Adolescent anorexia nervosa patients have a discrepancy between neurophysiological responses and self-reported emotional arousal to psychosocial stress

Zonnevylle-Bender, Marjo J.S.; Goozen, Stephanie Helena Maria Van; Cohen‐Kettenis, Peggy T.; Jansen, Lucres M. C.; Elburg, Annemarie van; Engeland, Hermán van

doi:10.1016/j.psychres.2004.11.006

Cited by 59 publications

(59 citation statements)

References 21 publications

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“…In particular, they are unable to identify and describe their feelings properly, and are unaware of the link between their feelings and behaviours [55] . Moreover, ED patients have high rates of psychiatric comorbidity that further increase stress by worsening the coping responses and activating the stress system.…”

Section: Discussionmentioning

confidence: 99%

“…Positive emotions seem to be able to increase food intake as well [51,52] . Furthermore, eatingdisordered and obese patients are reported to have difficulties in identifying and describing their feelings [53,54] , and they are often described as being unaware of the linkage between their feelings and their behaviours [55] . The influence of emotional states on eating behaviour seems to be stronger in restrained subjects than in unrestrained ones, and stronger in obese subjects than in non-obese ones [49,56,57] .…”

Section: Stress Emotions Life Events and Edmentioning

confidence: 99%

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Stress, Hypothalamic-Pituitary-Adrenal Axis and Eating Disorders

et al. 2008

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The etiopathogenesis of eating disorders (ED) is complex and poorly understood. Biological, psychological and environmental factors have all been considered to be involved in the onset and the persistence of these syndromes, often with conflicting results. The recent literature focused on the possible role of hormonal pathways, in particular the hypothalamic-pituitary-adrenal (HPA) axis, as a relevant factor capable of influencing the onset and the course of ED. Other studies have suggested that the onset of ED is often preceded by severe life events, and that chronic stress is associated with the persistence of these disorders. As the biological response to stress is the activation of the HPA axis, the available literature considering the relationships between stress, HPA axis functioning and anorexia nervosa, bulimia nervosa and binge eating disorder is reviewed by the present article.

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Section: Discussionmentioning

confidence: 99%

Section: Stress Emotions Life Events and Edmentioning

confidence: 99%

Stress, Hypothalamic-Pituitary-Adrenal Axis and Eating Disorders

et al. 2008

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“…Research with anorexic patients has consistently documented their significant difficulties in emotion self-regulation and associated maladaptive coping behaviors [1,2]. In fact, difficulties in emotion regulation and coping may contribute to these patients' engagement in life threatening behaviors, including persistent denial of their illness and treatment resistance [3].…”

Section: Introductionmentioning

confidence: 99%

“…In fact, difficulties in emotion regulation and coping may contribute to these patients' engagement in life threatening behaviors, including persistent denial of their illness and treatment resistance [3]. As one component of this emotion dysregulation, research indicates that acutely anorexic adolescent patients report lower baseline positive affect [4] and greater negative affect before and after standardized stressors compared with controls [2,4]. This dysregulation may persist despite partial or full weight restoration.…”

Section: Introductionmentioning

confidence: 99%

Habitual Response to Stress in Recovering Adolescent Anorexic Patients

Miller

Erickson

Branom

et al. 2008

Child Psychiatry Hum Dev

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“…Research suggests that these individuals have impaired recognition of emotions in others and in the self (Oldershaw et al, 2011). Incongruence between detecting an emotion and its corresponding bodily arousal has been demonstrated, showing that patients with higher levels of distress and anxiety (S. P. Miller, Redlich, & Steiner, 2003) and tension and depression (Zonnevylle-Bender et al, 2005) display reduced physiological responses compared to healthy controls. It could, however, be suggested that the lack of identified bodily responses to high levels of anxiety is a consequence of the research procedures used and the measuring of physiological response via heart rate and cortisol levels, rather than through personal accounts of bodily sensations.…”

Section: Discussionmentioning

confidence: 99%