Diaries

Waller, Glenn; Cordery, Helen; Corstorphine, Emma; Hinrichsen, Hendrik; Lawson, Rachel; Mountford, Victoria; Russell, Katie

doi:10.1017/cbo9781139644204.018

Cited by 3 publications

(1 citation statement)

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“…According to the transdiagnostic theory of ED (Fairburn, 2008), these body image concerns result from the core pathologic overevaluation of shape and weight. Our results suggest that fear of weight gain and preoccupation with shape and weight may be an additionally useful treatment target that could be addressed by, for example, routine weighing (Waller et al, 2007) or imaginal exposure (Levinson et al, 2014). As the catastrophic fear of, for example, immediate weight gain, cannot be targeted via in vivo exposure, imaginal exposure is an opportunity to desensitize patients to the fear of being fat.…”

Section: Central Ed Symptomsmentioning

confidence: 92%

Obsessive–compulsive symptoms in eating disorders: A network investigation

Meier

Kossakowski

Jones

et al. 2019

Intl J Eating Disorders

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Objective Eating disorders (EDs) are complex, heterogeneous, and severe psychiatric syndromes. They are highly comorbid with obsessive–compulsive disorder (OCD) which exacerbates the course of illness and impedes treatment. However, the direct functional relations between EDs and OCD symptoms remain largely unexplored. Hence, using network analysis, we investigated the relationship between ED and OCD at the level of symptoms in a heterogeneous clinical sample. Method We used cross sectional data of 303 treatment‐seeking patients with clinically relevant ED and OCD pathology. We constructed a regularized partial correlation network that featured both ED and OCD symptoms as nodes. To determine each symptom's influence, we calculated expected influence (EI) as an index of symptom centrality (i.e., “importance”). Bridge symptoms (i.e., symptoms from one syndromic cluster that have strong connections to symptoms of another syndromic cluster) were identified by computing bridge expected influence metrics. Results Fear of weight gain and dietary restraint were especially important among the ED symptoms. Interference due to obsessions was the key feature of OCD. ED and OCD clustered distinctly with few potential bridges between clusters. Discussion This study underscores the importance of cognitive symptoms for both ED and OCD although direct functional links between the two clusters are missing. Potentially, a network incorporating nodes capturing features of personality may account for diagnostic comorbidity better than specific symptoms of EDs or features of OCD do.

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Section: Central Ed Symptomsmentioning

confidence: 92%