Dimensions of control and their relation to disordered eating behaviours and obsessive-compulsive symptoms

Background: Issues of personal control have been proposed to play a central role in the aetiology and maintenance of eating disorders. Empirical evidence supporting this relationship is inconsistent, partly due to the multiplicity of constructs used to define "control". This study compares six commonly used measures of control with the aim of determining which operationalisation of control is most centrally relevant to eating pathology. Given the high level of comorbidity between eating disorders and obsessive-compulsive disorder and the potentially common risk/maintenance factors for the two disorders, we also examine the relationship between control and obsessive-compulsive symptomatology. Methods: Female community participants (N = 175) completed self-report measures of control, eating disorder pathology and obsessive-compulsive symptoms. Results: Multivariate analyses of variance indicated significant differences between individuals with high vs. low levels of psychopathology on most of the measures of control. Using regression analyses, we found that a sense of ineffectiveness and fear of losing self-control were the only significant independent predictors of eating pathology, and fear of losing self-control was the most significant predictor of obsessive-compulsive symptoms. Conclusions: This study highlights the importance of issues of control, particularly feelings of ineffectiveness and fear of losing self-control, in eating disorder symptoms. Furthermore, our findings suggest that there may be a similar underlying fear of losing self-control among individuals who engage in disordered eating and obsessive-compulsive behaviours. Thus, ineffectiveness and fear of losing self-control are two dimensions that are important to consider in maintenance and treatment models of disordered eating behaviours. © 2016 Froreich et al.