Difficulty in Emotion Regulation and Self-Concealment as Mediators of the Link Between Psychological Distress and Disordered Eating Behavior in Emerging Adult Women

Objective: Emerging adulthood often involves a greater degree of disordered eating behaviors, especially among women. In this psychosocial context, extant evidence suggests that psychological distress is a major contributing factor to disordered eating behaviors. The present cross-sectional study examined whether psychological distress was positively associated with disordered eating behavior in a sample of emerging adult women, and whether difficulty in emotion regulation, self-concealment, or both together, at least partially explained this association. Method: Participants were 723 emerging adult women aged 18 to 25 years old (Mage = 19.5, SDage = 1.6) who were recruited from a four-year public university in Hawaii, USA. Upon the completion of the informed consent procedure, they voluntarily completed an online survey package that included the self-report measures assessing disordered eating behavior, psychological distress, difficulties in emotion regulation, and self-concealment. Results: We found that psychological distress was positively associated with disordered eating behaviors. We also found that both difficulty in emotion regulation and self-concealment partially accounted for the positive association between psychological distress and disordered eating behavior. Discussion: Future research should examine the conceptual and applied implications of these findings further.