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Are socio-emotional and neurocognitive functioning predictors of therapeutic outcomes for adults with anorexia nervosa?
- Source :
-
European eating disorders review : the journal of the Eating Disorders Association [Eur Eat Disord Rev] 2018 Jul; Vol. 26 (4), pp. 346-359. Date of Electronic Publication: 2018 May 10. - Publication Year :
- 2018
-
Abstract
- Background: Emotional, social, and neurocognitive factors are theorised to maintain anorexia nervosa (AN). Yet whether they predict outcomes or relate to clinical change remains unclear.<br />Methods: Seventy-one consecutive adult outpatient eating disorder service referrals presenting with AN, who participated in a randomised controlled trial comparing 2 psychotherapies, were assessed for emotional processing, social cognition, and neurocognition pretherapy and posttherapy. Intention-to-treat analysis employed maximum-likelihood methods to model missing data. Baseline self-reported emotional processing, social cognitive, or neurocognitive task performance was entered into forward stepwise regression models with posttreatment clinical outcomes (weight, eating disorder psychopathology, psychosocial functioning) as dependent variables. Correlation analyses examined relationships between clinical and self-report/task score change.<br />Results: Self-reported emotional avoidance (behavioural/cognitive avoidance, low acceptance) and submissive behaviour predicted clinical outcomes. Social cognitive (emotion recognition, emotional theory of mind) and neurocognitive performance (set-shifting, detail focus) had limited predictive ability.<br />Conclusions: Emotional avoidance and submissiveness may represent maintenance factors for AN.<br /> (Copyright © 2018 John Wiley & Sons, Ltd and Eating Disorders Association.)
- Subjects :
- Adult
Ambulatory Care
Anorexia Nervosa psychology
Cognition Disorders physiopathology
Female
Humans
Male
Neurocognitive Disorders
Self Report
Treatment Outcome
Anorexia Nervosa diagnosis
Anorexia Nervosa therapy
Cognition
Cognition Disorders diagnosis
Cognition Disorders psychology
Emotions
Psychotherapy methods
Social Behavior
Subjects
Details
- Language :
- English
- ISSN :
- 1099-0968
- Volume :
- 26
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- European eating disorders review : the journal of the Eating Disorders Association
- Publication Type :
- Academic Journal
- Accession number :
- 29744972
- Full Text :
- https://doi.org/10.1002/erv.2602