# Mealtime anxiety in bulimia nervosa: the mediating role of anxiety about food and weight gain

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- Page title: Mealtime anxiety in bulimia nervosa: the mediating role of anxiety about food and weight gain | WCP 2026 Summary

> Anxiety about food and weight gain partially mediates the relationship between an ICD-11 diagnosis of bulimia nervosa and mealtime anxiety.

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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

SO325

Brief Oral Poster PresentationEating DisordersCross-sectional study (mediation analysis)

# Mealtime anxiety in bulimia nervosa: the mediating role of anxiety about food and weight gain

MEALTIME ANXIETY IN BULIMIA NERVOSA : THE MEDIATING ROLE OF CONCERN ABOUT FOOD AND WEIGHT GAIN

Presenter: Anna Brytek-Matera

Country: Poland

Institution: Institute of Psychology, University of Wrocław

Session: 3710 - PARALLEL SHORT ORAL POSTER SESSIONS: EATING DISORDERS

Date: Fri, 25.09.2026

Anxiety about food and weight gain partially mediates the relationship between an ICD-11 diagnosis of bulimia nervosa and mealtime anxiety.

The study examined the potential mediating role of anxiety about food and weight gain in the relationship between an ICD-11 diagnosis of bulimia nervosa (BN) and mealtime anxiety in the Polish general population. A total of 814 individuals aged 14 years and older completed the Health Concern Scale (Kähkönen and Tuorila, 1999), which measures anxiety about sugar, fat, and calorie consumption and weight gain, and the Fear of Food Measure (Levinson and Byrne, 2015), which measures eating anxiety, food avoidance behaviors, and feared thoughts related to eating; the sample had a mean age of 24.43 years (SD = 10.71) and a mean body mass index of 23.50 (SD = 4.69), and included 180 male and 634 female participants. An ICD-11 BN diagnosis was a significant predictor of anxiety about food and weight gain (B = 2.69, SE = 0.38, 95% confidence interval [1.94, 3.43], β = 0.26, p < 0.001); anxiety about food and weight gain was also a significant predictor of mealtime anxiety (B = 1.15, SE = 0.08, 95% CI [0.98, 1.32], β = 0.41, p < 0.001). After controlling for the mediator, an ICD-11 BN diagnosis continued to predict mealtime anxiety (B = 6.75, SE = 0.97, 95% CI [4.84, 8.66], β = 0.23, p < 0.001), consistent with partial mediation. The predictors explained 26% of the variance in mealtime anxiety, and the indirect effect coefficient was reported as significant (B = 0.31, SE = 0.47, 95% CI [2.24, 4.07]); the path diagram in the poster showed coefficients of a = 0.26, b = 0.41, c = 0.23, and c' = 0.34 (all p < 0.001). In conclusion, anxiety about food and weight gain partially mediates the effect of a BN diagnosis on mealtime anxiety and may function as a cognitive vulnerability factor in the development of fear of food. This finding highlights the importance of directly addressing anxiety about food and weight gain in therapeutic interventions.

[View the original poster](https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1064)

How to cite this study

APA 7: Brytek-Matera, A., et al. (2026, September 25). Mealtime anxiety in bulimia nervosa : the mediating role of concern about food and weight gain [Poster presentation]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1064

Vancouver: Brytek-Matera A, et al. Mealtime anxiety in bulimia nervosa : the mediating role of concern about food and weight gain [poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/1064

Author names and title formatting were generated automatically from the congress system; please check them against the original poster before use.

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Kaynak / Source: https://alisanburak.com/en/wcp-2026-posterler/so325

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