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Using the Activity-based Anorexia Rodent Model to Study the Neurobiological Basis of Anorexia Nervosa
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Social attribution in anorexia nervosa.

Anna Oldershaw1,2,3, Hannah DeJong4, David Hambrook5

  • 1Eating Disorder Service, Kent & Medway NHS Social Partnership Trust, Maidstone, UK.

European Eating Disorders Review : the Journal of the Eating Disorders Association
|April 25, 2018
PubMed
Summary

Individuals with anorexia nervosa (AN) struggle with social understanding, offering fewer narrative details and social insights. Recovery may improve these socioemotional difficulties, though results were not statistically significant.

Keywords:
anorexiaattributionemotionsocial

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Area of Science:

  • Psychology
  • Neuroscience
  • Clinical Psychology

Background:

  • Anorexia nervosa (AN) is associated with socioemotional deficits, but their measurement and persistence (state vs. trait) are unclear.
  • Existing measures of socioemotional difficulties in AN may lack ecological validity.
  • The nature of socioemotional difficulties in AN requires further investigation using ecologically valid tasks.

Purpose of the Study:

  • To investigate socioemotional processing in individuals with current anorexia nervosa (AN), recovered individuals (RecAN), and healthy controls.
  • To assess the ecological validity of socioemotional measurement using the Social Attribution Task.
  • To explore the state or trait nature of socioemotional difficulties in AN.

Main Methods:

  • Cross-sectional comparison of 3 groups: current AN (n=40), RecAN (n=18), and healthy controls (n=64).
  • Participants completed clinical questionnaires and the Social Attribution Task, involving describing animated shapes.
  • Current AN group assessed pre- and post-psychological treatment.

Main Results:

  • Individuals with current AN provided fewer narrative propositions and identified fewer salient social attributions compared to controls.
  • Recovered individuals (RecAN) scored intermediately, not significantly different from either current AN or healthy controls.
  • Post-treatment, individuals with AN showed non-significant improvements, with no significant group differences observed.

Conclusions:

  • Difficulties in spontaneous social narrative generation and social salience identification are characteristic of current anorexia nervosa.
  • Socioemotional processing may show non-significant improvement after psychological treatment in AN.
  • The findings suggest that socioemotional difficulties in AN may be state-dependent, improving with treatment, but further research is needed.