Emotional reactivity and prosocial behaviour in response to witnessing social exclusion in adolescents with eating disorders and healthy controls DOI Creative Commons
Katie Rowlands, Mima Simic, Janet Treasure

et al.

Journal of Eating Disorders, Journal Year: 2023, Volume and Issue: 11(1)

Published: Dec. 14, 2023

Abstract Background Prosocial behaviour can promote positive social interactions and it is a key skill in adolescence. People with emotional problems or psychiatric disorders, such as people eating disorders might have impairments prosocial behaviour, due to broader documented difficulties underlying processes (e.g., mentalizing). Methods The aim of this study was examine adolescents compared healthy controls, using computerised behavioural task. Adolescents ( N = 123) including patients n 61) 62) played four-player Cyberball Game three pre-programmed avatar players. During the task, participants witnessed exclusion one players, subsequently had opportunity compensate for by throwing ball more often excluded player. Throughout game, rated level negative emotion themselves Results Patients made significantly fewer tosses towards player during compensation round controls (large effect size). reported smaller increase after witnessing decrease following sizes). also estimated (medium There were no significant associations between these outcomes disorder psychopathology patients. Conclusions Compared adolescents, adolescent demonstrated less compensatory victim exclusion. In addition, they flatter response compensating exclusion, compensation. If findings are replicated, interventions target contribute improvements functioning patient group.

Language: Английский

Eating disorder psychopathology: The role of attachment anxiety, attachment avoidance, and personality functioning DOI
Eva M. Klein, Cord Benecke, Christoph Kasinger

et al.

Journal of Psychosomatic Research, Journal Year: 2022, Volume and Issue: 160, P. 110975 - 110975

Published: June 22, 2022

Language: Английский

Citations

17
From symptoms to subjective and bodily experiences: the contribution of the Psychodynamic Diagnostic Manual (PDM-2) to diagnosis and treatment monitoring in eating disorders DOI Creative Commons
Marta Mirabella, Laura Muzi, Anna Franco

et al.

Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity, Journal Year: 2023, Volume and Issue: 28(1)

Published: March 30, 2023

Abstract Purpose Atheoretical and descriptive conceptualizations of eating disorders (EDs) have faced substantial criticism due to their limited ability assess patients’ subjective characteristics experiences, as needed determine the most appropriate treatment options. The present article provides an overview clinical empirical literature supporting potential contribution Psychodynamic Diagnostic Manual (PDM-2) both diagnostic assessment monitoring. Methods Following a discussion relevant shortcomings current models EDs description rationale structure PDM-2, evidence core PDM-2 dimensions ED experiences (i.e., affective states, cognitive processes, relational patterns, somatic/bodily states) are examined, alongside relevance diagnosis treatment. Results Overall, reviewed studies support importance these patterns in EDs, highlighting role either predisposing or maintaining factors target psychotherapy. A growing body multidisciplinary also shows that bodily somatic central management patients. Moreover, there is PDM-based may enable closer monitoring patient progress during treatment, with regard symptom patterns. Conclusions study suggests frameworks for would benefit from addition person-centered perspective considers not only symptoms, but full range functioning—including deep surface-level emotional, cognitive, interpersonal, social patterns—to improve patient-tailored interventions. Level V, narrative review.

Language: Английский

Citations

9
The mind‐in‐mind study: A pilot randomised controlled trial that compared modified mentalisation based treatment with supportive clinical management for patients with eating disorders without borderline personality disorder DOI
Miranda Sonntag, Janice Russell

European Eating Disorders Review, Journal Year: 2022, Volume and Issue: 30(3), P. 206 - 220

Published: Feb. 7, 2022

Abstract Objective Mentalisation‐based treatment (MBT) aims to improve reflective functioning. There is a growing evidence base outlining positive clinical outcomes for the use of MBT in eating disorder patients with co‐morbid borderline personality (BPD). The has not been studied without BPD. This pilot study an exploratory randomised controlled trial which from are compared standard management cohort diagnosed but main objectives were two‐fold—to explore as therapeutic modality and test acceptability feasibility protocol design. Method Thirty‐two participants receive either or during inpatient disorders program. All enrolled did meet DSM‐5 criteria On admission categorised very underweight (BMI 15.0–16.4 kg/m 2 ), 16.5–18.4 ) healthy weight range ≥ 18.5–24.9 ). Upon discharge further restored 18.5 non‐weight < primary outcome was subscale score on Reflective Functioning Questionnaire (RFQ‐8). Secondary scores Eating Disorder Examination Depression, Anxiety Stress Scale (DASS)‐21. Participants assessed at baseline discharge. Statistical significance determined using repeated measurements analysis variance (ANOVA). Results Both groups experienced improvements symptoms measures psychological well‐being. within group exhibited greater capacity defined by RFQ‐8 however these benefits appeared be limited who achieved restoration eligibility criteria—which excluded comorbid BPD—led challenges recruitment power analysis. As different diagnoses included this led complexities estimating effect cohort. Conclusions Although small sample size must noted limitation—the finding that appears associated would worth exploring subsequent larger study. Modification may increase efficiency future

Language: Английский

Citations

8
Mentalizing deficits in borderline personality disorder related to axis I comorbidity: Clinical relevance DOI Creative Commons
José Manuel López‐Villatoro, Marina Díaz‐Marsá, Alejandra Gálvez-Merlín

et al.

Early Intervention in Psychiatry, Journal Year: 2024, Volume and Issue: 19(1)

Published: July 15, 2024

Abstract Aim Deficits in mentalization have been described several mental disorders, but information is still scarce and ambiguous about the types of errors each disorder their specificity severity borderline personality (BPD). Due to high comorbidity between this axis I aim work study differences responses BPD considering different profiles with other disorders. Methods A total 141 patients were evaluated using The Mini‐International Neuropsychiatric Interview (MINI), identify comorbid Mentalizing ability was assessed by Movie for Assessment Social Cognition (MASC). Statistical associations analysed into variables. Results Patients anorexia nervosa (AN), suicidal behaviour or post‐traumatic stress (PTSD) respectively presented higher overmentalization, undermentalization absence errors, compared without comorbidity. Conclusions show that AN, PTSD affect mentalizing deficits observed these patients. This highlights importance assessment treatment disorders disorder, objective shaping personalized every patient.

Language: Английский

Citations

1
Failures in Reflective Functioning, Dissociative Experiences, and Eating Disorder: a Study On a Sample of Italian Adolescents DOI
Maria C. Quattropani, Alessandra Geraci, Vittorio Lenzo

et al.

Journal of Child & Adolescent Trauma, Journal Year: 2022, Volume and Issue: 15(2), P. 365 - 374

Published: April 5, 2022

Language: Английский

Citations

6
Attachment, motivational systems and anorexia nervosa: A systematic review and proposed framework for eating disorders DOI Creative Commons
José Budia, Carlos María Alcover de la Hera, Juan José Fernández-Muñóz

et al.

Clinical Psychology & Psychotherapy, Journal Year: 2023, Volume and Issue: 30(5), P. 913 - 930

Published: March 2, 2023

There is a direct association between patients with insecure attachment style (IAS), behavioural inhibition (BIS) and activation (BAS) motivational systems, anorexia nervosa (AN). However, the possible relationships these three variables have not been studied.The main objective of this study to analyse relationship propose framework for analysing understanding relationships.A systematic review was carried out following Preferred Reporting Items Systematic Reviews Meta-Analysis (PRISMA) guidelines, searching terms: 'anorexia', 'attachment' those related systems. The final search limited publications in English dated 2014-2022 'anorexia attachment' 2010-2022 BIS/BAS'.Of 587 articles retrieved, 30 were included textual data analysis (17), systems (10) anorexia, (3). An avoidant IAS, AN hypersensitivity punishment BIS observed analysis. A also hyperreinforcement sensitivity BAS. After reviewing articles, factors, along other mediating found.AN directly IAS BIS. Similarly, bulimia (BN) anxious contradictions found BN-BAS relationship. This proposes relationships.

Language: Английский

Citations

3
Mentalizing capacities of mental health nurses: A systematic PRISMA review DOI Creative Commons
Gieke Free, Wilma Swildens, Saskia Knapen

et al.

Journal of Psychiatric and Mental Health Nursing, Journal Year: 2023, Volume and Issue: unknown

Published: Aug. 8, 2023

WHAT IS KNOWN ON THE SUBJECT?: Mentalizing is the capacity to understand both one's own and other people's behaviour in terms of mental states, such as, for example, desires, feelings beliefs. The mentalizing capacities healthcare professionals help establish effective therapeutic relationships and, turn, lead better patient outcomes. THIS PAPER ADDS TO EXISTING KNOWLEDGE?: personal factors positively associated with are being female, greater work experience having a more secure attachment style. Psychosocial psychotherapy, burnout, case female students, able identify psychotherapist role model during training. There limited evidence that training programmes can improve capacities. Although mentalization field gaining importance research expanding, implications health nursing have not been previously reviewed. Mental nurses underrepresented on professionals. This significant given closest patients thus often confronted patients' compared care professionals, constitute large part workforce illness. ARE IMPLICATIONS FOR PRACTICE?: Given nurse constructive working relationship, it important trained basic principles mentalization. should be recognize situations where lack ability mentalize creates difficulties interaction. They also their sensitive communicative this may have.

Language: Английский

Citations

3
Mentalizing ability, mentalizing impairments, and anorexia nervosa: Validation of the Hebrew version of the Movie for the Assessment of Social Cognition (MASC) DOI Creative Commons

Yaara Sarig‐Shmueli,

Jenny Kurman,

Shira Talmon

et al.

Clinical Psychology & Psychotherapy, Journal Year: 2023, Volume and Issue: 30(4), P. 873 - 881

Published: March 4, 2023

The goal of this study was to validate the Hebrew version Movie for Assessment Social Cognition (MASC)-an ecological measure assessing mentalizing ability-among patients with anorexia nervosa (AN) and healthy individuals. We examined validity MASC's general ability scale its impairments subscales using validated measures (Reading Mind in Eyes test, Cambridge Mindreading Face-Voice Battery, Reflective Function questionnaire) among female AN (N = 35) control participants 42). ED symptoms were assessed via self-report questionnaires. MASCHeb correlated found significantly differentiate from controls. In addition differing on mental ability, groups differed hypomentalizing (but not hypermentalizing). Based our findings, proved be an ecologically valid tool AN. Moreover, findings demonstrated role played by EDs specifically pointed importance hypomentalization EDs. These have therapeutic implications, as outlined Discussion section.

Language: Английский

Citations

2
Reconsidering a role for attachment in eating disorder management in the context of paediatric diabetes DOI

Rosie Oldham‐Cooper,

Claire Semple,

Laura L. Wilkinson

et al.

Clinical Child Psychology and Psychiatry, Journal Year: 2021, Volume and Issue: 26(3), P. 669 - 681

Published: Feb. 18, 2021

We suggest a reconsideration of the role 'attachment orientation' in context eating disorders and paediatric diabetes. Attachment orientation is psychological construct that describes relatively stable set expectations behaviours an individual relies upon managing relationships. There considerable evidence association between attachment development maintenance disordered individuals without diabetes, though more scant populations with discuss underpinning theory critically examine existing literature for relationship Finally, we draw on adjacent literatures to highlight potential future directions research should this area be revisited. Overall, contextualise our discussion terms patient-centred, holistic care addresses mind body (i.e., assumes psycho-biological approach).

Language: Английский

Citations

4
Disturbances in Eating Behavior and Body Image: The Role of Attachment, Media Internalization, and Self-objectification DOI

Maissane Nasrallah,

Rudy Abi-Habib, Pia Tohme

et al.

Appetite, Journal Year: 2024, Volume and Issue: 204, P. 107766 - 107766

Published: Nov. 12, 2024

Language: Английский

Citations

0