Low perception of control as a cognitive factor of eating disorders. Its independent effects on measures of eating disorders and its interactive effects with perfectionism and self-esteem

Sassaroli, Sandra; Gallucci, Marcello; Ruggiero, Giovanni Maria

doi:10.1016/j.jbtep.2007.11.005

Cited by 64 publications

(49 citation statements)

References 67 publications

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“…In a previous study, it has been shown that patients with eating disorders in general have lower self-esteem [58]. Whereas in this study motivation to change was not assessed, the present study found high self-esteem related to higher motivation to change (ANSOCQ factor 1 and ANSOCQ total score).…”

Section: Discussioncontrasting

confidence: 60%

Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ)

et al. 2017

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BackgroundUnderstanding motivation to change is a key issue in both the assessment and the treatment of eating disorders. Therefore, sound instruments assessing this construct are of great help to clinicians. Accordingly, the present study analysed the psychometric properties of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ), including its relation to coping style and self-esteem.Methods N = 92 adolescents referred to an eating disorders outpatient clinic meeting criteria for anorexia nervosa gave written informed consent to participate in this study and completed the ANSOCQ, the Eating Disorder Inventory, the Eating Attitudes Test, the Body Image Questionnaire, two questionnaires measuring Self-Related Cognitions and the Coping Across Situations Questionnaire. After a treatment period of nine months, clinical anorexia nervosa diagnosis and the body mass index were re-assessed. In addition to exploratory factor analysis, correlational analysis was used to test for the convergent validity of the ANSOCQ and logistic regression analysis was used to test its predictive validity.ResultsThe ANSOCQ had good psychometric properties. Factor analysis yielded two meaningful factors labelled as ‘weight gain and control’ and ‘attitudes and feelings’. Internal consistencies of the two factors amounted to Cronbach’s alpha = .87 and .76, respectively. Significant correlations with other scales measuring eating disorder psychopathology were indicative of meaningful construct validity. Higher motivation to change was related to higher self-esteem and a more active coping style. Higher (positive) ANSOCQ total scores predicted remission of anorexia nervosa after nine months of treatment. A higher score on ‘attitudes and feelings’ was a protective factor against drop-out from intervention.ConclusionsThe ANSOCQ is a clinically useful instrument for measuring motivation to change in adolescents with AN. Two factorial dimensions explain most of the variation. Self-esteem and coping style are relevant additional constructs for the understanding of the motivation to change in anorexia nervosa.Trial registration NCT02828956. Retrospectively registered July 2016Electronic supplementary materialThe online version of this article (doi:10.1186/s40337-016-0125-z) contains supplementary material, which is available to authorized users.

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Section: Discussioncontrasting

confidence: 60%

Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ)

et al. 2017

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“…Finally, it is also possible that certain components of the Dugas model share a more specific relationship with eating psychopathology irrespective of presence of GAD, such as intolerance of uncertainty. Intolerance of uncertainty may be related to particular characteristics of individuals with an eating disorder such as, need for control (Sassaroli et al, 2008), cognitive avoidance and low novelty seeking (Dale-Grave, Galugi, Brambilla, & Marchesini, 2008;Fassino et al, 2002). In other words, high levels of intolerance of uncertainty may increase the need for predictability and the tendency to avoid uncertain and new situations.…”

Section: Discussionmentioning

confidence: 99%

“…Such research supports the idea that intolerance of uncertainty may be an important factor in the eating disorders. Conceptually, intolerance of uncertainty could be related to the excessive need for control and certainty seen in individuals with eating disorders (Sassaroli, Gallucci, & Ruggiero, 2008) and subsequently to the positive value assigned to the illness (Serpell, Treasure, Teasdale, & Sullivan, 1999). Intolerance of uncertainty has also been associated with obsessive-compulsive disorder (Tolin, Abramowitz, Brigidi, & Foa, 2003) social anxiety disorder (Boelen & Reijntjes, 2009;Carleton, Collimore, & Asmundson, 2010) depression (Dugas, Schwartz, & Francis, 2004;Yook, Kim, Suh, & Lee, 2010) and psychosis (Broome et al, 2007;White & Gumley, 2010).…”

mentioning

confidence: 99%

Testing a cognitive model of generalized anxiety disorder in the eating disorders

Konstantellou¹,

Campbell²,

Eisler³

et al. 2011

Journal of Anxiety Disorders

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“…Though multifactorial in nature (Polivy & Herman, 2002), the onset of eating disorders may reflect a pathological means of gaining a sense of control in a world perceived as out of control (Dalgleish, Tchanturia, Serpell, Helms, de Silva, & Treasure, 2001;Jarman & Walsh, 1999;Sassaroli, Gallucci, & Ruggiero, 2008;Surgenor, Horn, & Hudson, 2003;Vitousek, 1996;Williams, Chamove, & Millar, 1990). While a perceived lack of control may be significant in the development and/or maintenance of eating disorders, there has been surprisingly little research identifying the cognitive processing errors and coping deficits underlying perceived lack of control among eating disordered adolescents.…”

mentioning

confidence: 99%

Social Information-Processing and Coping in Adolescent Females Diagnosed With an Eating Disorder: Toward a Greater Understanding of Control

et al. 2012

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The objective of this study was to examine differences in social information-processing and coping strategies between adolescent females in treatment for an eating disorder and asymptomatic peers. Adolescent females in treatment for an eating disorder (n = 50) were compared to asymptomatic control participants (n = 59) on a measure of social information-processing. Participants were presented with 4 hypothetical, ambiguous social dilemmas in which the intent of a peer provocateur was unclear. Questions followed each dilemma assessing intent attributions, the participant's emotional reaction, the intensity of the emotion, and coping strategies. The participants in treatment for an eating disorder were significantly more likely to perceive hostile intent from a peer provocateur, reported a greater intensity of negative emotions, and identified a significantly greater number of avoidant coping strategies. Specifically, the eating disorder group identified significantly more intrapunitive avoidant coping strategies that reflect maladaptive and self-destructive means of coping with distressing events. Results indicate social cognitive processing biases and maladaptive coping strategies may be instrumental in perceived loss of control and influence the development/maintenance of eating disorders.

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Low perception of control as a cognitive factor of eating disorders. Its independent effects on measures of eating disorders and its interactive effects with perfectionism and self-esteem

Cited by 64 publications

References 67 publications

Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ)

Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ)

Testing a cognitive model of generalized anxiety disorder in the eating disorders

Social Information-Processing and Coping in Adolescent Females Diagnosed With an Eating Disorder: Toward a Greater Understanding of Control

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