SynthesisClinical psychology review2020
Moving towards specificity: A systematic review of cue features associated with reward and punishment in anorexia nervosa.
Synthesis in Clinical psychology review, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Altered value-based decision-making in anorexia nervosa: A systematic review.Neuroscience and biobehavioral reviews · 2024Pooled it
- A randomized, controlled pilot study of positive affect treatment adapted for anorexia nervosa.The International journal of eating disorders · 2024Trial
- The effects of acute tryptophan depletion on instrumental reward learning in anorexia nervosa - an fMRI study.Psychological medicine · 2023Trial
- Longitudinal analysis of decision-making deficits in binge-eating disorders using drift diffusion modeling.Appetite · 2026Article
- Prefrontal and ventral striatal neural correlates of reversal learning in anorexia nervosa and bulimia nervosa.Cognitive, affective & behavioral neuroscience · 2026Article
- Intact delay discounting but more optimal reward-based decisions in anorexia nervosa during an experiential task.Psychiatry and clinical neurosciences · 2026Article
- Longer duration of amenorrhea is associated with lower delay discounting and less hedonic eating in girls and young women with low-weight eating disorders.Scientific reports · 2026Article
- Annual Research Review: Neural mechanisms of eating disorders in youth - from current theory and findings to future directions.Journal of child psychology and psychiatry, and allied disciplines · 2026Review
- Avoidance habit learning in adolescents and young women with anorexia nervosa: an fMRI study.Journal of child psychology and psychiatry, and allied disciplines · 2026Article
- Reinforcement Learning and Decision Making in Anorexia Nervosa.Current psychiatry reports · 2025Review
- Investigating Associations Between General and Disorder-Specific Reward and Suicidality in Anorexia Nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- Evidence of Altered Biobehavioral Threat Processes in Adolescents With Eating Disorders: A Scoping Review.The International journal of eating disorders · 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
- Food choice and neural reward systems in adolescents with anorexia nervosa and atypical anorexia nervosa.Journal of child psychology and psychiatry, and allied disciplines · 2025Article
- Exaggerated frontoparietal control over cognitive effort-based decision-making in young women with anorexia nervosa.Molecular psychiatry · 2025Article
- Anticipatory and Consummatory Responses Across Reward Domains in Adolescents With Anorexia Nervosa.The International journal of eating disorders · 2024Article
- Article
- Reward responsivity and habit formation in the co-occurrence of restrictive eating and nonsuicidal self-injury.Journal of psychiatric research · 2024Article
- Change in motivational bias during treatment predicts outcome in anorexia nervosa.The International journal of eating disorders · 2024Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Models of anorexia nervosa (AN) posit that symptoms are maintained through deficient reward and enhanced punishment processing. However, theoretical and empirical inconsistencies highlight the need for a more nuanced conceptualization of this literature. Our goal was to comprehensively review the research on reward and punishment responding in AN from a cue-specific lens to determine which stimuli evoke or discourage reward and punishment responses in this population, and, ultimately, what properties these rewarding and punishing cues might share. A systematic review interrogating reward and punishment responses to specific cues yielded articles (n = 92) that examined responses to disorder relevant (e.g., food) and irrelevant (e.g., money) stimuli across self-report, behavioral, and biological indices. Overall, in most studies individuals with AN exhibited aversive responses to cues signaling higher body weights, social contexts, and monetary losses, and appetitive responses to cues for weight loss behaviors and thinness. Findings were more mixed on responses to palatable food and monetary gains. Results highlight that reward and punishment responding in AN are context specific and may be affected by varied stimulus qualities (e.g., predictability, controllability, delay, effort). Increasing specificity in future research on reward and punishment mechanisms in AN will better inform development of precisely-targeted interventions.
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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.