Social cognition in female adults with Anorexia Nervosa: A systematic review

Tauro, Joanna L.; Wearne, Travis A; Belevski, Bianca; Filipčíková, Michaela; Francis, Heather

doi:10.1016/j.neubiorev.2021.11.035

Cited by 26 publications

(22 citation statements)

References 94 publications

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“…In the last decade, the characteristics of the AN disorder have been increasingly documented in quantitative and qualitative studies for reviews see [6,7] encompassing detailed observations from the clinical [8], somatic [9], psychiatric [10]), and thoughtpatterns/schemas [11,12] perspectives.…”

Section: Psychological Mechanismsmentioning

confidence: 99%

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Parental-Bonding and Alexithymia in Adolescents with Anorexia Nervosa, Their Parents, and Siblings

Mannarini

Kleinbub

2022

Behavioral Sciences

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Anorexia nervosa (AN) patients and their family-members share alexithymia, anxiety, depression, and other psychological symptoms, in the context of altered attachment. These domains have been individually studied in the context of eating disorders; few attempts have been made to study their interaction, especially including family members. In this study, alexithymia, parental-bonding, and psychopathology were assessed in 32 Italian families consisting of an adolescent AN patient, a sibling, and their parents. We aimed to (a) describe a sample of Italian families with a child affected by AN, notably including siblings; (b) investigate interactions between assessed constructs in patients and their siblings; and (c) investigate possible intergenerational effects. Results showed high alexithymia and psychopathological symptoms in patients but not in siblings, although the latter reported high obsession–compulsion and paranoid ideation scores. Patients’ and siblings’ alexithymia correlated with psychopathology. Parents reported generally low alexithymia. Perceived parental bonding was found to be suboptimal in most participants, yet no clear relationship was found between specific parenting styles and other measured traits, nor did we find any other relevant intergenerational effect. Anorexia nervosa implies psychological difficulties for all family members. Siblings’ psychopathological traits are especially concerning and currently understudied. Implications for future research and clinical interventions are discussed.

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Section: Psychological Mechanismsmentioning

confidence: 99%

“…A recent development in this field of study is the focus on alexithymia. High levels of alexithymia have been reported in AN adolescents e.g., [13] together with greater emotion regulation difficulties and reduced emotional awareness [6]. Beyond recording its Behav.…”

Section: Psychological Mechanismsmentioning

confidence: 99%

Parental-Bonding and Alexithymia in Adolescents with Anorexia Nervosa, Their Parents, and Siblings

Mannarini

Kleinbub

2022

Behavioral Sciences

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“…Avoiding emotions could be considered to be a coping strategy against feeling affect, avoiding positive or negative emotions, showing poor interoceptive awareness, and displaying confusion of emotional states and difficulties with emotional language. Recent review findings even suggest that although overall empathy levels may be intact in AN, greater emotional regulation difficulties, elevated levels of alexithymia, and reduced emotional awareness can still be evident [ 19 ]. Various empirical studies reveal that emotional regulation plays an important role in the development, maintenance, and psychopathology of AN [ 20 – 23 ].…”

Section: Introductionmentioning

confidence: 99%

Emotional dysregulation and linguistic patterns as a defining feature of patients in the acute phase of anorexia nervosa

et al. 2022

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Purpose This research aims to analyze the relationship between emotional regulation and the symbolic process in autobiographical narratives of a group of individuals diagnosed with restrictive anorexia nervosa (AN), compared to a non-clinical group. The study is framed within multiple code theory (MCT) (Bucci, 1997; 2021), which considers mind–body integration. The purposes of this study are to investigate whether participants of the AN group will show greater alexithymia and emotional dysregulation than the non-clinical group; and whether the specific linguistic and symbolic features, such as somato-sensory words, affect words, and difficulty in the symbolizing process will predict the AN group. Methods Twenty-nine female participants hospitalized with AN during an acute phase (mean age 19.8 ± 4.1) and 36 non-clinical female participants (mean age 21 ± 2.4) were selected through snow-ball sampling. The participants completed the Toronto Alexithymia Scale (TAS-20), the Profile of Mood of State (POMS), the Emotion Regulation Questionnaire (ERQ), and the Relationship Anecdotes Paradigm Interview (RAP). The RAP interview was audio-recorded and transcribed to apply the Referential Process (RP) Linguistic Measures. A T test for paired samples and a logistic binary regression was performed. Results AN presented a significantly higher emotional dysregulation through the ERQ, TAS20 and POMS measures. Specifically, AN showed higher ER expression/suppression strategies, fewer functional cognitive strategies, higher alexithymia, and higher mood dysregulation. Specific linguistic features such as sensory-somatic, word affect, and difficulty in RP symbolizing predict the AN group (R2 = 0.349; χ2 = 27,929; df = 3; p = .001). Conclusions Emotional dysregulation is connected to AN symptoms and autobiographical narratives. The results can help a clinical assessment phase showing specific linguistic features in AN patients. Level of evidence Level II, controlled trial without randomization.

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“…In fact, numerous studies have emphasized the relationship between AN and the individual's de cits in emotional awareness [10-11-12] or heightened alexithymia. Recent review ndings even suggest that if overall empathy levels are intact in AN, however, greater emotion regulation di culties, elevated alexithymia levels, and reduced emotional awareness are evident [13]. Various empirical studies reveal emotional regulation plays an important role in the development, maintenance, and psychopathology of AN [14-15-16-17].…”

Section: Introductionmentioning

confidence: 99%

Autobiographical narratives in relation to affect regulation in an Italian sample of patients in an acute phase of Anorexia Nervosa

Mariani

Marini

Trani

et al. 2022

Preprint

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Purpose: This research aims to analyze the relationship between emotional regulation and the symbolic process in autobiographical narratives in a group of individuals diagnosed with restrictive Anorexia Nervosa (AN), compared to a non-clinical group. The study is framed within Multiple Code Theory MCT (Bucci, 1997; 2021) which considers mind-body integration. The purposes of this study are to investigate whether AN will show greater alexithymia and emotional dysregulation than the non-clinical group; and whether the specific linguistic and symbolic features, such as somatic-sensory words, affect words, and difficulty in symbolizing process will predict the AN group.Methods: Twenty-nine female participants hospitalized with AN in an acute phase (mean age 19.8 ±4.1) and thirty-six non-clinical female participants (mean age 21 ±2.4) were selected through snow-ball sampling. The participants completed the Toronto Alexithymia Scale (TAS-20), the Profile of Mood of State (POMS), the Emotion Regulation Questionnaire (ERQ), and a Relationship Anecdotes Paradigm Interview (RAP). The Referential Process (RP) Linguistic Measures has been applied to transcribed interviews. A T-test for paired samples and logistic binary regression has been performed.Results: AN presented a significantly higher emotional dysregulation through the ERQ, TAS20 and POMS measures. Specifically, AN showed higher ER expression/suppression strategies, fewer functional cognitive strategies, higher alexithymia, and higher mood dysregulation. Specific linguistic features such as sensory-somatic, affect word, and difficulty in RP symbolizing, predict the AN group (R2 = .349; χ2 = 27,929; df = 3; p = .001).Conclusions: Emotional dysregulation is connected to AN symptoms and autobiographical narratives. The results can help a clinical assessment phase showing specific linguistic features in AN patients.

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Social cognition in female adults with Anorexia Nervosa: A systematic review

Cited by 26 publications

References 94 publications

Parental-Bonding and Alexithymia in Adolescents with Anorexia Nervosa, Their Parents, and Siblings

Parental-Bonding and Alexithymia in Adolescents with Anorexia Nervosa, Their Parents, and Siblings

Emotional dysregulation and linguistic patterns as a defining feature of patients in the acute phase of anorexia nervosa

Autobiographical narratives in relation to affect regulation in an Italian sample of patients in an acute phase of Anorexia Nervosa

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