Association of emotion recognition ability and interpersonal emotional competence in anorexia nervosa: A study with a multimodal dynamic task

Abstract

Objective Interpersonal difficulties are evidenced in Anorexia Nervosa (AN) and are thought to contribute to disease onset and maintenance, however, research in the framework of emotional competence is currently limited. Previous studies have often only used static images for emotion recognition tasks, and evidence is lacking on the relationships between performance‐based emotional abilities and self‐reported intra‐ and interpersonal emotional traits. This study aimed to test multimodal dynamic emotion recognition ability in AN and analyze its correlation with the psychometric scores of self‐ and other‐related emotional competence. Method A total of 268 participants (128 individuals with AN and 140 healthy controls) completed the Geneva Emotion Recognition Test, the Profile of Emotional Competence, the Reading the Mind in the Eyes Test, and measures of general and eating psychopathology. Scores were compared between the two groups. Linear mixed effects models were utilized to examine the relationship between emotion recognition ability and self‐reported measures and clinical variables. Results Individuals with AN showed significantly poorer recognition of emotions of both negative and positive valence and significantly lower scores in all emotional competence dimensions. Beside emotion type and group, linear mixed models evidenced significant effects of interpersonal comprehension on emotion recognition ability. Discussion Individuals with AN show impairment in multimodal emotion recognition and report their difficulties accordingly. Notably, among all emotional competence dimensions, interpersonal comprehension emerges as a significant correlate to emotion recognition in others, and could represent a specific area of intervention in the treatment of individuals with AN. Public Significance In this study, we evidence that the ability to recognize the emotions displayed by others is related to the level of interpersonal emotional competence reported by individuals with anorexia nervosa. This result helps in understanding the social impairments in people with anorexia nervosa and could contribute to advancements in the application of the training of emotional competence in the treatment of this disorder.

Body shape rather than facial emotion of others alters interpersonal distance in patients with anorexia nervosa

“…Furthermore, both groups rated angry characters less positively than neutral ones, which in turn were rated less positively than the happy ones. Previous studies reported a similar finding in terms of affective valence judgements, suggesting that individuals with AN, despite experiencing difficulties in emotion recognition (Blomberg et al, 2021;Martini et al, 2023), perceive and evaluate affective valence similarly to individuals without AN (De Sampaio et al, 2015). Moreover, affective valence appears to be particularly sensitive to the altered body representation (PC2 "negative body image"), as revealed by the negative relationship.…”

Increased General, Eating, and Body-Related Psychopathology in Inpatients in a Specialized Eating Disorders Unit after the Beginning of the COVID-19 Pandemic: A Retrospective Comparison with the Pre-Pandemic Period

“…This would be consistent with the conceptualization of hyperactivity and pathological eating behaviors as coping mechanisms for excessive anxiety in individuals with EDs [ 15 ]. Further studies may deepen the impact of the pandemic on social and emotional skills in patients with ED, given the significant role of these skills in AN [ 38 ].…”