Evidence map›Paper›PMID 31696674›Full record

SynthesisBrain and behavior2019

A systematic and methodological review of attentional biases in eating disorders: Food, body, and perfectionism.

Christina Ralph-Nearman, Margaret Achee, Rachel Lapidus, Jennifer L Stewart, Ruth Filik

Abstract readSystematic Review
In one paragraph

Synthesis in Brain and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  16. Intimate partner violence against women and the adoption of unhealthy weight control practices.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025
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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

5 authors.

Christina Ralph-NearmanLaureate Institute for Brain Research, Tulsa, OK, USA.ORCID 0000-0003-4989-153X
Margaret AcheeDepartment of Psychology, University of Tulsa, Tulsa, OK, USA.ORCID 0000-0001-9486-726X
Rachel LapidusLaureate Institute for Brain Research, Tulsa, OK, USA.ORCID 0000-0003-1697-7409
Jennifer L StewartLaureate Institute for Brain Research, Tulsa, OK, USA.ORCID 0000-0003-0123-9438
Ruth FilikSchool of Psychology, University of Nottingham, Nottingham, UK.ORCID 0000-0001-9022-8364

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe current systematic and methodological review aimed to critically review existing literature utilizing implicit processing, or automatic approach- and/or avoidance-related attentional biases between eating disorder (ED) and nonclinical samples, which (a) highlights how psychophysiological methods advance knowledge of ED implicit bias; (b) explains how findings fit into transdiagnostic versus disorder-specific ED frameworks; and (c) suggests how research can address perfectionism-related ED biases.

methodThree databases were systematically searched to identify studies: PubMed, Scopus, and PsychInfo electronic databases. Peer-reviewed studies of 18- to 39-year-olds with both clinical ED and healthy samples assessing visual attentional biases using pictorial and/or linguistic stimuli related to food, body, and/or perfectionism were included.

resultsForty-six studies were included. While behavioral results were often similar across ED diagnoses, studies incorporating psychophysiological measures often revealed disease-specific attentional biases. Specifically, women with bulimia nervosa (BN) tend to approach food and other body types, whereas women with anorexia nervosa (AN) tend to avoid food as well as overweight bodies.

conclusionsFurther integration of psychophysiological and behavioral methods may identify subtle processing variations in ED, which may guide prevention strategies and interventions, and provide important clinical implications. Few implicit bias studies include male participants, investigate binge-eating disorder, or evaluate perfectionism-relevant stimuli, despite the fact that perfectionism is implicated in models of ED.

Indexed as

Anorexia NervosaAttentional BiasBinge-Eating DisorderBulimia NervosaFoodPerfectionismAdultBody ImageFeeding BehaviorFemaleHumansMalePsychophysiologyanorexia nervosaattentional biasbinge-eating disorderbulimia nervosapsychophysiology

Identifiers

PMID31696674
PMCPMC6908865

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.