Objective: The present study was designed to assess the relationship between self-silencing behaviours and eating disorder symptoms in a female adolescent population with eating disorders. Method: One hundred and forty-nine adolescent girls between the ages of 13 and 18 completed a comprehensive assessment at a tertiary care children's hospital. Each participant completed the Eating Disorder Inventory-2 (EDI-2; Garner, 1991), the Multidimensional Anxiety Scale for Children (MASC; March et al, 1997), and an adapted version of the Silencing the Self Scale for adolescents (STSS; Sippola & Bukowski, 1996). Results: Self-silencing behaviours correlated strongly with eating disorder symptomatology. Social anxiety was found to predict body dissatisfaction, while externalized self-perception was found to contribute uniquely to body dissatisfaction and drive for thinness, two risk factors closely associated with eating disorders. Conclusion: These results suggest the importance of including relational and emotional development in comprehensive models of disordered eating.

Additional Metadata
Keywords Adolescents, Eating disorders, Self-silencing
Journal Journal of the Canadian Academy of Child and Adolescent Psychiatry
Buchholz, A. (Annick), Henderson, K, Hounsell, A. (Adrienne), Wagner, A. (Anne), Norris, M. (Mark), & Spettigue, W. (Wendy). (2007). Self-silencing in a clinical sample of female adolescents with eating disorders. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 16(4), 158–163.