Threat-related attentional bias in anorexia nervosa

Int J Eat Disord. 2014 Mar;47(2):168-73. doi: 10.1002/eat.22215. Epub 2013 Nov 26.

Abstract

Objective: Attentional bias (AB) modification treatment targeting general or social anxiety has been recently highlighted as a potential novel approach for the treatment of anorexia nervosa (AN). The purpose of this study was to examine threat-related AB in patients with ANand healthy control participants (HC) and the relationship between AB and eating disorder and other psychopathology.

Method: Forty-nine female outpatients with AN or Eating Disorder Not Otherwise Specified, Anorexia Type (EDNOS-AN), and 44 female HC completed a dot-probe task with threat words and a range of self-report measures assessing eating disorder symptoms and other psychopathology.

Results: There was no evidence for a differential threat-related AB in AN patients despite elevated anxiety in this group. The AB-index, a parameter of the magnitude of attention allocation when two competing stimuli are presented, did not correlate with any of the self-report measures. However, patients with AN responded significantly more slowly to the probe as compared to controls, regardless of the valence or position of the stimuli.

Discussion: The results suggest that the AB in AN patients may be specific to eating disorder-relevant anxieties.

Keywords: ABMT; anorexia nervosa; anxiety; attention; attentional bias modification; bias; eating disorder.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anorexia Nervosa / psychology*
  • Anxiety*
  • Attention*
  • Case-Control Studies
  • Emotions*
  • Feeding and Eating Disorders / psychology*
  • Female
  • Humans
  • Middle Aged
  • Psychological Tests
  • Surveys and Questionnaires
  • Young Adult