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Cognitive bias in eating disorders: Interpretation of ambiguous body-related information

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Abstract

Three groups of women: eating disorder, body dysphoric controls, and nonsymptomatic controls, participated in an experiment testing hypotheses derived from cognitive-behavioral theories of eating disorders. In phase 1, participants encoded ambiguous information via instructions to imagine themselves in a variety of ambiguous situations that involved two types of information: body-related or health-related. On a subsequent memory task, participants in the eating disorder group and the body dysphoric control group recalled imagery of the body-related situations with a fatness interpretation and participants in the nonsymptomatic control group recalled imagery with a thinness interpretation. The three groups did not differ in their interpretation of the health-related situations. In phase 2, participants were instructed to imagine themselves in each body-related situation, but were explicitly instructed to imagine the scenes with either a positive or negative interpretation. Results indicated that the eating disorder and body dysphoric groups were able to change their interpretation of body-related information when instructed to do so.

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References

  1. Cooper M.: Cognitive theory in anorexia and bulimia nervosa: A review. Behav. Cognitive Psychother., 25, 113–145, 1997.

    Article  Google Scholar 

  2. Vitousek K.B., Hollon S.D.: The investigation of schematic content and processing in eating disorders. Cognitive Therapy and Research, 14, 191–124, 1990.

    Article  Google Scholar 

  3. Williamson D.A.: Body image disturbance in eating disorders: A form of cognitive bias? Eating Disorders. The Journal of Treatment and Prevention, 4, 47–58, 1996.

    Google Scholar 

  4. Williamson D.A., Muller S.L., Reas D.L., Thaw J.M.: Cognitive bias in eating disorders: Implications for theory and treatment. Behavior Modification, in press.

  5. Dagleish T., Watts, F.N.: Biases of attention and memory in disorders of anxiety and depression. Clin. Psychol. Rev., 10, 589–604, 1990.

    Article  Google Scholar 

  6. Cooper M.: Bias in interpretation of ambiguous scenarios in eating disorders. Behav. Res. Ther., 35, 619–626, 1997.

    Article  CAS  PubMed  Google Scholar 

  7. Cooper M., Fairburn C.G.: Changes in information processing with three psychological treatments for bulimia nervosa. Br. J. Clin. Psychol., 33, 353–356, 1994.

    Article  PubMed  Google Scholar 

  8. American Psychiatric Association: Diagnositic and statistical manual of mental disorders, 4th Ed., Washington, DC, APA, 1994.

    Google Scholar 

  9. Cooper P.J., Taylor M.J., Cooper Z., Fairburn C.G.: Development and validation of the Body Shape Questionnaire. Int. J. Eating Disord., 6, 485–494, 1987.

    Article  Google Scholar 

  10. Jackman L.J., Williamson D.A., Netemeyer R.G., Anderson D.A.: Do weight preoccupied women misinterpret ambiguous stimuli related to body size? Cognitive Therapy and Research, 19, 341–355, 1995.

    Article  Google Scholar 

  11. Eysenck M.W., Mogg K., May J., Richards A., Mathews A.: Bias in interpretation of ambiguous sentences related to threat in anxiety. J. Abnorm. Psychol., 100, 144–150, 1991.

    Article  CAS  PubMed  Google Scholar 

  12. Kutlesic V., Williamson D.A., Gleaves D.H., Barbin J.M., Murphy-Eberenz K.P.: The Interview for Diagnosis of Eating Disorders IV: Application to DSM-IV diagnostic criteria. Psychol. Assess., 10, 41–48, 1998.

    Article  Google Scholar 

  13. Williamson D.A., Barker S.E., Norris L.E.: Etiology and management of eating disorders. In: Sutker P.B., Adams H.E. (Eds.), Comprehensive Handbook of Psychopathology, 2nd Ed., New York, Plenum, 1993, pp. 505–530

    Chapter  Google Scholar 

  14. Baker J.D., Williamson D.A., Sylve C.M.: Body image disturbance, memory bias, and body dysphoria: effects of negative mood induction. Behav. Ther., 26, 747–759, 1995.

    Article  Google Scholar 

  15. Sebastian S.B., Williamson D.A., Blouin D.C.: Memory bias for fatness stimuli in the eating disorders. Cognitive Therapy and Research, 20, 275–286, 1996.

    Article  Google Scholar 

  16. Garner D.M., Garfinkel P.E.: The eating attitudes test: An index of the symptoms of anorexia nervosa. Psychol. Med., 9, 273–279, 1979.

    Article  CAS  PubMed  Google Scholar 

  17. Thelen M.H., Farmer J., Wonderlich S., Smith M.: A revision of the Bulimia Test: The BULIT-R. Psychol. Assess., 3, 119–124, 1991.

    Article  Google Scholar 

  18. Garner D.M.: Eating Disorder Inventory-2 Manual. Odessa Fl, Psychological Assessment Resources, Inc, 1991.

    Google Scholar 

  19. Williamson D.A., Davis C.J., Goreczny A.J., Bennett S.M., Gleaves D.H.: Development of a simple procedure for assessing body image. Behav. Assess., 11, 443–446, 1989.

    Google Scholar 

  20. Pollack B.: The validity of the Shipley-Hartford Retreat Test for Deterioration. Psychiatr. Q., 16, 119–131, 1942.

    Article  Google Scholar 

  21. Heymsfield S.B., Allison D.B., Heshka S., Pierson R.N.: Assessment of human body composition. In: Allison D.B. (Ed.), Handbook of assessment methods for eating behaviors and weight-related problems. Thousand Oaks, CA, Sage Publications, 1995, pp. 515–560.

    Google Scholar 

  22. Williamson D.A., Barker S.E., Bertmam L.J., Gleaves D.H.: Body image, body dysphoria, and dietary restraint: Factor structure in nonclinical participants. Behav. Res. Ther., 33, 85–93, 1995.

    Article  CAS  PubMed  Google Scholar 

  23. Fairburn C.G.: A cognitive-behavioural approach to the treatment of bulimia nervosa. Psychol. Med., 11, 707–711, 1981.

    Article  CAS  PubMed  Google Scholar 

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Williamson, D.A., Perrin, L., Blouin, D. et al. Cognitive bias in eating disorders: Interpretation of ambiguous body-related information. Eat Weight Disord 5, 143–151 (2000). https://doi.org/10.1007/BF03354444

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