Comparing views of patients, parents, and clinicians on emotions in anorexia

Kyriacou, Olivia; Easter, Abigail; Tchanturia, Kate

doi:10.1177/1359105309340977

Cited by 71 publications

(96 citation statements)

References 19 publications

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“…In addition, this study supports Waller et al (2003) and Fox and Harrison (2008) who have noted the prominence of dysregulated angry emotions in individuals with EDs. Diffi culties in managing and coping with social situations were also noted in a qualitative study (Kyriacou, Easter, & Tchanturia, 2009).…”

Section: Comparisons With Findings In the Eating Disorder Literaturementioning

confidence: 81%

Experimental measurement of the regulation of anger and aggression in women with anorexia nervosa

Harrison

Genders

Davies

et al. 2010

Clin Psychology and Psychoth

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Anorexia nervosa (AN) is associated with difficulties in emotion regulation and this study aimed to examine emotion regulation experimentally in this group compared to healthy controls (HCs). Sixty-six women took part: 22 with AN and 44 HCs. Both groups completed the Rosenzweig Picture Frustration Study in which participants' responses to socially frustrating situations are scored regarding the direction of aggression/anger (outwardly/inwardly or neutralized) and type of aggression/anger (focused on the people or the obstacles in the situation, or solution-focused). Individuals with AN provided significantly fewer solution-focused responses and focused aggression on the people in the situation more often than HCs. There was also a trend for the AN group to neutralize aggression less compared to HCs. The findings support models of AN which suggest that difficulties with emotional processing, particularly around anger are associated with AN. Future work could explore these initial findings in a larger sample.

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Section: Comparisons With Findings In the Eating Disorder Literaturementioning

confidence: 81%

Experimental measurement of the regulation of anger and aggression in women with anorexia nervosa

Harrison

Genders

Davies

et al. 2010

Clin Psychology and Psychoth

View full text Add to dashboard Cite

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“…Moreover, qualitative studies have reported that participants who have experienced AN think that being able to communicate their emotions and to develop supportive relationships are key aspects of recovery (Rance et al, 2015;Federici and Kaplan, 2008;Jenkins and Ogden, 2012;Kyriacou et al, 2009). Facial expressions of positive emotions, such as the smile, are essential for establishing rapport (TickleDegnen, 2006) and are related to cooperative intentions (Schmidt and Cohn, 2001), as well as social rewards (Shore and Heerey, 2011).…”

Section: Discussionmentioning

confidence: 99%

Expression of positive emotions differs in illness and recovery in anorexia nervosa

Dapelo

Hart

Hale

et al. 2016

Psychiatry Research

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Highlights The facial expression of women recovered from anorexia nervosa (REC) was studied. REC smiled more than acutely ill participants in response to a positive film. The facial expression of REC was similar to the healthy controls. Facial expressivity in REC was not related to depression or anxiety. AbstractPeople with Anorexia Nervosa (AN) display reduced facial expression of emotions.This study investigated the expression of positive affect in response to a film, examining Duchenne and non-Duchenne smiles in 20 women who have recovered from AN (REC), 20 with acute AN and 20 healthy controls (HC). The results indicated that the REC group exhibited Duchenne and non-Duchenne smiles with higher duration and intensity than the AN group, comparable to the HC group. The findings warrant longitudinal studies to confirm that reduced expressivity is linked to acute AN, ameliorating after recovery.

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“…Our approach in designing this clinical intervention was based on both extensive input from stakeholders, patients, clinicians and carers, 183 and recent findings from experimental studies. 16,184,185 The three studies reported here used mixed methods to provide an initial evaluation of CREST in individual format.…”

Section: Discussionmentioning

confidence: 99%

Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practice

Schmidt

Sharpe

Bartholdy

et al. 2017

Programme Grants Appl Res

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BackgroundAnorexia nervosa (AN) is a severe psychiatric condition and evidence on how to best treat it is limited.ObjectivesThis programme consists of seven integrated work packages (WPs) and aims to develop and test disseminable and cost-effective treatments to optimise management for people with AN across all stages of illness.MethodsWP1a used surveys, focus groups and a pre–post trial to develop and evaluate a training programme for school staff on eating disorders (EDs). WP1b used a randomised controlled trial (RCT) [International Standard Randomised Controlled Trial Number (ISRCTN) 42594993] to evaluate a prevention programme for EDs in schools. WP2a evaluated an inpatient treatment for AN using case reports, interviews and a quasi-experimental trial. WP2b used a RCT (ISRCTN67720902) to evaluate two outpatient psychological therapies for AN. WP3 used a RCT (ISRCTN06149665) to evaluate an intervention for carers of inpatients with AN. WP4 used actimetry, self-report and endocrine assessment to examine physical activity (PA) in AN. WP5 conducted a RCT (ISRCTN18274621) of an e-mail-guided relapse prevention programme for inpatients with AN. WP6 analysed cohort data to examine the effects of maternal EDs on fertility and their children’s diet and growth. WP7a examined clinical case notes to explore how access to specialist ED services affects care pathways and user experiences. Finally, WP7b used data from this programme and the British Cohort Study (1970) to identify the costs of services used by people with AN and to estimate annual costs of AN for England.ResultsWP1a: a brief training programme improved knowledge, attitudes and confidence of school staff in managing EDs in school. WP1b: a teacher-delivered intervention was feasible and improved risk factors for EDs in adolescent girls. WP2a: both psychological therapies improved outcomes in outpatients with AN similarly, but patients preferred one of the treatments. WP2b: the inpatient treatment (Cognitive Remediation and Emotional Skills Training) was acceptable with perceived benefits by patients, but showed no benefits compared with treatment as usual (TAU). WP3: compared with TAU, the carer intervention improved a range of patient and carer outcomes, including carer burden and patient ED symptomatology. WP4: drive to exercise is tied to ED pathology and a desire to improve mood in AN patients. PA was not increased in these patients. WP5: compared with TAU, the e-mail-guided relapse prevention programme resulted in higher body mass index and lower distress in patients at 12 months after discharge. WP6: women with an ED had impaired fertility and their children had altered dietary and growth patterns compared with the children of women without an ED. WP7a: direct access to specialist ED services was associated with higher referral rates, lower admission rates, greater consistency of care and user satisfaction. WP7b: the annual costs of AN in England are estimated at between £45M and £230M for 2011.ConclusionsThis programme has produced evidence to inform future intervention development and has developed interventions that can be disseminated to improve outcomes for individuals with AN. Directions for future research include RCTs with longer-term outcomes and sufficient power to examine mediators and moderators of change.Trial registrationCurrent Controlled Trials ISRCTN42594993, ISRCTN67720902, ISRCTN06149665 and ISRCTN18274621.FundingThis project was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research programme and will be published in full inProgramme Grants for Applied Research; Vol. 5, No. 16. See the NIHR Journals Library website for further project information.

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Comparing views of patients, parents, and clinicians on emotions in anorexia

Cited by 71 publications

References 19 publications

Experimental measurement of the regulation of anger and aggression in women with anorexia nervosa

Experimental measurement of the regulation of anger and aggression in women with anorexia nervosa

Expression of positive emotions differs in illness and recovery in anorexia nervosa

Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practice

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