Computerized measurement of anticipated anxiety from eating increasing portions of food in adolescents with and without anorexia nervosa: Pilot studies

Kissileff, Harry R.; Brunstrom, Jeffrey Michael; Tesser, R.; Bellace, Dara L.; Berthod, Samantha; Thornton, John C.; Halmi, Katherine A.

doi:10.1016/j.appet.2015.11.026

Cited by 19 publications

(26 citation statements)

References 18 publications

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“… Estimates of portion size. 24 AN 22.38 (4.10) 15.8 (2.01) No Yes Portion size estimate: AN > HC 7 27 HC 21.41 (2.75) 21.47 (2.71) Kissileff et al, 2016 [ 99 ] Participants view meals of different portion sizes. Tolerability and expected anxiety ratings.…”

Section: Resultsmentioning

confidence: 99%

What can food-image tasks teach us about anorexia nervosa? A systematic review

Lloyd

Steinglass

2018

J Eat Disord

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A salient feature of anorexia nervosa (AN) is the persistent and severe restriction of food, such that dietary intake is inadequate to maintain a healthy body weight. Experimental tasks and paradigms have used illness-relevant stimuli, namely food images, to study the eating-specific neurocognitive mechanisms that promote food avoidance. This systematic review, completed in accordance with PRISMA guidelines, identified and critically evaluated paradigms involving images of food that have been used to study AN. There were 50 eligible studies, published before March 10th 2018, identified from Medline and PsychINFO searches, and reference screening. Studies using food image-based paradigms were categorised into three methodologic approaches: neuropsychology, neurophysiology, and functional magnetic resonance imaging (fMRI). Paradigms were reviewed with a focus on how well they address phenomena central to AN. Across tasks, differences between individuals with AN and healthy peers have been identified, with the most consistent findings in the area of reward processing. Measuring task performance alongside actual eating behaviour, and using experimental manipulations to probe causality, may advance understanding of the mechanisms of illness in AN.

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Section: Resultsmentioning

confidence: 99%

What can food-image tasks teach us about anorexia nervosa? A systematic review

Lloyd

Steinglass

2018

J Eat Disord

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“…For example, (Fig. 1), portions of pizza (320 kilocalories) and rice (160 kilocalories) that differed in energy content, occupied equivalent areas on the plate and both elicited identical anxiety responses on a VAS anxiety scale (see Kissileff et al, 2016). Several other pairings can be observed by comparison of food energies and areas in Table 1 and Fig.…”

Section: Introductionmentioning

confidence: 96%

“…To compare differences in the anxiety potentials of foods, Kissileff et al (2016) used a novel paradigm to measure expected anxiety responses to food. To avoid causing distress to the participants, a computerized task with images of foods, rather than actual food portions, was used.…”

Section: Introductionmentioning

confidence: 99%

“…In that preliminary study, Kissileff et al (2016) proposed that increases in the energy of a portion would produce measureable increases in expected anxiety, and that higher energydense foods would produce more expected anxiety than low-energy dense foods. Participants' anxiety responses were regressed from the calorie content of portions, and the expected anxiety-inducing potential of a food was derived from the slope of the response level as the portion size increased.…”

Section: Introductionmentioning

confidence: 99%

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Food portion size area mediates energy effects on expected anxiety in anorexia nervosa

et al. 2017

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A study in which adolescent patients with anorexia nervosa (n = 24) rated their expected foodanxiety in response to images of portions of food (potatoes, rice pizza, and M&Ms) showed that lower energy-dense foods elicited higher expected anxiety per kilocalorie than higher energydense foods. However, the area of the portion sizes could be an unmeasured variable driving the anxiety response. To test the hypothesis that area mediates the effects of energy content on expected anxiety, the same images of portions were measured in area (cm 2), and standardized values of expected anxiety were regressed from standardized values of energy and area of portions. With regression of expected anxiety from portion size in area, M&Ms, which had the highest energy density of the four foods, elicited the highest expected anxiety slope (β = 1.75), which was significantly different from the expected anxiety slopes of the other three foods (β range = 0.67-0.96). Area was confirmed as a mediator of energy effects from loss of significance of the slopes when area was added to the regression of expected anxiety from energy x food. When expected anxiety was regressed from food, area, energy and area by energy interaction, area accounted for 5.7 times more variance than energy, and β for area (0.7) was significantly larger (by 0.52, SE = 0.15, t = 3.4, p = 0.0007) than β for energy (0.19). Area could be a learned cue for the energy content of food portions, and thus, for weight gain potential, which triggers anxiety in patients with anorexia nervosa.

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“…That is, those with AN may experience the preparation of palatable food for others as hedonic and rewarding, yet at the same time experience the potential consumption of those very same foods as aversive and anxiogenic. Indeed, emerging evidence points towards divergent responses to food cues in those with AN, purely as a function of intent to eat (Kissileff et al, ; Milos et al, ). We contest that this important nuance must be a critical consideration in the design and interpretation of neuroimaging studies intended to interrogate the mechanisms underpinning food‐related behavior in AN.…”

Section: Introductionmentioning

confidence: 99%

Anorexia nervosa, neuroimaging research, and the contextual salience of food cues: The food approach–avoidance conundrum

Murray

Strigo

2018

Intl J Eating Disorders

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Anorexia nervosa (AN) is characterized by an avoidance and marked apprehension around food intake, yet paradoxically, those with AN often display approach behaviors to food, engaging in food shopping or preparation activities which are described as rewarding. This approach–avoidance conundrum is of much importance as neuroimaging studies continue to probe mechanisms relating to core AN psychopathology. This Idea Worth Researching discusses the notion that neuroimaging studies relying on food cue presentation paradigms may be methodologically flawed without specifying the contextual salience of the food cues presented in paradigms. The appraisal of food cues may diverge as a function of one’s intent-to-eat, and thus, neuroimaging studies not specifying the contextual salience of food cues (i.e., intent-to-eat or not) may confound two distinctly different processes.

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Computerized measurement of anticipated anxiety from eating increasing portions of food in adolescents with and without anorexia nervosa: Pilot studies

Cited by 19 publications

References 18 publications

What can food-image tasks teach us about anorexia nervosa? A systematic review

What can food-image tasks teach us about anorexia nervosa? A systematic review

Food portion size area mediates energy effects on expected anxiety in anorexia nervosa

Anorexia nervosa, neuroimaging research, and the contextual salience of food cues: The food approach–avoidance conundrum

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