Social Difficulties As Risk and Maintaining Factors in Anorexia Nervosa
A Mixed-Method Investigation
Bibliographic Data
| ID | 15530353 |
|---|---|
| Authors | Valentina Cardi (0000-0002-7763-7099, King's College London, corresponding author), Núria Mallorquí‐Bagué (0000-0003-1434-3162, Institut d'Investigació Biomédica de Bellvitge), Núria Mallorquí-Bagué, Gaia Albano (0000-0002-6981-6273, King's College London), Alessio Maria Monteleone (0000-0002-6786-4458, University of Campania "Luigi Vanvitelli"), Fernando Fernandez-Aranda (0000-0003-3824-3094), Fernando Fernández‐aranda (0000-0002-2968-9898, Institut d'Investigació Biomédica de Bellvitge), Janet Treasure (0000-0003-0871-4596, King's College London) |
| Year | 2018 |
| Volume | 9 |
| Pages | 12-12 |
| Publication date | 2018-02-26 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2018.00012 |
| PMID | 29535645 |
| OpenAlex | W2793449321 |
| Language | EN |
| Citations received | 9 |
| References cited | 58 |
Anorexia nervosa (AN) is a serious psychiatric disorder characterized by severe restriction of energy intake and dangerously low body weight. Other domains of functioning are affected, including social functioning. Although difficulties within this domain have started to be acknowledged by the literature, some important gaps remain to be filled. Do social difficulties predate the onset of the illness? What difficulties in particular are relevant for the development and maintenance of the illness? The aim of this study is to combine the use of quantitative and qualitative methods to answer these questions. Ninety participants with lifetime AN (88 women and 2 men) completed an online survey assessing memories of involuntary submissiveness within the family, fear of negative evaluation from others, perceived lack of social competence, feelings of social belonging, eating disorder symptoms, and work and social adjustment. Participants also answered three open questions regarding their experience of social relationships before and after the illness onset. The findings provided support for the hypothesized relationships between the study variables. Involuntary submissiveness and fear of negative evaluation predicted eating disorder symptoms and these associations were partially mediated by perceived lack of social competence. Two-thirds of the sample recalled early social difficulties before illness onset and recognized that these had played a role in the development of the illness. A larger proportion of participants stated that the eating disorder had affected their social relationships in a negative way. This study sheds some light on patients' perspective on the predisposing and maintaining role that social difficulties play in AN and identifies key psychological variables that could be targeted in treatment
Anorexia nervosa · Competence (human resources · Developmental psychology · Eating disorders · Feeling · Perspective (graphical · Psychiatry · Psychotherapist · Social change · Social competence · Social support · Body Image and Dysmorphia Studies · Clinical Psychology · Eating Disorders and Behaviors · Impact of Technology on Adolescents · Psychology · Social Psychology
Reconsidering the role of interpersonal stress in eating pathology
Eating disorders
The functional ambivalence of mental symptoms
Motivation-Enhancing Psychotherapy for Inpatients With Anorexia Nervosa (Manna)
Seeing Through the Façade of Anorexia
It’s a Lot Deeper than the Way It Looks”
The link between family identification, loneliness, and symptom severity in people with eating disorders
The health promoting effects of social flourishing in young adults
Measurement of the influences of social processes in appetite using ecological momentary assessment
The Work and Social Adjustment Scale
A Brief Version of the Fear of Negative Evaluation Scale
Measurement of social-evaluative anxiety.
Annual Research Review
Thwarted belongingness and perceived burdensomeness
Assessment of eating disorders
Clarifying the prospective relationships between social anxiety and eating disorder symptoms and underlying vulnerabilities
Social appearance anxiety, perfectionism, and fear of negative evaluation. Distinct or shared risk factors for social anxiety and eating disorders
Low social interactions in eating disorder patients in childhood and adulthood
Using thematic analysis in psychology
| Unique citing works | 9 |
|---|---|
| Citations per year | 1,29 |
| Citation span | 2019 - 2026 (8) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 8 |