Evidence map›Paper›PMID 34039415›Full record

ReviewJournal of eating disorders2021

Adapting a neuroscience-informed intervention to alter reward mechanisms of anorexia nervosa: a novel direction for future research.

Ann F Haynos, Lisa M Anderson, Autumn J Askew, Michelle G Craske, Carol B Peterson

Open access · goldAbstract readReview
In one paragraph

Review in Journal of eating disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
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

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Investigating Associations Between General and Disorder-Specific Reward and Suicidality in Anorexia Nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  8. Review
  9. Article
  10. 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 · 2025
    Article
  11. The current clinical approach to feeding and eating disorders aimed to increase personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Difficulties with positive emotion regulation in anorexia nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. Is decision-making impairment an endophenotype of anorexia nervosa?European psychiatry : the journal of the Association of European Psychiatrists · 2022
    Article
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 at 2 institutions in 1 country.

Ann F HaynosDepartment of Psychiatry and Behavioral Sciences, University of Minnesota, 2450 Riverside Ave., Minneapolis, MN, 55454, USA. afhaynos@umn.edu.
Lisa M AndersonDepartment of Psychiatry and Behavioral Sciences, University of Minnesota, 2450 Riverside Ave., Minneapolis, MN, 55454, USA.
Autumn J AskewDepartment of Psychiatry and Behavioral Sciences, University of Minnesota, 2450 Riverside Ave., Minneapolis, MN, 55454, USA.
Michelle G CraskeDepartment of Psychology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA.
Carol B PetersonDepartment of Psychiatry and Behavioral Sciences, University of Minnesota, 2450 Riverside Ave., Minneapolis, MN, 55454, USA.
University of Minnesota · USNeurobehavioral Systems · US

Funding

Regional Postdoctoral Training Grant in Eating Disorders ResearchT32MH082761 · NIMH · UNIVERSITY OF MINNESOTA · PI CAROL B. PETERSON · 2009 to 2026
$6.2M
Neural Correlates of Reward and Symptom Expression in Anorexia NervosaK23MH112867 · NIMH · UNIVERSITY OF MINNESOTA · PI HAYNOS, ANN FRANCES · 2017 to 2021
$878k
Neural Bases of Disgust Conditioning in Anorexia NervosaK23MH123910 · NIMH · UNIVERSITY OF MINNESOTA · PI ANDERSON, LISA M · 2020 to 2024
$821k
NIMH NIH HHS K23 MH112867NIMH NIH HHS K23MH112867NIMH NIH HHS K23 MH123910NIMH NIH HHS K23MH123910NIMH NIH HHS T32 MH082761NIMH NIH HHS T32MH082761
6 · The paper itself

Abstract

Accumulating psychobiological data implicate reward disturbances in the persistence of anorexia nervosa (AN). Evidence suggests that individuals with AN demonstrate decision-making deficits similar to those with mood and anxiety disorders that cause them to under-respond to many conventionally rewarding experiences (e.g., eating, interacting socially). In contrast, unlike individuals with other psychiatric disorders, individuals with AN simultaneously over-respond to rewards associated with eating-disorder behaviors (e.g., restrictive eating, exercising). This pattern of reward processing likely perpetuates eating-disorder symptoms, as the rewards derived from eating-disorder behaviors provide temporary relief from the anhedonia associated with limited responsivity to other rewards. Positive Affect Treatment (PAT) is a cognitive-behavioral intervention designed to target reward deficits that contribute to anhedonia in mood and anxiety disorders, including problems with reward anticipation, experiencing, and learning. PAT has been found to promote reward responsivity and clinical improvement in mood and anxiety disorders. This manuscript will: (1) present empirical evidence supporting the promise of PAT as an intervention for AN; (2) highlight nuances in the maintaining processes of AN that necessitate adaptations of PAT for this population; and (3) suggest future directions in research on PAT and other reward-based treatments that aim to enhance clinical outcomes for AN.

Indexed as

Anorexia nervosaInterventionNeurosciencePositive affectRewardTreatment

Identifiers

PMID34039415
PMCPMC8152047
OpenAlexW3164905704

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.