The comorbidity between eating disorders and anxiety disorders: Prevalence in an eating disorder sample and anxiety disorder sample

Swinbourne, Jessica; Hunt, Caroline; Abbott, Maree J.; Russell, Janice; Clare, Tamsen St; Touyz, Stephen

doi:10.1177/0004867411432071

Cited by 245 publications

(202 citation statements)

References 63 publications

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“…It has also been hypothesized that people who show reduced positive facial expression are trying to avoid people's attention . AN is a disorder highly comorbid with social phobia (Swinbourne et al, 2012) and there is evidence that people with AN maintain less eye contact than HC and experience high levels of social anhedonia . In this context, it is likely that the reduced expression of positive affect would contribute to maintain this pattern of social avoidance in AN.…”

Section: Discussionmentioning

confidence: 99%

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Facial expression of positive emotions in individuals with eating disorders

Dapelo

Hart

Hale

et al. 2015

Psychiatry Research

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first and second authors contributed equally to this publication  AN showed Duchenne smiles for shorter durations than BN and HC participants. AN participants' Duchenne smiles were less intense than those of BN and HC. Reduced Duchenne smile was related to low BMI, and use of medication. Results provide further evidence of difficulties in emotion processing in AN. AbstractA large body of research has associated Eating Disorders with difficulties in socioemotional functioning and it has been argued that they may serve to maintain the illness. This study aimed to explore facial expressions of positive emotions in individuals with Anorexia Nervosa (AN) and Bulimia Nervosa (BN) compared to healthy controls (HC), through an examination of the Duchenne smile (DS), which has been associated with feelings of enjoyment, amusement and happiness . Sixty participants (AN=20; BN=20; HC=20) were videotaped while watching a humorous film clip. The duration and intensity of DS were subsequently analysed using the Facial Action Coding System (FACS) (Ekman and Friesen, 2003). Participants with AN displayed DS for shorter durations than BN and HC participants, and their DS had lower intensity. In the clinical groups, lower duration and intensity of DS were associated with lower BMI, and use of psychotropic medication.The study is the first to explore DS in people with eating disorders, providing further evidence of difficulties in the socio-emotional domain in people with AN.

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Section: Discussionmentioning

confidence: 99%

“…It is known that AN is highly comorbid with social phobia (Swinbourne et al, 2012), and there is preliminary evidence that shyness may influence social skills in AN (Winecoff et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Facial expression of positive emotions in individuals with eating disorders

Dapelo

Hart

Hale

et al. 2015

Psychiatry Research

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“…Of the original six subscales, two were used in the present study: social phobia (e.g., "I feel scared when I have to take a test") and generalised anxiety disorder/overanxious disorder (e.g., "I worry about things"), totalling 12 items. The subscales social phobia and generalised anxiety were chosen as both are well-documented as being co-morbid with symptoms of eating disorders (e.g., Levinson & Rodebaugh, 2012;Swinbourne, Hunt, Abbott, Russell, St Clare & Touyz, 2012). The SCAS is rated on a four point scale, from 'never' to 'always', with scores summed to provide subscale totals.…”

Section: Spence Children's Anxiety Scale (Scas;mentioning

confidence: 99%

Perceptions of parental pressure to eat and eating behaviours in preadolescents: The mediating role of anxiety

2014

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Previous research suggests that parental controlling feeding practices are associated with children's over-eating and under-eating behaviours. However, there is limited research addressing the link between children's mental health symptoms (specifically anxiety and depression) and their reports of eating behaviours, despite knowledge that these psychopathologies often co-exist. The current study aimed to identify the relationships between preadolescents' perceptions of their parents' feeding practices with reports of their own anxiety, depression and eating behaviours. Three hundred and fifty six children (mean The results suggest that greater anxiety in preadolescents may explain why children who perceive greater pressure to eat by their parents are more likely to exhibit maladaptive eating behaviours.

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“…There is also compelling evidence that: (a) Social Anxiety Disorder (SAD) has the highest occurrence of all anxiety disorders in EDs, and is significantly more common in ED patients than in controls [8,[17][18][19]; (b) individuals with SAD are more likely to report abnormal eating behaviours than controls, and 20 % of them meet criteria for an ED [17,20]; (c) 20-42 % of individuals with an ED also meet current criteria for SAD diagnosis [18,20]; and (d) the life time prevalence of SAD is significantly more common in ED patients (i.e., 23-71.5 %) than in the general population (12.1 %) [12,17,18].…”

Section: Introductionmentioning

confidence: 99%

The Social Appearance Anxiety Scale in Italian Adolescent Populations: Construct Validation and Group Discrimination in Community and Clinical Eating Disorders Samples

Dakanalis

Carrà

Calogero

et al. 2015

Child Psychiatry Hum Dev

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Anxiety in situations where one's overall appearance (including body shape) may be negatively evaluated is hypothesized to play a central role in Eating Disorders (EDs) and in their co-occurrence with Social Anxiety Disorder (SAD). Three studies were conducted among community (N = 1995) and clinical (N = 703) ED samples of 11-to 18-year-old Italian girls and boys to (a) evaluate the psychometric qualities and measurement equivalence/invariance (ME/I) of the Social Appearance Anxiety (SAA) Scale (SAAS) and (b) determine to what extent SAA or other situational domains of social anxiety related to EDs distinguish adolescents with an ED only from those with SAD. Results upheld the one-factor structure and ME/I of the SAAS across samples, gender, age categories, and diagnostic status (i.e., ED participants with and without comorbid SAD). The SAAS demonstrated high internal consistency and 3-week test-retest reliability. The strength of the inter-relationships between SAAS and measures of body image, teasing about appearance, ED symptoms, depression, social anxiety, avoidance, and distress, as well as the ability of SAAS to discriminate community adolescents with high and low levels of ED symptoms and community participants from ED participants provided construct validity evidence. Only SAA strongly differentiated adolescents with any ED from those with comorbid SAD (23.2 %). Latent mean comparisons across all study groups were performed and discussed.

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The comorbidity between eating disorders and anxiety disorders: Prevalence in an eating disorder sample and anxiety disorder sample

Cited by 245 publications

References 63 publications

Facial expression of positive emotions in individuals with eating disorders

Facial expression of positive emotions in individuals with eating disorders

Perceptions of parental pressure to eat and eating behaviours in preadolescents: The mediating role of anxiety

The Social Appearance Anxiety Scale in Italian Adolescent Populations: Construct Validation and Group Discrimination in Community and Clinical Eating Disorders Samples

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