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Original Articles
- The Relationship between Maladaptive Self-Focused Attention and Disordered Eating: The Mediating Effect of Body Dissatisfaction and the Moderating Effect of Mindfulness
- Dasom Ki, Sera Lee
- STRESS. 2025;33(4):184-191. Published online December 31, 2025
- DOI: https://doi.org/10.17547/kjsr.2025.33.4.184
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- 15 Download
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Abstract
PDF - Background
Maladaptive self-focused attention is a known psychological risk factor for disordered eating. However, the mechanisms underlying this association, including the mediating role of body dissatisfaction and the moderating role of mindfulness, remain unclear.
Methods
A total of 528 Korean adults aged 19∼39 completed self-report questionnaires assessing maladaptive self-focused attention, body dissatisfaction, disordered eating, and mindfulness. Mediation and moderated mediation analyses were conducted using the PROCESS macro (Models 4 and 14), controlling for gender, age, BMI, marital status, and dieting status.
Results
Maladaptive self-focused attention indirectly influenced disordered eating through body dissatisfaction, whereas its direct effect was not statistically significant. Mindfulness moderated the association between body dissatisfaction and disordered eating, such that the relationship was weaker among individuals with higher mindfulness. Subscale analyses indicated that the “nonjudging” and “acting with awareness” facets attenuated this pathway, whereas the “observing” facet counterintuitively strengthened it.
Conclusions
Body dissatisfaction appears to be a central mechanism linking maladaptive self-focused attention to disordered eating. Mindfulness—particularly the facets of nonjudging and acting with awareness—may buffer this risk. These findings highlight the potential of mindfulness-based interventions to mitigate cognitive–affective pathways underlying disordered eating.
- The Relationship between Level of Therapist Support and Efficacy and Adherence in Internet-Based Cognitive Behavioral Therapy for Disordered Eating Behaviors
- Seyeom Kim, Eun-Jung Shim
- STRESS. 2024;32(1):29-37. Published online March 28, 2024
- DOI: https://doi.org/10.17547/kjsr.2024.32.1.29
- 3,457 View
- 74 Download
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Abstract
PDF
- Background
Therapist support is an important intervention design factor in internet-delivered psychotherapy. However, the relationship between therapist support and intervention outcomes is not well established. This study examined the relationship between therapist support, efficacy, and adherence to Internet-based Cognitive Behavioral Therapy (I-CBT) for disordered eating behaviors.
Methods
Thirty-six women with disordered eating behaviors were recruited and randomly assigned to three groups: low, medium, and high levels of therapist support. The participants received eight sessions of I-CBT, twice a week, with varying levels of therapist support.
Results
While all three groups showed a reduction in eating disorder risk factors (i.e., body image disturbance, disordered eating behaviors, depression, and anxiety), there were no significant differences in these improvements by therapist support level. However, there were significant differences in intervention completion rates by therapist support level, with higher levels of support associated with increased intervention completion rates.
Conclusions
Therapist support can potentially improve adherence to internet-based interventions.
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