An experimental exploration of social problem solving and its associated processes in anorexia nervosa

Sternheim, Lot; Startup, Helen; Pretorius, Natalie; Johnson‐Sabine, Eric; Schmidt, Ulrike; Channon, Shelley

doi:10.1016/j.psychres.2012.06.029

Cited by 22 publications

(30 citation statements)

References 39 publications

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“…Overall, results suggest that these cognitive anxiety processes may not only contribute to specific ED symptoms, but also to the anxious and depressive symptomatologies that are commonly found in AN (Hudson, Hiripi, Pope, & Kessler, 2007). Furthermore, the findings of elevated scores on all of the anxiety processes confirm the recently suggested importance of these processes in AN (Cooper et al, 2007;Konstantellou et al, 2011;Sternheim, Startup, Saeidi, et al, 2012;Sternheim, Startup, Pretorius, et al, 2012), thereby lending support to understanding ED and anxiety disorders not only as frequently co-occurring, but also as disorders sharing underlying vulnerability factors (Pallister & Waller, 2008).…”

Section: Discussionsupporting

confidence: 63%

“…Recently, it has been suggested that IU contributes to both specific anxiety symptoms and broader psychopathology, for example, depression (Carleton et al, 2012). Studies show that high levels of worry, negative beliefs about worry and CA are all associated with high levels of ED pathology in AN patients (Cooper, Grocutt, Deepak, & Bailey, 2007;Sternheim et al, 2011;Sternheim, Startup, Saeidi, et al, 2012;Sternheim, Startup, Pretorius, et al, 2012). Whether these processes are also implicated in the depressive and anxiety symptoms inherent to AN remains unclear.…”

Section: Introductionmentioning

confidence: 99%

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Anxiety-related processes in anorexia nervosa and their relation to eating disorder pathology, depression and anxiety

Sternheim

Startup

Schmidt

2014

Advances in Eating Disorders

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Anxiety aggravates symptoms and hinders treatment in patients with anorexia nervosa (AN). The processes fuelling anxiety in AN remain unspecified. This study investigated the contribution of a number of core anxiety processes to eating disorder (ED) pathology, anxiety and depression in AN patients. Thirty-six women with AN and 38 healthy control women (HC) completed measures of worry, intolerance of uncertainty (IU), meta-cognitive thinking (MCT), cognitive avoidance and negative problem-solving orientation. Compared to HCs, patients with AN scored significantly higher on all of the anxiety-process measures. Scores were comparable to those previously reported for anxiety disorder sufferers. For AN patients, worry and IU contributed significantly to ED pathology but not to body mass index. All of the anxiety processes were implicated in predicting anxiety levels, but only IU and MCT contributed to depression levels. Findings indicate the importance of assessing for and then targeting anxiety-related processes in therapy for AN.

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Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Anxiety-related processes in anorexia nervosa and their relation to eating disorder pathology, depression and anxiety

Sternheim

Startup

Schmidt

2014

Advances in Eating Disorders

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“…Evidence from qualitative, self-report, and experimental studies converges to show that patients with AN have difficulty with different aspects of emotions (recognizing/understanding, allowing/tolerating, regulating, expressing [e.g., Davies, Schmidt, Stahl, & Tchanturia, 2011;Davies, Swan, Schmidt, & Tchanturia, 2012;Hambrook et al, 2011;Oldershaw et al, 2012;Oldershaw et al, 2011;Oldershaw, Hambrook, Tchanturia, Treasure, & Schmidt, 2010]) and social interactions (ambiguity, uncontrollability, potential for being judged negatively, and sensitivity to rejection [e.g., Cardi, Matteo, Corfield, & Treasure, 2013;Sternheim, Konstantellou, et al, 2011;Sternheim, Startup, Saeidi, et al, 2012;Sternheim, Startup, Pretorius, et al, 2012]). However, as mentioned earlier, much of these difficulties initially are often hidden behind a bland exterior and the assertion that everything is fine.…”

Section: Treatment Phasesmentioning

confidence: 99%

The Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA): Development, Key Features, and Preliminary Evidence

2014

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Anorexia nervosa (AN) is a severe mental disorder that affects mainly young females. In adults with a well-established form of the illness, it is hard to treat. In 2006, we proposed a maintenance model of AN, combining intra-and interpersonal factors and we have recently refined this model. The model encompasses four main maintaining factors (a thinking style characterized by rigidity, detail focus, and a fear of making mistakes; an avoidant emotion processing and relational style; positive beliefs about the use of anorexia for the person [ pro-anorexia beliefs]; and a response of close others to the illness characterized by high expressed emotion and enabling of and accommodation to the illness). In this article, we describe how the model has been translated into a novel treatment for AN and the preliminary evidence supporting this. Implications for clinical practice and research are discussed.

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“…Adenzato, Todisco, & Ardito, ; Caglar‐Nazali et al, ; Dapelo, Surguladze, Morris, & Tchanturia, ; Oldershaw, Hambrook, Stahl, et al, ). Unsurprisingly therefore, people with AN also show social problem‐solving difficulties (Sternheim et al, ).…”

Section: Introductionmentioning

confidence: 99%

Are socio‐emotional and neurocognitive functioning predictors of therapeutic outcomes for adults with anorexia nervosa?

Oldershaw

Lavender

Schmidt

2018

Euro Eating Disorders Rev

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An experimental exploration of social problem solving and its associated processes in anorexia nervosa

Cited by 22 publications

References 39 publications

Anxiety-related processes in anorexia nervosa and their relation to eating disorder pathology, depression and anxiety

Anxiety-related processes in anorexia nervosa and their relation to eating disorder pathology, depression and anxiety

The Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA): Development, Key Features, and Preliminary Evidence

Are socio‐emotional and neurocognitive functioning predictors of therapeutic outcomes for adults with anorexia nervosa?

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