ArticleThe International journal of eating disorders2019
The posited effect of positive affect in anorexia nervosa: Advocating for a forgotten piece of a puzzling disease.
Article in The International journal of eating disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed.
- A randomized, controlled pilot study of positive affect treatment adapted for anorexia nervosa.The International journal of eating disorders · 2024Trial
- Reasons for exercise inventory: A validation of the Dutch version in a community sample and a sample of women with an eating disorder.Journal of health psychology · 2026Article
- Understanding Pride in Eating Disorders and Disordered Eating Behaviors: A PRISMA-Informed Scoping Review.Journal of clinical medicine · 2026Review
- Identification of Affective- and Social-Reinforcement Functions of Driven Exercise: Evidence From Three Samples.Clinical psychological science : a journal of the Association for Psychological Science · 2025Article
- Does Evidence Support an Emotion Regulation Model of Anorexia Nervosa? A Systematic Review of Over a Decade of Research.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2025Article
- Changes in affect longitudinally mediate associations between emotion regulation strategy use and disordered eating.The International journal of eating disorders · 2024Article
- Reducing Relapse by Enhancing Reward Responsivity in Anorexia Nervosa: The VIBRANT (Virtual Interventions for Bolstering Recovery following Anorexia Nervosa Treatment) TrialJournal of psychiatry and brain science · 2024Article
- Editorial: Positive emotion dysregulation in eating disorders and dysregulated eating behaviors.Frontiers in psychology · 2024Article
- Reconceptualizing emotion regulation and coping strategy usage in eating disorders research: The utility of a regulatory flexibility framework.The International journal of eating disorders · 2023Review
- Difficulties with positive emotion regulation in anorexia nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2023Article
- Emotion word use patterns and eating disorder symptoms: Considering the circumplex model of affect and basic emotions theory.The International journal of eating disorders · 2023Article
- Positive affect dysregulation and its relation to binge eating size and frequency.Frontiers in psychology · 2023Article
- Disordered eating as a repercussion of sexual assault: a consequence to consider.Eating and weight disorders : EWD · 2022Article
- Biased and inflexible interpretations of ambiguous social situations: Associations with eating disorder symptoms and socioemotional functioning.The International journal of eating disorders · 2022Article
- Anhedonia in Eating Disorders.Current topics in behavioral neurosciences · 2022Article
- Adapting a neuroscience-informed intervention to alter reward mechanisms of anorexia nervosa: a novel direction for future research.Journal of eating disorders · 2021Review
- Do individuals with eating disorders dislike exposure therapy? Attitudes from children, adults, and parents toward exposure therapy and other treatments for eating disorders.The International journal of eating disorders · 2021Article
- Anhedonia, positive affect dysregulation, and risk and maintenance of binge-eating disorder.The International journal of eating disorders · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Anorexia nervosa (AN) is a complex and life-threatening eating disorder. Current models of AN onset and maintenance have largely focused on the role of negative affect, while fewer models have described the role of positive affect (PA). Given that these theoretical models have informed current treatment approaches, and that treatment remains minimally effective for adults with AN, we advocate that targeting PA is one avenue for advancing maintenance models and by extension, treatment. We specifically propose that AN may arise and be chronically and pervasively maintained as a function of dysregulated PA in response to weight loss and weight loss behaviors (e.g., restriction, excessive exercise), to a degree that is not accounted for in existing models of AN. We present evidence from multiple domains, including biological, behavioral, and self-report, supporting the hypothesis that PA dysregulation in AN contributes to the maintenance of the disorder. We conclude with several specific avenues for treatment development research as well as a call for future work elucidating the biological correlates of PA.
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What OpenQuestion holds
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.