An experimental Study on the Induction of an Eating Disorder-Specific Interpretation Bias in Healthy Individuals: Testing the Interpretation Modification Paradigm for Eating Disorders (IMP-ED)

Korn, Julia; Dietel, Fanny Alexandra; Hartmann, Andrea S.

doi:10.1007/s10608-019-10026-x

Cited by 6 publications

(4 citation statements)

References 75 publications

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“…Cronbach's α for the PACS was .841. This scale was included in the evaluation because the Cyberball task does not include a physical comparison measure, but the literature has shown that it has an important mediation role in social rejection (Korn et al, ; Rieger et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…Social rejection has already showed a trigger effect for eating, shape, and weight concerns in healthy individuals, giving evidences of a linkage between interpersonal dysfunction and ED symptoms (Rieger et al, ). Korn, Dietel, and Hartmann () used the Cyberball task as a measure of the effect of an interpretation modification paradigm in people with ED, showing that cognitive bias modification can have an effect on social interaction and physical comparison in nonclinical samples. Moreover, Cardi et al () used the Cyberball paradigm to evaluate the effect of an interpretation bias training for social rejection; however, they did not evaluate the paradigm per se.…”

Section: Introductionmentioning

confidence: 99%

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The predictive value of the early maladaptive schemas in social situations in anorexia nervosa

Meneguzzo

Collantoni

Bonello

et al. 2020

Euro Eating Disorders Rev

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Background: Patients with anorexia nervosa (AN) show an impairment in the recognition and expression of emotions, as well as an increased sensitivity to being socially excluded, and rigid maladaptive schemas. The Cyberball paradigm is a virtual ball-toss game that can simulate social exclusion and inclusion. Our aim is to evaluate how cognitive schemas can influence the perception and the evaluation of the experiences of social inclusion/exclusion.Methods: Thirty-two AN patients and 34 healthy controls completed a psychological evaluation and were randomly assigned to exclusion or overinclusion paradigm of the Cyberball task.Results: Patients with AN showed a significantly higher level of maladaptive schemas as well as higher sensitivity to being ostracized by peers in comparison with healthy controls. Regression analyses identified specific significant relation between being ostracized and dependence/incompetence, negativity/ pessimism, and self-sacrifice.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The predictive value of the early maladaptive schemas in social situations in anorexia nervosa

Meneguzzo

Collantoni

Bonello

et al. 2020

Euro Eating Disorders Rev

View full text Add to dashboard Cite

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“…Furthermore, body image-related negative interpretation bias was positively associated with eating disorder symptom severity and body dissatisfaction in both patients and healthy women [9]. More recently, interpretation bias has also been investigated as a potential mechanism in the development of eating disorders: After a training that reinforced negative interpretations, healthy women showed increased body dissatisfaction and reduced appearance-related self-esteem [17]. This is noteworthy as both high body dissatisfaction and low appearance-related self-esteem represent considerable risk factors for eating disorder development.…”

Section: Introductionmentioning

confidence: 99%

Interpretation bias modification to reduce body dissatisfaction – a randomized controlled pilot study in women with elevated weight and shape concerns

et al. 2020

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Background: Recent research has identified several cognitive biases in patients with eating disorders, such as a tendency to interpret ambiguous information about one's own body in a negative way. The so-called "negative interpretation bias" is considered to be a key factor in maintaining maladaptive cognitions and behaviors in eating disorders. Studies on modification of the negative interpretation bias in eating disorders have yielded mixed results. This randomized controlled pilot study examined whether a specially adapted, computerized version of the Scrambled Sentences Task modifies negative interpretation bias in women with elevated body dissatisfaction. Methods: The sample consisted of 40 normal-weight women with elevated body dissatisfaction, randomly assigned either to an intervention or a no-intervention control group (each n = 20). The intervention group received six sessions (within two weeks) of a newly-developed interpretation bias modification training that involved unscrambling positively valenced, body image-related sentences. The control group received no intervention. In both groups, body image-related negative interpretation bias (main outcome), trait body dissatisfaction and thinideal cue reactivity were assessed at baseline and two weeks later. Additionally, in the intervention condition, the trajectory of expected reductions in the thin-ideal internalization was measured during each training session. Results: In both conditions, body image-related negative interpretation bias and trait body dissatisfaction decreased significantly from pre-to post-assessment; however, a specific effect imparted by the interpretation bias modification training was not found. Groups did not differ in thin-ideal cue reactivity. In the intervention group, thin-ideal internalization decreased significantly over the training sessions. Conclusions: The findings do not support use of body image-related interpretation bias modification in its current form in the treatment of body dissatisfaction. Further research involving different versions of the training and clinical samples is warranted.

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“…Indeed, prior studies have demonstrated that negative appearance‐related interpretation bias is associated with BD (Rodgers & DuBois, 2016) and malleable via brief, computerized interpretation retraining programs (Cognitive Bias Modification for Interpretation, CBM‐I; e.g., MacLeod, 2012). CBM‐I‐based induction of appearance‐related interpretation bias in mentally healthy individuals has been shown to produce congruent changes in bias patterns and, inconsistently, reactivity to BDD‐ and ED‐relevant stressors (Dietel et al, 2018; Korn, Dietel, & Hartmann, 2019). These findings undermine hypotheses about the maintaining role of interpretation bias and the therapeutic relevance of CBM‐I programs for BD.…”

Section: Introductionmentioning

confidence: 99%

Internet‐based interpretation bias modification for body dissatisfaction: A three‐armed randomized controlled trial

Dietel

Zache

Bürkner

et al. 2020

Intl J Eating Disorders

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Objective: Appearance-related interpretation bias is postulated to play a role in the maintenance of body dissatisfaction (BD), a risk factor for body dysmorphic disorder (BDD), and eating disorders (ED). Cognitive bias modification for interpretation (CBM-I) has been shown to reduce maladaptive interpretation bias and symptoms in various emotional disorders. This study investigated the acceptability and efficacy of an easily disseminable, web-based CBM-I program for BD. Methods: Individuals with high BD (N = 318) were randomized to a multi-session CBM-I (Sentence Word Association Paradigm [SWAP] with feedback) vs. control (SWAP without feedback) versus waitlist condition. Interpretation bias, BD and associated symptoms were assessed at baseline and post-intervention. Symptoms were monitored up to 1-week and 4-week follow-up. We further investigated transference effects to stress reactivity, as predicted by cognitive-behavioral models, at postintervention. Results: Appearance-related CBM-I led to a differential pre-post increase in adaptive interpretation patterns, particularly for appearance-related and social situations (d = 0.65-1.18). Both CBM-I and control training reduced BD, BDD symptom severity, and depression. However, CBM-I (vs. control and waitlist) improved appearance-related quality of life (d = 0.51), self-esteem (d = 0.52), and maladaptive appearance-related beliefs (d = 0.47). State stress reactivity was overall reduced in the CBM-I condition (vs. waitlist). Intervention effects largely held stable up to follow-ups. Treatment satisfaction was comparable to other CBM-I studies, with low rates of adverse reactions.Discussion: These findings support assumptions of cognitive-behavioral models for BD, BDD, and ED, and suggest that web-based CBM-I is an efficacious and acceptable intervention option. K E Y W O R D S body dissatisfaction, body dysmorphic disorder, cognitive bias modification, eating disorders, internet treatment, interpretation bias

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An experimental Study on the Induction of an Eating Disorder-Specific Interpretation Bias in Healthy Individuals: Testing the Interpretation Modification Paradigm for Eating Disorders (IMP-ED)

Cited by 6 publications

References 75 publications

The predictive value of the early maladaptive schemas in social situations in anorexia nervosa

The predictive value of the early maladaptive schemas in social situations in anorexia nervosa

Interpretation bias modification to reduce body dissatisfaction – a randomized controlled pilot study in women with elevated weight and shape concerns

Internet‐based interpretation bias modification for body dissatisfaction: A three‐armed randomized controlled trial

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