pii];10.1016/S1740-1445(03)00002-0 [doi]. Retrieved from PM:18089139

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers.Soc Psychol, 54(6), 1063-1070. Retrieved from PM:3397865

Wertheim, E. H. , Koerner, J., & Paxton, S. J. (2001). Longitudinal predictors of restrictive eating and bulimic tendencies in three different age groups of adolescent girls. Journal of Youth and Adolescence, 30(1), 69-81.

World Health Organization. (2004). BMI classification. Geneva, Switzerland: WHO.