Christina Ralph-Nearman
A Systematic and Methodological Review of Attentional Biases in Eating Disorders: Food, Body, and Perfectionism
Ralph-Nearman, Christina; Achee, Margaret; Lapidus, Rachel; Stewart, Jennifer L.; Filik, Ruth
Authors
Margaret Achee
Rachel Lapidus
Jennifer L. Stewart
RUTH FILIK ruth.filik@nottingham.ac.uk
Associate Professor
Abstract
Objective: The current systematic and methodological review aimed to critically review existing literature utilizing implicit processing, or automatic approach- and/or avoidance-related attentional biases between eating disorder (ED) and nonclinical samples, which: (1) highlights how psychophysiological methods advance knowledge of ED implicit bias; (2) explains how findings fit into transdiagnostic versus disorder-specific ED frameworks; and (3) suggests how research can address perfectionism-related ED biases.
Method: Three databases were systematically searched to identify studies: Pubmed, Scopus, and PsychInfo electronic databases. Peer-reviewed studies of 18-39-year-olds with both clinical ED and heathy samples assessing visual attentional biases using pictorial and/or linguistic stimuli related to food, body, and/or perfectionism were included.
Results: Forty-six studies were included. While behavioral results were often similar across ED diagnoses, studies incorporating psychophysiological measures often revealed disease-specific attentional biases. Specifically, women with bulimia nervosa (BN) tend to approach food and other body types, whereas women with anorexia nervosa (AN) tend to avoid food as well as overweight bodies.
Conclusions: Further integration of psychophysiological and behavioral methods may identify subtle processing variations in ED, which may guide prevention strategies and interventions, and provide important clinical implications. Few implicit bias studies include male participants, investigate binge eating disorder, or evaluate perfectionism-relevant stimuli, despite the fact that perfectionism is implicated in models of ED.
Citation
Ralph-Nearman, C., Achee, M., Lapidus, R., Stewart, J. L., & Filik, R. (2019). A Systematic and Methodological Review of Attentional Biases in Eating Disorders: Food, Body, and Perfectionism. Brain and Behavior, 9(12), Article e01458. https://doi.org/10.1002/brb3.1458
Journal Article Type | Article |
---|---|
Acceptance Date | Oct 5, 2019 |
Online Publication Date | Nov 7, 2019 |
Publication Date | 2019-12 |
Deposit Date | Oct 15, 2019 |
Publicly Available Date | Mar 28, 2024 |
Journal | Brain and Behavior |
Print ISSN | 2162-3279 |
Electronic ISSN | 2157-9032 |
Publisher | Wiley |
Peer Reviewed | Peer Reviewed |
Volume | 9 |
Issue | 12 |
Article Number | e01458 |
DOI | https://doi.org/10.1002/brb3.1458 |
Public URL | https://nottingham-repository.worktribe.com/output/2837398 |
Publisher URL | https://onlinelibrary.wiley.com/doi/full/10.1002/brb3.1458 |
Additional Information | Received: 2019-09-28; Accepted: 2019-10-05; Published: 2019-11-07 |
Files
Ralph-Nearman_et_al-2019-Brain_and_Behavior
(1 Mb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
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