A preliminary investigation of a novel training to target cognitive biases towards negative social stimuli in Anorexia Nervosa

Cardi, Valentina; Esposito, Mirko; Bird, Geoffrey; Rhind, Charlotte; Yiend, Jenny; Schifano, Sylvia; Hirsch, Colette R.; Treasure, Janet

doi:10.1016/j.jad.2015.08.019

Cited by 48 publications

(88 citation statements)

References 49 publications

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“…words and faces) and task paradigms (Cardi et al, 2013;Cardi et al, 2015;Harrison et al, 2010). These findings are inconsistent with some previous studies.…”

Section: Discussioncontrasting

confidence: 86%

“…Several studies report that patients with AN have an attentional bias to faces expressing anger (Harrison, Tchanturia, & Treasure, 2010), rejection (Cardi, Matteo, Corfield, & Treasure, 2013) and disgust (Cardi et al, 2015). It has been suggested that attentional bias modification training have potential as a treatment option for AN (Renwick, Campbell, & Schmidt, 2013), which is supported by a preliminary uncontrolled study where such training was associated with improved appraisal of social stimuli and reduced anxiety in AN patients (Cardi et al, 2015). It has been suggested that attentional bias modification training have potential as a treatment option for AN (Renwick, Campbell, & Schmidt, 2013), which is supported by a preliminary uncontrolled study where such training was associated with improved appraisal of social stimuli and reduced anxiety in AN patients (Cardi et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Threat‐Detection and Attentional Bias to Threat in Women Recovered from Anorexia Nervosa: Neural Alterations in Extrastriate and Medial Prefrontal Cortices

Bang

Rø

Endestad

2016

Euro Eating Disorders Rev

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“…words and faces) and task paradigms (Cardi et al, 2013;Cardi et al, 2015;Harrison et al, 2010). These findings are inconsistent with some previous studies.…”

Section: Discussioncontrasting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Threat‐Detection and Attentional Bias to Threat in Women Recovered from Anorexia Nervosa: Neural Alterations in Extrastriate and Medial Prefrontal Cortices

Bang

Rø

Endestad

2016

Euro Eating Disorders Rev

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“…The study found that after this inhibition training, individuals with chronic low self‐esteem experienced significantly less interference on rejection words during a Stroop task. Cardi et al () have also applied cognitive bias training to EDs and found that at the end of intervention, there was an increase in attention to positive social cues and fewer negative interpretations of ambiguous social stimuli. Given that schemas are activated by situations or life events that are relevant to that particular schema, future research directions may not only address the prevention of the development of maladaptive schema through parenting programs, but also address the cognitive biases that trigger and maintain EDs.…”

Section: Discussionmentioning

confidence: 99%

Insecure attachment and maladaptive schema in disordered eating: The mediating role of rejection sensitivity

Paoli

Fuller‐Tyszkiewicz

Krug

2017

Clin Psychology and Psychoth

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The results from the current study suggest that insecure attachment leads to maladaptive schema, which in turn leads to sensitivity to rejection and subsequent disordered eating behaviour. Attachment anxiety, but not attachment avoidance, was related to greater endorsement of all five schemas in the disconnection and rejection domain. Path analysis revealed that, of the schema in the disconnection and rejection domain, only emotional deprivation and abandonment were related to disordered eating. Interpersonal and appearance-based rejection sensitivity were significant mediators of the relationship between emotional deprivation and disordered eating as well as the relationship between abandonment and disordered eating. Differentiating between schemas within schema domains has clinical value in further understanding the pathway to disordered eating. The schemas of emotional deprivation and abandonment are implicated in disordered eating, suggesting the need to target these schemas in schema therapy.

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“…Furthermore, the findings argue for the inclusion of the patients' partners and families in the treatment as well as to offer formal skills training to support the decoding of mental states in complex real‐life social interactions. Furthermore, the development of novel treatments that more specifically target social cognition (e.g., cognitive bias modification procedures) are needed. However, far more research is needed to support the utility of such treatment modules and also to determine optimal strategies of delivering and implementing these into existing treatment approaches.…”

Section: Discussionmentioning

confidence: 99%

Social cognition in anorexia nervosa: Specific difficulties in decoding emotional but not nonemotional mental states

Brockmeyer

Pellegrino

Münch

et al. 2016

Intl J Eating Disorders

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Objective: Building on recent models of anorexia nervosa (AN) that emphasize the importance of impaired social cognition in the development and maintenance of the disorder, the present study aimed at examining whether women with AN have more difficulties with inferring other people's emotional and non-emotional mental states than healthy women. Results: Women with AN showed poorer emotional mental state inference, whereas non-emotional mental state inference was largely intact. Groups did not differ in undermentalizing (overly simplistic theory of mind) and overmentalizing (overly complex or over-interpretative mental state reasoning).Performance in the MASC was independent of levels of eating disorder psychopathology and symptoms of depression and anxiety. Discussion:The findings suggest that AN is associated with specific difficulties in emotional mental state inference despite largely intact non-emotional mental state inference. Upon replication in larger samples, these findings advocate a stronger emphasis on socio-emotional processing in AN treatment.

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A preliminary investigation of a novel training to target cognitive biases towards negative social stimuli in Anorexia Nervosa

Cited by 48 publications

References 49 publications

Threat‐Detection and Attentional Bias to Threat in Women Recovered from Anorexia Nervosa: Neural Alterations in Extrastriate and Medial Prefrontal Cortices

Threat‐Detection and Attentional Bias to Threat in Women Recovered from Anorexia Nervosa: Neural Alterations in Extrastriate and Medial Prefrontal Cortices

Insecure attachment and maladaptive schema in disordered eating: The mediating role of rejection sensitivity

Social cognition in anorexia nervosa: Specific difficulties in decoding emotional but not nonemotional mental states

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