{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T03:23:27Z","timestamp":1789097007958,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2007,4,12]],"date-time":"2007-04-12T00:00:00Z","timestamp":1176336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2008,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study drew together research on anxious attachment, self\u2010silencing, self\u2010consciousness during sexual activity and bulimic symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A mixed community\/university sample of 225 women aged 18\u201363 (<jats:italic>M<\/jats:italic>\u2009=\u200930.24, <jats:italic>SD<\/jats:italic>\u2009=\u200910.44) and involved in an intimate relationship completed questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adverse relationship processes were significantly associated and each was also associated with bulimic symptoms. Self\u2010consciousness during sexual activity was the best predictor of bulimic symptoms, followed by anxious attachment. Self\u2010silencing was redundant when the other relationship processes were included in the regression. General psychopathology mediated the association between self\u2010silencing and bulimic symptoms, and partially mediated associations between bulimic symptoms and both anxious attachment and self\u2010consciousness during sexual activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Women with bulimic symptoms attempt to change themselves by engaging in adverse processes in intimate relationships to meet the perceived expectations of their partners. Targeting these relationship processes in therapy might further add to the success of relationship\u2010oriented treatments (e.g. Interpersonal Therapy). 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