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      Assessment of Family Functioning and Eating Disorders – The Mediating Role of Self-Esteem

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          Abstract

          The aim of the study was to measure whether people at increased risk for eating disorders (EDs) and people without an increased risk of EDs differ from each other in the assessment of family functioning (FF) and self-esteem (SE) dimensions. Moreover, the correlations between FF, EDs, and SE were verified, looking for the mediating role of SE in the context of the FF and EDs. The research was conducted on the group of 160 people aged from 18 to 47 years, including 74 people at increased risk for EDs. We used: The Family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve); The SCOFF Questionnaire; The Multidimensional Self-Esteem Inventory, MSEI. Analyses indicate that the compared groups differ significantly in terms of EDs, assessment of FF, and all components of SE, in such a way that people without an increased risk of EDs are characterized by a more positive assessment of FF and higher SE in all its dimensions. All SE dimensions, except defensive high SE, are mediators in the relationship of FF with EDs. In therapeutic interactions, it is worth focusing on the SE dimensions, as they are one of the mediation elements in the relationship between the assessment of FF and EDs.

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          Understanding diagnostic tests 3: Receiver operating characteristic curves.

          The results of many clinical tests are quantitative and are provided on a continuous scale. To help decide the presence or absence of disease, a cut-off point for 'normal' or 'abnormal' is chosen. The sensitivity and specificity of a test vary according to the level that is chosen as the cut-off point. The receiver operating characteristic (ROC) curve, a graphical technique for describing and comparing the accuracy of diagnostic tests, is obtained by plotting the sensitivity of a test on the y axis against 1-specificity on the x axis. Two methods commonly used to establish the optimal cut-off point include the point on the ROC curve closest to (0, 1) and the Youden index. The area under the ROC curve provides a measure of the overall performance of a diagnostic test. In this paper, the author explains how the ROC curve can be used to select optimal cut-off points for a test result, to assess the diagnostic accuracy of a test, and to compare the usefulness of tests. The ROC curve is obtained by calculating the sensitivity and specificity of a test at every possible cut-off point, and plotting sensitivity against 1-specificity. The curve may be used to select optimal cut-off values for a test result, to assess the diagnostic accuracy of a test, and to compare the usefulness of different tests.
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            The family APGAR: a proposal for a family function test and its use by physicians.

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              Value-based Adoption of Mobile Internet: An empirical investigation

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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                24 April 2019
                2019
                : 10
                : 921
                Affiliations
                Faculty of Humanities, Institute of Psychology, University of Szczecin , Szczecin, Poland
                Author notes

                Edited by: Carrie J. McAdams, University of Texas Southwestern Medical Center, United States

                Reviewed by: Urszula Barbara Kelley, University of Texas Southwestern Medical Center, United States; Alissa Haedt-Matt, Illinois Institute of Technology, United States; Leah M. Hecht, Henry Ford Health System, United States, in collaboration with reviewer AH-M

                *Correspondence: Małgorzata Szcześniak, malgorzata.szczesniak@ 123456whus.pl

                This article was submitted to Eating Behavior, a section of the journal Frontiers in Psychology

                Article
                10.3389/fpsyg.2019.00921
                6491868
                31068882
                4bd0e2c0-cd25-406f-9318-7741aacda72a
                Copyright © 2019 Kroplewski, Szcześniak, Furmańska and Gójska.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 11 June 2018
                : 05 April 2019
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 156, Pages: 13, Words: 0
                Categories
                Psychology
                Original Research

                Clinical Psychology & Psychiatry
                eating disorders,self-esteem,family functioning,adulthood,mediation

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