ArticleFrontiers in psychiatry2018
Social Difficulties As Risk and Maintaining Factors in Anorexia Nervosa: A Mixed-Method Investigation.
Article in Frontiers in psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- An update on the underlying risk factors of eating disorders onset during adolescence: a systematic review.Frontiers in psychology · 2023Pooled it
- Affective cognition in eating disorders: a systematic review and meta-analysis of the performance on the "Reading the Mind in the Eyes" Test.Eating and weight disorders : EWD · 2022Pooled it
- Cognitive bias modification training of attention and interpretation to reduce expectations of social rejection in adolescents with eating disorders: A small efficacy randomized controlled trial.The International journal of eating disorders · 2022Trial
- Famine, plague, and slaughters: The fleeing famine hypothesis of anorexia nervosa reconsidered.Psychological review · 2026Article
- Interpersonal wounds and identity among people with anorexia nervosa: a qualitative content analysis of autobiographical memories elicited by disgust-related cues.Journal of eating disorders · 2026Article
- A Scoping Review of Eating Disorder Clinicians' Experiences, Needs, Views and Wellbeing.Journal of clinical psychology · 2025Article
- Social rejection sensitivity and its role in anorexia nervosa: a systematic review of experimental literature.Journal of eating disorders · 2025Review
- Predicting anorexia nervosa treatment efficacy: an explainable machine learning approach.Journal of eating disorders · 2025Article
- Longitudinal study of socio-emotional cognitive processing in individuals with anorexia nervosa and the impact of autistic characteristics on neural processing.Frontiers in psychology · 2025Article
- The relationship between problematic Instagram use and eating disorders psychopathology: an explanatory structural equation model.Social psychiatry and psychiatric epidemiology · 2024Article
- Mediation role of interpersonal problems between insecure attachment and eating disorder psychopathology.Eating and weight disorders : EWD · 2024Article
- Conceptualisation of severe and enduring anorexia nervosa: a qualitative meta-synthesis.BMC psychiatry · 2023Review
- Age and gender differences in misperceptions of body shape in a Taiwanese population.Journal of eating disorders · 2023Article
- "It's not about wanting to be thin or look small, it's about the way it feels": an IPA analysis of social and sensory differences in autistic and non-autistic individuals with anorexia and their parents.Journal of eating disorders · 2023Article
- Social attention in anorexia nervosa and autism spectrum disorder: Role of social motivation.Autism : the international journal of research and practice · 2022Article
- Family, friends, and feelings: the role of relationships to parents and peers and alexithymia in adolescents with anorexia nervosa.Journal of eating disorders · 2022Article
- Eating disorder and social anxiety symptoms in Iranian preadolescents: a network analysis.Eating and weight disorders : EWD · 2022Observational
- Sensory wellbeing workshops for inpatient and day-care patients with anorexia nervosa.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2022Article
- Disturbed families or families disturbed: a reconsideration.Eating and weight disorders : EWD · 2022Review
- Brain and gut microbiota disorders in the psychopathology of anorexia nervosa.Translational neuroscience · 2022Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
Abstract
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.
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