Obsessive–compulsive symptoms in young women affected with anorexia nervosa, and their relationship with personality, psychopathology, and attachment style

Amianto, Federico; Secci, Ilaria; Arletti, Luca; Davico, Chiara; Abbate-Daga, Giovanni; Vitiello, Benedetto

doi:10.1007/s40519-021-01252-y

Cited by 5 publications

(5 citation statements)

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“…Moreover, AN1 group had higher obsessiveness and compulsivity measured with the CYBOCS scale than the AN2 and the CG group. This has also been reported in Amiato’s study and supports Levinson’s hypothesis of likely common etiological pathways [ 37 , 38 ]. The OCD symptoms occur in 35–44% of patients with AN, and AN occurs in 10% of women with OCD.…”

Section: Discussionsupporting

confidence: 90%

Apelin-13 and Asprosin in Adolescents with Anorexia Nervosa and Their Association with Psychometric and Metabolic Variables

Jowik

Dmitrzak‐Węglarz²,

Pytlińska³

et al. 2022

Nutrients

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Anorexia nervosa (AN) is a widespread, metabo-psychiatric disorder with high relapse rates, comorbidity, and mortality. Many regulatory proteins and neurohormones studied to date play essential roles in the etiopathogenesis of eating disorders and the maintenance of psychopathological symptoms. Nevertheless, the regulatory and pathophysiological mechanisms of AN are still poorly understood. In the presented study, the plasma levels of apelin-13 (APE-13) and asprosin (ASP), as well as carbohydrate metabolism parameters and psychometric parameters, were evaluated in low-weight adolescent female patients with AN (AN1), after partial weight normalization (AN2) and in an age-matched healthy control group (CG) were evaluated. APE-13 levels were higher in the AN1 group than in the post-realimentation and the CG group. APE-13 levels were independent of insulin and glucose levels. Plasma ASP levels increased with increasing body weight in patients with AN, correlating with the severity of eating disorder symptoms in emaciation. The presented data suggest that APE-13 and ASP may be AN’s biomarkers-regulation of eating behavior by APE-13 and ASP, the close relationship between them and emotional behavior, and changes in neurohormone levels in patients with eating and affective disorders seem to support these hypotheses. Moreover, their plasma levels seem to be related to the severity of psychopathological symptoms of eating disorders.

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Section: Discussionsupporting

confidence: 90%

Apelin-13 and Asprosin in Adolescents with Anorexia Nervosa and Their Association with Psychometric and Metabolic Variables

Jowik

Dmitrzak‐Węglarz²,

Pytlińska³

et al. 2022

Nutrients

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“…The studies show a clear association between IAS and AN, in some cases offering mediating variables, such as alexithymia (Redondo & Luyten, 2018) and obsessive–compulsive rigidity (Amianto et al, 2021). There are other elements to consider, such as the recommendation of a transdiagnostic approach in the study of EDs (Monteleone et al, 2017), lower intrapersonal skills and interpersonal management (Nandrino et al, 2020), and the limited study of the relationship between disorganized IAS and AN or other ED.…”

Section: Resultsmentioning

confidence: 99%

“…The results obtained by Katznelson et al (2021) show 81.3% of IAS in their sample with AN, highlighting the avoidant subtype. Moreover, Amianto et al (2022) found an association between anxious IAS and AN mediated by obsessive–compulsive symptoms, highlighting the higher prevalence of anxious IAS in AN compared to HC. The study by Monteleone et al (2021) revealed that the IAS explained, together with the confidence in body sensations, 45% of the symptomatology in AN.…”

Section: Resultsmentioning

confidence: 99%

“…Avoidant IAS has been more associated with AN than BN and HC (Cascino et al, 2022; Katznelson et al, 2021; Monteleone, Patriciello, et al, 2018; Redondo & Luyten, 2021). Anxious IAS was also associated with AN and BN to a greater degree than with HC (Amianto et al, 2021; Batista et al, 2018; Pace et al, 2016). Disorganized IAS has been associated more closely with all EDs rather than with HC (Pace et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Likewise, since disorganized attachment is more present in people with EDs than in healthy people, this type of attachment can be considered a common transdiagnostic element within EDs (Lecannelier et al, 2011). Furthermore, the relationship that exists between anxious IAS and AN (Amianto et al, 2021; Batista et al, 2018; Monteleone, Cardi, et al, 2018), and BAS and AN (Giel et al, 2013; Glashouwer et al, 2014; Jappe et al, 2011), suggests the rejection of the categorical approach and the choice of the dimensional approach. This is the case because AN is also related to these variables, but to a lesser degree than avoidant IAS (Katznelson et al, 2021) and BIS variables (Jonker et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

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Attachment, motivational systems and anorexia nervosa: A systematic review and proposed framework for eating disorders

Budia

Hera

Fernández-Muñóz

et al. 2023

Clin Psychology and Psychoth

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IntroductionThere is a direct association between patients with insecure attachment style (IAS), behavioural inhibition (BIS) and behavioural activation (BAS) motivational systems, and anorexia nervosa (AN). However, the possible direct relationships between these three variables have not been studied.ObjectiveThe main objective of this study is to analyse the relationship between these variables and propose a framework for analysing and understanding these relationships.MethodologyA systematic review was carried out following the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis (PRISMA) guidelines, searching the following terms: ‘anorexia’, ‘attachment’ and those related to motivational systems. The final search was limited to publications in English dated between 2014–2022 for ‘anorexia and attachment’ and 2010–2022 for ‘anorexia and BIS/BAS’.ResultsOf the 587 articles retrieved, 30 were included in this study for the textual data analysis of the relationship between anorexia and attachment (17), anorexia and motivational systems (10) and anorexia, attachment and motivational systems (3). An association between avoidant IAS, AN and hypersensitivity to punishment of the BIS was observed in the analysis. A relationship was also observed with hyperreinforcement sensitivity of the BAS. After reviewing the articles, a possible relationship between the three factors, along with other mediating factors, was found.DiscussionAN is directly related to the avoidant IAS and to BIS. Similarly, bulimia nervosa (BN) was directly related with anxious IAS and BAS. However, contradictions were found in the BN–BAS relationship. This study proposes a framework for analysing and understanding these relationships.

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Attachment in individuals with eating disorders compared to community controls: A systematic review and meta‐analysis

Jewell

Apostolidou

Sadikovic

et al. 2023

Intl J Eating Disorders

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Objective: Individuals with eating disorders are known to have higher rates of insecure attachment compared to community controls, but the factors underlying this finding are poorly understood. We conducted the first meta-analysis comparing attachment in eating disorder samples compared to community controls that included quality assessment, publication bias and moderation analysis.Method: We pre-registered our meta-analysis (CRD42019146799) and followed PRISMA guidelines. We searched PsychINFO, Embase, Medline, CINAHL, and Scopus for publications. Attachment scores were extracted, and Cohen's d calculated for each study using a random effects model. Results:In total, 35 studies were included in the meta-analysis and six studies were summarized in a narrative review. Eating disorder samples showed higher rates of insecure attachment compared to community controls, with a large effect size, across measurement methods and different attachment dimensions. Blinding of assessors moderated effect sizes for attachment interview studies, but no other moderators were significant.Discussion: Risk of insecure attachment is elevated in individuals with eating disorders, albeit heterogeneity is high and largely unexplained. Clinicians may need to take this into account in their work, particularly given the association between attachment insecurity and challenges to therapeutic alliance. Future studies comparing eating disorder samples with community samples should control for general psychopathology.

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Obsessive–compulsive symptoms in young women affected with anorexia nervosa, and their relationship with personality, psychopathology, and attachment style

Cited by 5 publications

References 86 publications

Apelin-13 and Asprosin in Adolescents with Anorexia Nervosa and Their Association with Psychometric and Metabolic Variables

Apelin-13 and Asprosin in Adolescents with Anorexia Nervosa and Their Association with Psychometric and Metabolic Variables

Attachment, motivational systems and anorexia nervosa: A systematic review and proposed framework for eating disorders

Attachment in individuals with eating disorders compared to community controls: A systematic review and meta‐analysis

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