Emotional processing in recovered anorexia nervosa patients: A 15 year longitudinal study.

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Title: Emotional processing in recovered anorexia nervosa patients: A 15 year longitudinal study.
Authors: Castro, Telma Fontão (AUTHOR), Miller, Kylee (AUTHOR), Araújo, Maria Xavier (AUTHOR), Brandão, Isabel (AUTHOR), Torres, Sandra (AUTHOR)
Source: European Eating Disorders Review. Nov2021, Vol. 29 Issue 6, p955-968. 14p.
Subjects: Convalescence, Mental depression, Emotions, Anorexia nervosa, Anxiety, Longitudinal method
Abstract: Objective: This 15 years longitudinal study aimed to examine whether difficulties in cognitive processing of emotions persisted after long‐term recovery from anorexia nervosa (AN), and its link to anxiety and depression. Method: Twenty‐four females, who were tested longitudinally during their acute and recovered AN phases, and 24 healthy control (HC) women, were screened for anxiety, depression, alexithymia, emotion regulation difficulties (ER; only assessed in recovery phase), and completed an experimental task to analyse emotional experience. Results: In spite of significant improvement in alexithymia, anxiety, and depression with AN recovery, some emotion functioning difficulties did not normalize. The occurrence of comorbid anxiety and depression explained the reduced ability to identify, understand, and accept emotions in long‐term recovery (relative to controls), but not the increased global difficulty in using ER strategies, which revealed a more stable nature of deficit. With recovery, negative emotions linked to situations addressing food and body weight are felt more intensely. Conclusions: Managing emotions, especially the negative ones, remains a challenge for individuals recovered from AN. Under this circumstance, maladaptive eating behaviour can serve as an affect regulatory function, increasing the risk of relapse. Emotional education is an important avenue in protecting long‐term AN relapse. Highlights: Impaired emotional functioning tends to normalize with long‐term AN recovery. Nevertheless, greater difficulties in emotion regulation (ER) seem to persistAnxiety and depression only explained difficulties in emotional clarity and acceptanceER difficulties can be a risk factor for long‐term AN relapse [ABSTRACT FROM AUTHOR]
Copyright of European Eating Disorders Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Emotional processing in recovered anorexia nervosa patients: A 15 year longitudinal study.
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  Data: <searchLink fieldCode="AR" term="%22Castro%2C+Telma+Fontão%22">Castro, Telma Fontão</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Miller%2C+Kylee%22">Miller, Kylee</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Araújo%2C+Maria+Xavier%22">Araújo, Maria Xavier</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brandão%2C+Isabel%22">Brandão, Isabel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Torres%2C+Sandra%22">Torres, Sandra</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Eating+Disorders+Review%22">European Eating Disorders Review</searchLink>. Nov2021, Vol. 29 Issue 6, p955-968. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: This 15 years longitudinal study aimed to examine whether difficulties in cognitive processing of emotions persisted after long‐term recovery from anorexia nervosa (AN), and its link to anxiety and depression. Method: Twenty‐four females, who were tested longitudinally during their acute and recovered AN phases, and 24 healthy control (HC) women, were screened for anxiety, depression, alexithymia, emotion regulation difficulties (ER; only assessed in recovery phase), and completed an experimental task to analyse emotional experience. Results: In spite of significant improvement in alexithymia, anxiety, and depression with AN recovery, some emotion functioning difficulties did not normalize. The occurrence of comorbid anxiety and depression explained the reduced ability to identify, understand, and accept emotions in long‐term recovery (relative to controls), but not the increased global difficulty in using ER strategies, which revealed a more stable nature of deficit. With recovery, negative emotions linked to situations addressing food and body weight are felt more intensely. Conclusions: Managing emotions, especially the negative ones, remains a challenge for individuals recovered from AN. Under this circumstance, maladaptive eating behaviour can serve as an affect regulatory function, increasing the risk of relapse. Emotional education is an important avenue in protecting long‐term AN relapse. Highlights: Impaired emotional functioning tends to normalize with long‐term AN recovery. Nevertheless, greater difficulties in emotion regulation (ER) seem to persistAnxiety and depression only explained difficulties in emotional clarity and acceptanceER difficulties can be a risk factor for long‐term AN relapse [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of European Eating Disorders Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/erv.2858
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        Text: English
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      – SubjectFull: Anorexia nervosa
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      – SubjectFull: Longitudinal method
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              M: 11
              Text: Nov2021
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              Y: 2021
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