Influence of negative affect on decision making in women with restrictive and binge-purge type anorexia nervosa

Danner, Unna N.; Sternheim, Lot; Bijsterbosch, Jojanneke M.; Dingemans, Alexandra E.; Evers, Catharine; Elburg, Annemarie

doi:10.1016/j.psychres.2016.02.054

Cited by 10 publications

(6 citation statements)

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“…There was no interaction between Group and Condition, supporting the idea that EDs have consistently higher negative emotional state, but not necessarily greater emotional reactivity to negative emotion-eliciting stimuli, at least when the stimuli is not ED-specific. This is consistent with some studies that showed ED groups report negative baseline emotion responses, but were not more reactive to emotion-eliciting stimuli using sad film clips than HCs (Danner et al, 2013(Danner et al, , 2016Naumann et al, 2016). Together with these recent studies, our findings challenge the theoretical hypothesis that general negative affect and increased emotional reactivity contribute to the maintenance of disordered eating, where disordered eating becomes a maladaptive emotion regulation strategy (Polivy et al, 1994;Haedt-Matt and Keel, 2011;Haynos and Fruzzetti, 2011).…”

Section: Self-reported Emotionssupporting

confidence: 92%

Emotion and Psychophysiological Responses During Emotion–Eliciting Film Clips in an Eating Disorders Sample

French

Chen

2021

Front. Psychol.

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Background: Greater vulnerability to negative emotions appears associated with the development and maintenance of eating disorders (EDs). A systematic review of psychophysiological studies using emotion-eliciting film clips reveals that there are no studies examining the effect of standardized validated film clips on psychophysiological response across a range of EDs.Methods: Using standardized validated film clips without ED-specific content, the present study examined self-reported emotions and psychophysiological responses of women with Binge-Eating Disorder (BED; n = 57), Anorexia Nervosa (AN; n = 16), Bulimia Nervosa (BN; n = 34), and Healthy Controls (HCs; n = 26) at Baseline, during Neutral, Sad, Happy, and Fear-inducing film clips, and at Recovery.Results: Throughout the protocol, the ED groups reported significantly greater sadness and anxiety than HCs. Additionally, the AN group reported more fear, the BED group more frustration, and the BED and BN groups more tension than HCs. Compared to HCs, the BED group reported stronger urges to binge throughout the protocol, whereas BN group reported stronger urges to binge relative to the HC group only at Baseline and Recovery. The BN and BED groups experienced decreased urges to binge during all film clips compared to Baseline. Respiratory Sinus Arrhythmia levels were significantly lower in the BED group compared to HCs and the BN group throughout the protocol.Discussion: Standardized validated film clips can be used to elicit expected self-reported emotion and skin conductance responses in ED groups, although individuals with EDs compared HCs report greater negative emotions. Interestingly, film clips appeared to reduce urges to binge in binge-eating groups.

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Section: Self-reported Emotionssupporting

confidence: 92%

Emotion and Psychophysiological Responses During Emotion–Eliciting Film Clips in an Eating Disorders Sample

French

Chen

2021

Front. Psychol.

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“…A rigid thinking style, a tendency to focus on details at the expense of the bigger picture and intolerance of uncertainty have been shown in patients with AN (Chan et al, 2014;Danner et al, 2012;Galimberti et al, 2012;Lopez, Tchanturia, Stahl, & Treasure, 2008;Sternheim, Startup, & Schmidt, 2011;Tchanturia et al, 2007;Tchanturia et al, 2012). Furthermore, emotion regulation difficulties and less adequate emotion recognition and processing have been found (Danner et al, 2016;Fairburn et al, 2009;Harrison, Sullivan, Tchanturia, & Treasure, 2010;Treasure & Schmidt, 2013;Wildes, Marcus, Cheng, McCabe, & Gaskill, 2014). These features lead to numerous pathological behaviors to promote weight loss, such as severe dietary restriction, purging or excessive physical activity.…”

Section: Anorexia Nervosamentioning

confidence: 99%

Assessment of mental capacity to consent to treatment in anorexia nervosa: A comparison of clinical judgment and MacCAT-T and consequences for clinical practice

Elzakkers

Danner

Grisso

et al. 2018

International Journal of Law and Psychiatry

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“…Changes in decision-making were modelled with a latent growth model. Because symptoms of depression and alexithymia may theoretically have an influence on decision-making ability, 40 , 41 a model was tested including BDI and TAS next to BMI as control variables. The group difference at baseline was not significant in this model (19.0 v .…”

Section: Resultsmentioning

confidence: 99%

Mental capacity to consent to treatment and the association with outcome: A longitudinal study in patients with anorexia nervosa

et al. 2017

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BackgroundRelevance of diminished mental capacity in anorexia nervosa (AN) to course of disorder is unknown.AimsTo examine prognostic relevance of diminished mental capacity in AN.MethodA longitudinal study was conducted in 70 adult female patients with severe AN. At baseline, mental capacity was assessed by psychiatrists, and clinical and neuropsychological data (decision-making) were collected. After 1 and 2 years, clinical and neuropsychological assessments were repeated, and remission and admission rates were calculated.ResultsPeople with AN with diminished mental capacity had a less favourable outcome with regard to remission and were admitted more frequently. Their appreciation of illness remained hampered. Decision-making did not improve, in contrast to people with full mental capacity.ConclusionsPeople with AN with diminished mental capacity seem to do less well in treatment and display decision-making deficiencies that do not ameliorate with weight improvement.Declaration of interestNone.Copyright and usage© The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.

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Influence of negative affect on decision making in women with restrictive and binge-purge type anorexia nervosa

Cited by 10 publications

References 72 publications

Emotion and Psychophysiological Responses During Emotion–Eliciting Film Clips in an Eating Disorders Sample

Emotion and Psychophysiological Responses During Emotion–Eliciting Film Clips in an Eating Disorders Sample

Assessment of mental capacity to consent to treatment in anorexia nervosa: A comparison of clinical judgment and MacCAT-T and consequences for clinical practice

Mental capacity to consent to treatment and the association with outcome: A longitudinal study in patients with anorexia nervosa

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