Evidence map›Paper›PMID 41293979›Full record

ArticleThe International journal of eating disorders2026

Negative and Positive Body-Related Emotions Derived From Voice Recordings During a Mirror Task in Anorexia and Bulimia Nervosa: A Natural Language Processing Approach Using RoBERTa.

Linda Marie Sadowski, Christopher Lalk, Vanessa Hofschröer, Fanny Alexandra Dietel, Julia Tanck, Julian A Rubel, Andrea S Hartmann, Silja Vocks

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Article in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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.

Linda Marie SadowskiInstitute of Psychology, Department of Clinical Psychology and Psychotherapy, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0009-0007-2847-395X
Christopher LalkInstitute of Psychology, Department of Psychotherapy Research and Clinical Psychology, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0002-1793-3507
Vanessa HofschröerInstitute of Psychology, Department of Clinical Psychology and Psychotherapy, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0002-9916-2469
Fanny Alexandra DietelInstitute of Psychology, Department of Clinical Psychology and Psychotherapy, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0002-9911-6155
Julia TanckInstitute of Psychology, Department of Clinical Psychology and Psychotherapy, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0003-3457-7118
Julian A RubelInstitute of Psychology, Department of Psychotherapy Research and Clinical Psychology, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0002-9625-6611
Andrea S HartmannDepartment of Psychology, Workgroup of Clinical Psychology and Psychotherapy of Childhood and Adolescence, University of Konstanz, Konstanz, Germany.ORCID https://orcid.org/0000-0002-6251-3763
Silja VocksInstitute of Psychology, Department of Clinical Psychology and Psychotherapy, Osnabrück University, Osnabrück, Germany.ORCID https://orcid.org/0000-0001-8498-9466

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBody dissatisfaction has been linked to negative and positive emotions. The validity of self-report methods to assess emotions in individuals with eating disorders is limited, prompting a shift towards methods like natural language processing to analyze speech content. Using artificial intelligence, this study aimed to identify specific body-related emotions elicited by looking at oneself in the mirror in individuals with eating disorders.

methodWomen with anorexia nervosa (n = 24), women with bulimia nervosa (n = 36), and healthy women (n = 72) completed a three-minute mirror exposure task, verbally expressing their body-related emotions while viewing themselves in a three-winged mirror wearing underwear. N = 132 audio recordings were transcribed and analyzed using the GermanEmotions model (based on RoBERTa) to identify 28 emotions. Univariate ANOVAs and post hoc tests were conducted to identify group differences in expressed emotions. Prediction of symptom severity was analyzed across groups.

resultsCompared to healthy women, those with anorexia and bulimia nervosa expressed anger, disappointment, disgust, embarrassment, fear, grief, nervousness, remorse, and sadness significantly more frequently (all ds = |0.53|-|1.11|), and admiration, approval, joy, love, optimism, and pride significantly less frequently (all ds = |0.64|-|1.12|). Disgust predicted higher eating disorder symptom severity across all groups (p < 0.001). DISCUSSION: A distinct range of body-related emotions differentiates women with anorexia and bulimia nervosa from healthy women. Elicited negative emotions, especially higher disgust, and diminished positive emotions suggest that body-related interventions could benefit from fostering positive emotions instead of merely reducing negative emotions.

Indexed as

Anorexia NervosaBody ImageBulimia NervosaEmotionsNatural Language ProcessingVoiceAdolescentAdultFemaleHumansYoung Adultbody imagedisgusteating disorder symptomsemotion analysismachine learningmirror exposurenatural language processingnegative emotionspositive emotionsRoBERTa

Identifiers

PMID41293979
PMCPMC12979969

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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.