Evidence map›Paper›PMID 30980856›Full record

ReviewPhysiology & behavior2019

Motivation to eat and not to eat - The psycho-biological conflict in anorexia nervosa.

Guido K W Frank, Marisa C DeGuzman, Megan E Shott

Registry-linked trialAbstract readReview
In one paragraph

Review in Physiology & behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05368844 (Harnessing Neurostimulation to Improve Treatment Outcome in Anorexia Nervosa), which is not on this map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05368844 naterminatednot on this mapstarted 2022, after this paper: background citation

Harnessing Neurostimulation to Improve Treatment Outcome in Anorexia Nervosa

TypeinterventionalSponsorUniversity of California, San DiegoRan2022 to 2026Enrolled10ConditionsAnorexia NervosaArmsrTMS treatment using BrainsWay Model 104 system with H1-Coil, sham TMS using BrainsWay Model 104 system with H1-Coil
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Affective profiles of exercise episodes are associated with maladaptive and adaptive motivations for exercise.European eating disorders review : the journal of the Eating Disorders Association · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Guido K W FrankDepartment of Psychiatry, University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, CO, USA; Department of Neuroscience, University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, CO, USA. Electronic address: Guido.Frank@ucdenver.edu.
Marisa C DeGuzmanDepartment of Psychiatry, University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, CO, USA; Department of Neuroscience, University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, CO, USA.
Megan E ShottDepartment of Psychiatry, University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, CO, USA.

Funding

Neural Effects of Negative Affect on Food Choices and Reward Processing In Individuals with Binge Eating EpisodesR01MH112681 · NIMH · UNIVERSITY OF COLORADO DENVER · PI FRANK, GUIDO KW · 2018 to 2022
$3.4M
NEUROSCIENCE TRAINING GRANTT32HD041697 · NICHD · UNIVERSITY OF COLORADO DENVER · PI RESTREPO, DIEGO · 2001 to 2015
$2.4M
Neuroscience Training GrantT32NS099042 · NINDS · UNIVERSITY OF COLORADO DENVER · PI Nidia Calero, GIDON S FELSEN · 2016 to 2026
$2.1M
Taste reward circuits and prediction error define eating disorder psychopathologyR01MH103436 · NIMH · UNIVERSITY OF COLORADO DENVER · PI STODDARD, JOEL JOHNSON · 2014 to 2018
$2.0M
Brain Reward Circuits and Computational Modeling in Adolescent Anorexia NervosaR01MH096777 · NIMH · UNIVERSITY OF COLORADO DENVER · PI FRANK, GUIDO KW · 2012 to 2016
$1.5M
Colorado Clinical and Translational Sciences InstituteTL1TR001081 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$1.3M
Brain Reward-Pathway Function and Neurocomputational Modeling in Anorexia NervosaK23MH080135 · NIMH · UNIVERSITY OF COLORADO DENVER · PI FRANK, GUIDO KW · 2008 to 2012
$840k
NCATS NIH HHS TL1 TR001081NICHD NIH HHS T32 HD041697NIMH NIH HHS K23 MH080135NIMH NIH HHS R01 MH096777NIMH NIH HHS R01 MH103436NIMH NIH HHS R01 MH112681NINDS NIH HHS T32 NS099042
6 · The paper itself

Abstract

Anorexia nervosa is a severe psychiatric illness with high mortality. Brain imaging research has indicated altered reward circuits in the disorder. Here we propose a disease model for anorexia nervosa, supported by recent studies, that integrates psychological and biological factors. In that model, we propose that there is a conflict between the conscious motivation to restrict food, and a body-homeostasis driven motivation to approach food in response to weight loss. These opposing motivations trigger anxiety, which maintains the vicious cycle of ongoing energy restriction and weight loss.

Indexed as

Conflict, PsychologicalAnorexia NervosaEatingHumansMotivationAnorexia nervosaAnxietyBrainConflictMotivation

Identifiers

PMID30980856
PMCPMC6520121

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.