{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T21:33:05Z","timestamp":1789507985849,"version":"build-2803163510"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T00:00:00Z","timestamp":1648857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Although personality traits have been found to be associated with body dissatisfaction for women in the general population, little research has explored these associations for people with eating disorders. Furthermore, it is unknown whether these associations are direct or are mediated by other factors. In this cross\u2010sectional study, secondary analyses of data from two clinical trials were conducted to determine which personality dimensions contributed to body dissatisfaction in women with bulimia nervosa, and whether low self\u2010esteem and depression mediate these associations independently or in serial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants were 193 women with bulimia nervosa. Participants completed self\u2010report measures of temperament and character, body dissatisfaction, low self\u2010esteem, and depression before receiving treatment for their eating disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The temperament dimension, harm avoidance, contributed significantly to body dissatisfaction. Serial mediation analyses showed this association was fully mediated, revealing two significant indirect effects. The first was through low self\u2010esteem and the second through depression and low self\u2010esteem in serial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings suggest body dissatisfaction in women with bulimia nervosa may be indirectly targeted through addressing harm avoidance, depression and low self\u2010esteem.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2899","type":"journal-article","created":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T03:54:07Z","timestamp":1648958047000},"page":"388-400","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["The effect of temperament and character on body dissatisfaction in women with bulimia nervosa: The role of low self\u2010esteem and depression"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0647-7614","authenticated-orcid":false,"given":"Hannah","family":"Jones","sequence":"first","affiliation":[{"name":"School of Psychology, Speech and Hearing University of Canterbury  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia V.W.","family":"McIntosh","sequence":"additional","affiliation":[{"name":"School of Psychology, Speech and Hearing University of Canterbury  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Britt","sequence":"additional","affiliation":[{"name":"School of Psychology, Speech and Hearing University of Canterbury  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet D.","family":"Carter","sequence":"additional","affiliation":[{"name":"School of Psychology, Speech and Hearing University of Canterbury  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4699-6301","authenticated-orcid":false,"given":"Jennifer","family":"Jordan","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine University of Otago  Christchurch New Zealand"},{"name":"Clinical Research Unit Canterbury District Health Board  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia M.","family":"Bulik","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina  Chapel Hill North Carolina USA"},{"name":"Department of Nutrition University of North Carolina  Chapel Hill North Carolina USA"},{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e3181e4c6f7"},{"key":"e_1_2_9_3_1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM\u2010III\u2010R","author":"American Psychiatric Association","year":"1987"},{"key":"e_1_2_9_4_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000235795.51683.99"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.11.001"},{"key":"e_1_2_9_7_1","first-page":"193","volume-title":"Eating disorders and obesity: A comprehensive handbook","author":"Bulik C. 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