Predicting intolerance of uncertainty in individuals with eating disorder symptoms

Sternheim, Lot; Fisher, Martin; Harrison, Amy; Watling, Rosamond

doi:10.1186/s40337-017-0152-4

Cited by 23 publications

(16 citation statements)

References 81 publications

(74 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Findings from the present study contribute to a growing body of literature positing IU as an important factor that can be linked to the development and maintenance symptoms of AN such as weight and shape concerns (Frank et al, 2012;Sternheim et al, 2011;Sternheim et al, 2017). Previous studies have shown that IU is a malleable mechanism and CBT-type interventions for IU have shown success in reducing IU (Boswell et al, 2013).…”

Section: Discussionsupporting

confidence: 59%

How deep is your thought? The relations between intolerance of uncertainty, worry and weight and shape concerns in adolescent girls with anorexia nervosa

Bijsterbosch¹,

Keizer²,

Boelen³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Inherent to anorexia nervosa (AN) are repetitive thoughts about weight and shape. Growing research suggests the relevance of intolerance of uncertainty (IU) and worry in maintaining these types of repetitive thoughts. The relation between these cognitive processes and weight and shape concerns in adolescents with AN is understudied. This study aims to investigate associations between prospective and inhibitory IU, worry, and weight and shape concerns. Methods In a cross-sectional study, 93 adolescent girls with AN completed three questionnaires, measuring prospective and inhibitory IU, worry, and weight and shape concerns, respectively. A mediation model with worry as a mediator between inhibitory IU and prospective IU and weight and shape concerns was tested. Results A direct and total effect of inhibitory IU on weight and shape concerns was found. Worry did not mediate the relation between inhibitory or prospective IU and weight and shape concerns. Conclusions These results confirm the importance of inhibitory IU in adolescents with AN, more specifically to weight and shape concerns. This group may benefit from intervention strategies targeting IU. Worry seems less relevant to weight and shape concerns in adolescents.

show abstract

Section: Discussionsupporting

confidence: 59%

How deep is your thought? The relations between intolerance of uncertainty, worry and weight and shape concerns in adolescent girls with anorexia nervosa

Bijsterbosch¹,

Keizer²,

Boelen³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Next, we discuss the possibility of underlying dysfunctional emotion processing, such as a high IU, and how this may interact with decision-making ( 56 , 57 ). A study in healthy individuals and in people with anxiety shows that high IU indeed negatively impacts decision-making ( 58 ), and a first study in AN shows that IU contributes to poor social problem solving ( 59 ). A number of (cognitive behavioral therapy related) interventions have been validated as successful in reducing IU across emotional disorders ( 60 ) and even in treating SE-AN ( 61 ).…”

Section: Decision-making and Dysfunctional Emotional Processing Reseamentioning

confidence: 99%

Mental Capacity, Decision-Making and Emotion Dysregulation in Severe Enduring Anorexia Nervosa

et al. 2021

View full text Add to dashboard Cite

Severe and Enduring Anorexia Nervosa (SE-AN) is a chronic eating disorder characterized by long-term starvation and its physical and psychological sequelae, and severe loss of quality of life. Interactions between neurobiological changes caused by starvation, vulnerability (personality) traits, and eating behaviors play a role. Several other factors, such as increased fear and decreased social cognition, have also been found in relation to SE-AN. With this in mind, we aim to add to the understanding of SE-AN by introducing the concept of mental capacity (MC), which refers to the ability to understand and process information—both on a cognitive and an emotional level—and then make a well-informed choice. MC may be an important construct within the context of SE-AN. Furthermore, we will argue how impaired decision-making processes may underlie, fuel, or contribute to limited MC in SE-AN. We will speculate on the importance of dysfunctional emotion processing and anxiety-related processes (e.g., a high intolerance of uncertainty) and their potential interaction with decision-making. Lastly, we will propose how these aspects, which to our knowledge have previously received little attention, may advise research and treatment or help in dealing with the “want but cannot” situation of life-threatening AN.

show abstract

“…For example, some researchers (Eggert et al, 2007; Münch et al, 2016) show that higher neuroticism and lower extraversion mediate the relationship between insecure-resistant attachment and disordered eating. Others suggest (Sternheim et al, 2017) that a set of negative beliefs about uncertainty and a tendency to react negatively to uncertain situations and events may function as a moderating or mediating factor between attachment styles and ED-related symptoms. van Durme et al (2015) indicate that deficits in the ability to effectively cope with challenging emotions partially mediates the relationships between attachment avoidance/anxiety and EDs.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Family Functioning and Eating Disorders – The Mediating Role of Self-Esteem

et al. 2019

View full text Add to dashboard Cite

The aim of the study was to measure whether people at increased risk for eating disorders (EDs) and people without an increased risk of EDs differ from each other in the assessment of family functioning (FF) and self-esteem (SE) dimensions. Moreover, the correlations between FF, EDs, and SE were verified, looking for the mediating role of SE in the context of the FF and EDs. The research was conducted on the group of 160 people aged from 18 to 47 years, including 74 people at increased risk for EDs. We used: The Family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve); The SCOFF Questionnaire; The Multidimensional Self-Esteem Inventory, MSEI. Analyses indicate that the compared groups differ significantly in terms of EDs, assessment of FF, and all components of SE, in such a way that people without an increased risk of EDs are characterized by a more positive assessment of FF and higher SE in all its dimensions. All SE dimensions, except defensive high SE, are mediators in the relationship of FF with EDs. In therapeutic interactions, it is worth focusing on the SE dimensions, as they are one of the mediation elements in the relationship between the assessment of FF and EDs.

show abstract

Predicting intolerance of uncertainty in individuals with eating disorder symptoms

Cited by 23 publications

References 81 publications

How deep is your thought? The relations between intolerance of uncertainty, worry and weight and shape concerns in adolescent girls with anorexia nervosa

How deep is your thought? The relations between intolerance of uncertainty, worry and weight and shape concerns in adolescent girls with anorexia nervosa

Mental Capacity, Decision-Making and Emotion Dysregulation in Severe Enduring Anorexia Nervosa

Assessment of Family Functioning and Eating Disorders – The Mediating Role of Self-Esteem

Contact Info

Product

Resources

About