Evidence map›Paper›PMID 33942439›Full record

SynthesisEuropean eating disorders review : the journal of the Eating Disorders Association2021

A systematic review of network analysis studies in eating disorders: Is time to broaden the core psychopathology to non specific symptoms.

Alessio Maria Monteleone, Giammarco Cascino

Abstract readSystematic Review
In one paragraph

Synthesis in European eating disorders review : the journal of the Eating Disorders Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 6 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

77 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Defining Recovery and Relapse in Bulimia Nervosa: A Systematic Review of the Literature.European eating disorders review : the journal of the Eating Disorders Association · 2026
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  7. A network analysis in adolescent anorexia nervosa exploring the connection between both patient and carer reactions and outcome.European eating disorders review : the journal of the Eating Disorders Association · 2023
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17 more citing papers are in PubMed but not listed here.

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

2 authors.

Alessio Maria MonteleoneDepartment of Psychiatry, University of Campania 'Luigi Vanvitelli', Naples, Italy.ORCID 0000-0002-6786-4458
Giammarco CascinoDepartment of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', Section of Neurosciences, University of Salerno, Salerno, Italy.ORCID 0000-0003-0358-8594

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNetwork theory considers mental disorders as the product of symptom interaction. A growing number of studies employing this methodology has been conducted in eating disorders (EDs). We aimed to review those studies to provide evidence and limitations for a novel conceptualisation of EDs.

methodsAccording to PRISMA guidelines and PICOS criteria, studies eligible for inclusion were those employing network analysis in people with a clinically defined diagnosis of ED. Twenty-five studies were included and were analysed in relation to diagnosis, comorbidity, and treatment outcome.

resultsDespite the central role of overvaluation of body shape and weight and cognitive restraint across ED diagnoses, ineffectiveness, interoceptive awareness and affective problems appear central symptoms. Ineffectiveness and interoceptive awareness emerge as bridge symptoms promoting comorbidity in people with anorexia nervosa and in mixed ED samples. Although few studies assessed treatment outcome, there is evidence supporting the predictive role of central network nodes.

conclusionsIneffectiveness, interoceptive ability and affective problems may be included in the core ED psychopathology, in addition to ED-specific symptoms. Network analysis is a promising method to reconceptualize comorbidity. Future studies are recommended to include general psychopathology in ED networks, to assess connections with the external field and clinical meaning of network connectivity.

Indexed as

Anorexia NervosaFeeding and Eating DisordersComorbidityHumansPsychopathologycomorbidityeating disordersnetwork analysispsychopathologysystematic review

Identifiers

PMID33942439
PMCPMC8251923

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.