Emotional functioning in adolescent anorexia nervosa patients

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

doi:10.1007/s00787-004-0351-9

Cited by 67 publications

(39 citation statements)

References 39 publications

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“…Particularly, comparing these alexithymia data with comparable data from a healthy control group used in an earlier study [Zonnevylle et al, 2003], both AN groups showed higher alexithymia scores when compared to these young healthy controls. Furthermore, both AN groups had more dif ficulty in identifying the emotions of the facial expressions as measured by the Emotion Recognition Task.…”

Section: Discussionmentioning

confidence: 79%

Emotional functioning in anorexia nervosa patients: Adolescents compared to adults

Zonnevylle-Bender¹,

Goozen²,

Cohen‐Kettenis³

et al. 2004

Depress. Anxiety

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Studies concerning eating disorder patients have revealed the presence of alexithymia, depressive, and anxiety disorders. We compared these aspects of emotional functioning in two groups of anorexia nervosa (AN) patients: adolescents vs. adults. Forty-eight adolescent anorexia nervosa patients (ADO) and 23 adult anorexia nervosa patients (ADU) completed a battery of tasks and questionnaires to measure these different aspects of emotional functioning and to control for differences of a more general cognitive nature. Both groups showed marked resemblance; both had high alexithymia scores and performed worse on emotional tasks measuring aspects of alexithymia. Furthermore, both groups showed high percentages of depressive and anxiety disorders, with the ADU group scoring only higher on specific and social phobia than the ADO group. Adult and adolescent AN patient groups do not differ substantially with respect to emotional functioning.

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Section: Discussionmentioning

confidence: 79%

Emotional functioning in anorexia nervosa patients: Adolescents compared to adults

Zonnevylle-Bender¹,

Goozen²,

Cohen‐Kettenis³

et al. 2004

Depress. Anxiety

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“…10,11 Another set of studies using stimuli concentrated on the recognition of emotional facial expressions (and not emotional perception per se), and yielded contradicting results. [12][13][14][15][16][17] The recent study of Kessler et al 12 did not yield significant differences between patients with ED (AN as well as BN) compared with C. Two other recent studies showed differences with regard to the kind of eating disorder: AN made more mistakes in emotional face recognition compared with C, 16 whereas BN did not differ much from C.…”

Section: Introductionmentioning

confidence: 89%

Emotional perception in eating disorders

Joos

Cabrillac

Hartmann

et al. 2008

Intl J Eating Disorders

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“…The emotional denial-denial of feelings, or at least a restricted awareness of (threatening) feelings and sensations-was even called a form of 'mental dieting' (Magagna, 1993). This idea of anorexia nervosa as a disorder of affect regulation has inspired clinicians and researchers to apply the construct of alexithymia to this eating disorder (Petterson, 2004;Taylor, Bagby, & Parker, 1997;Zonnevylle-Bender et al, 2004). Alexithymia refers to a (supposedly) specific disturbance in emotional processing-a constitutional-inherited deficit or acquired developmental deficiency?-that is manifested by difficulties in identifying and describing feelings, and by the inability to discriminate between emotional states and bodily sensations.…”

Section: Self-awarenessmentioning

confidence: 98%

Denial of illness in anorexia nervosa—a conceptual review: part 2 different forms and meanings

Vandereycken

2006

Eur. Eat. Disorders Rev.

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Objective: To analyse in a systematic way the concept of denial of illness in anorexia nervosa, especially (part 2) with regard to its various forms and meanings. Method: A detailed review of the available literature on the subject. Results: Two major categories of denial can be distinguished. First, there is unintentional denial including all sorts of distorted information processing. It may be a sign of neurobiologically impaired self-awareness (anosognosia), a psychotic-like reality distortion, a dissociative phenomenon, or a coping mechanism with various meanings. We will discuss the most important theoretical approaches (cognitive, psychodynamic and interpersonal) to understand unintentional denial. The second category can be described as deliberate denial or refusal of self-disclosure (including 'faking good'), expressing an avoidance of feared consequences or a need of self-determination. Discussion: The complexity of denial is not reflected in the available research and clinicians underestimate its interactional significance with respect to the patients' social surrounding, including the health care system.

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Emotional functioning in adolescent anorexia nervosa patients

Abstract: Both the AN and PSYCH patients show deficits in their processing of emotional information and details are discussed.

Cited by 67 publications

References 39 publications

Emotional functioning in anorexia nervosa patients: Adolescents compared to adults

Emotional functioning in anorexia nervosa patients: Adolescents compared to adults

Emotional perception in eating disorders

Denial of illness in anorexia nervosa—a conceptual review: part 2 different forms and meanings

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