Evidence map›Paper›PMID 40136592›Full record

ArticleClinics and practice2025

Exploring the Role of Guilt in Eating Disorders: A Pilot Study.

Fabiola Raffone, Danilo Atripaldi, Eugenia Barone, Luigi Marone, Marco Carfagno, Francesco Mancini, Angelo Maria Saliani, Vassilis Martiadis

Abstract read
In one paragraph

Article in Clinics and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

8 authors.

Fabiola RaffoneDepartment of Psychiatry, University of Campania "L. Vanvitelli", 80138 Naples, Italy.ORCID 0000-0002-1818-4237
Danilo AtripaldiDepartment of Advanced Medical and Surgical Sciences, University of Campania "L. Vanvitelli", 80138 Naples, Italy.ORCID 0000-0003-3889-3265
Eugenia BaroneDepartment of Psychiatry, University of Campania "L. Vanvitelli", 80138 Naples, Italy.
Luigi MaroneDepartment of Psychiatry, University of Campania "L. Vanvitelli", 80138 Naples, Italy.
Marco CarfagnoDepartment of Psychiatry, University of Campania "L. Vanvitelli", 80138 Naples, Italy.ORCID 0000-0002-1357-1035
Francesco ManciniDepartment of Human Sciences, University "Guglielmo Marconi", 00193 Rome, Italy.ORCID 0000-0001-8765-4047
Angelo Maria SalianiSchool of Cognitive Psychotherapy (APC-SPC), 00187 Rome, Italy.ORCID 0000-0002-1013-6361
Vassilis MartiadisDepartment of Mental Health, Asl Napoli 1 Centro, 80145 Naples, Italy.ORCID 0000-0002-3344-1000

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesEating disorders (EDs) are complex psychopathological conditions involving dysfunctional eating behaviors, excessive body image concerns, and impaired emotional regulation. Among moral emotions, guilt plays a significant role in ED dynamics, influencing both symptomatology and interpersonal relationships. This study examines specific guilt subtypes (normative and altruistic guilt) using a specific psychometric tool.

methodsForty-three adults with anorexia nervosa (AN), bulimia nervosa (BN), or binge eating disorder (BED) were recruited from the Eating Disorder Center of the University of Campania "Luigi Vanvitelli" or referred by psychotherapists. Diagnoses followed DSM-5 criteria. Participants completed the Moral Orientation Guilt Scale (MOGS), assessing guilt subtypes, and the Eating Disorder Inventory-2 (EDI-2), measuring ED symptomatology. Spearman's rank correlation and stepwise multiple regression analyses were used to identify relationships between guilt dimensions and ED-related symptoms.

resultsMOGS subscales were positively correlated with ED symptomatology. Normative guilt was significantly associated with binging and purging (ρ = 0.26,

conclusionsIn the population examined, guilt significantly influences ED symptomatology and interpersonal functioning, with specific dimensions linked to distinct behaviors and traits. Therapeutic interventions targeting guilt may enhance treatment outcomes by addressing ED emotional underpinnings. However, the results should be interpreted with caution due to the small sample size and lack of longitudinal data to establish causality. Further research with larger samples and longitudinal designs is necessary to validate these findings.

Indexed as

anorexia nervosabinge eating disorderbulimia nervosaeating disordersemotional dysregulationemotionsguiltinterpersonal distrustmoral emotions

Identifiers

PMID40136592
PMCPMC11941697

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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.