Evidence map›Paper›PMID 35739570›Full record

ArticleJournal of eating disorders2022

Distinguishing delusional beliefs from overvalued ideas in Anorexia Nervosa: An exploratory pilot study.

Rachel Barton, Phillip Aouad, Phillipa Hay, Geoffrey Buckett, Janice Russell, Margaret Sheridan, Vlasios Brakoulias, Stephen Touyz

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of eating disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Overvalued Ideas: Conceptual Analysis and Literature Review.Behavioral sciences (Basel, Switzerland) · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. 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

8 authors at 2 institutions in 1 country.

Rachel BartonSchool of Psychology, Faculty of Science, University of Sydney, Sydney, NSW, Australia.
Phillip AouadInsideOut Institute, Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia. phillip.aouad@sydney.edu.au.ORCID http://orcid.org/0000-0003-0999-7495
Phillipa HayTranslational Health Research Institute, Western Sydney University, Sydney, NSW, Australia.
Geoffrey BuckettEating Disorder Unit - Northside West Clinic (Ramsay Mental Health), Wentworthville, NSW, Australia.
Janice RussellInsideOut Institute, Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Margaret SheridanNorthside Clinic (Ramsay Mental Health), St Leonards, NSW, Australia.
Vlasios BrakouliasTranslational Health Research Institute, Western Sydney University, Sydney, NSW, Australia.
Stephen TouyzSchool of Psychology, Faculty of Science, University of Sydney, Sydney, NSW, Australia.
The University of Sydney · AUTranslational Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCharacterised by the belief that more weight needs to be lost-despite emaciation, failing organs, medical instability and prospect of death-Anorexia Nervosa (AN) is a condition in which irrational, and highly-skewed, beliefs can be of delusional intensity. However, the nexus between delusion and rational awareness and how this is related to body image acceptance and perception has yet to be examined in AN. The current study aims to investigate the relationship between body dissatisfaction and beliefs of delusional intensity in an adult AN inpatient sample.

methodsTwenty-one adults (n

resultsAlmost one quarter (23.7%; n = 5) of participants appeared to have beliefs of delusional intensity related to their body shape (M = 27.4; SD = 23.03). Although a positive linear trend was indicated, there were no significant differences in body dissatisfaction scores between level-of-insight. Individuals whose belief was categorised as delusional were more likely to hold a negative affective body image state based on their ratings on the body image state survey when compared to the group who had good/fair insight (95% CI [0.53, 18.19]; p = 0.03).

conclusionsThe current exploratory pilot study concurs with others in the published literature that demonstrate that approximately 25 percent of participants with AN may have delusional ideas. The implications for treatment in similar samples warrant attention. Future research should also seek to understand the clinical significance of this delusional categorisation, the benefits of its utility in this population, and its relation to the severity of AN or stage of illness.

Indexed as

Anorexia nervosaBeliefsBody imageDelusionDissatisfactionEating disordersPerception

Identifiers

PMID35739570
PMCPMC9229879
OpenAlexW4283329191

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.