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A new network analysis model in anorexia nervosa patients based on self‐reported eating disorder symptoms, psychological distress, and cognitive flexibility.

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Title: A new network analysis model in anorexia nervosa patients based on self‐reported eating disorder symptoms, psychological distress, and cognitive flexibility.
Authors: Giles, Sarah (AUTHOR), Hughes, Elizabeth K. (AUTHOR), Castle, David (AUTHOR), Jenkins, Zoe (AUTHOR), Phillipou, Andrea (AUTHOR), Rossell, Susan (AUTHOR), Urbini, Gemma (AUTHOR), Fuller‐Tyszkiewicz, Matthew (AUTHOR), Krug, Isabel (AUTHOR)
Source: British Journal of Clinical Psychology. Mar2024, Vol. 63 Issue 1, p118-134. 17p.
Subjects: Mental depression risk factors, Cognitive flexibility, Self-evaluation, Psychology, Risk assessment, Conceptual models, Descriptive statistics, Anorexia nervosa, Anxiety, Psychological distress
Abstract: Objectives: Cognitive flexibility and psychological distress, such as depression and anxiety, have been implicated in the aetiology of Anorexia Nervosa (AN). Despite the known associations between eating disorder (ED) symptoms, depression, anxiety, and cognitive flexibility, the specific pathways that connect these constructs are unclear. We therefore used network analysis to examine the relationship between these symptoms in an AN sample. Methods: One hundred and ninety‐three treatment‐seeking individuals diagnosed with AN (95.6% female, M = 26.89 [SD = 9.45] years old) completed self‐report measures assessing depression, anxiety, cognitive flexibility, and ED symptoms. To determine each symptom's influence in the network, we calculated the expected influence. Results: The two relationships with the greatest edges were those between (1) weight/shape concerns and eating/dietary restraint and (2) weight/shape concerns and psychological distress (a measure that combined depression and anxiety). Cognitive flexibility was not connected to weight/shape concerns but had negative partial associations with eating concerns/dietary restraint and psychological distress. There was also a slight, non‐zero connection between eating concerns/dietary restraint and psychological distress. Conclusions: The findings underscore the importance of weight/shape, eating/dietary concerns, and psychological distress in the AN network and suggest that addressing cognitive flexibility may be a useful target for eating concerns/dietary restraint and psychological distress. Future studies assessing the longitudinal course of psychopathology within the AN network structure may help in identifying whether specific symptoms function as risk factors or maintaining factors for this co‐occurrence. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Clinical Psychology 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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  Label: Title
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  Data: A new network analysis model in anorexia nervosa patients based on self‐reported eating disorder symptoms, psychological distress, and cognitive flexibility.
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  Data: <searchLink fieldCode="AR" term="%22Giles%2C+Sarah%22">Giles, Sarah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hughes%2C+Elizabeth+K%2E%22">Hughes, Elizabeth K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Castle%2C+David%22">Castle, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jenkins%2C+Zoe%22">Jenkins, Zoe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Phillipou%2C+Andrea%22">Phillipou, Andrea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rossell%2C+Susan%22">Rossell, Susan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Urbini%2C+Gemma%22">Urbini, Gemma</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fuller‐Tyszkiewicz%2C+Matthew%22">Fuller‐Tyszkiewicz, Matthew</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Krug%2C+Isabel%22">Krug, Isabel</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Clinical+Psychology%22">British Journal of Clinical Psychology</searchLink>. Mar2024, Vol. 63 Issue 1, p118-134. 17p.
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  Data: <searchLink fieldCode="DE" term="%22Mental+depression+risk+factors%22">Mental depression risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+flexibility%22">Cognitive flexibility</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+models%22">Conceptual models</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</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="%22Psychological+distress%22">Psychological distress</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objectives: Cognitive flexibility and psychological distress, such as depression and anxiety, have been implicated in the aetiology of Anorexia Nervosa (AN). Despite the known associations between eating disorder (ED) symptoms, depression, anxiety, and cognitive flexibility, the specific pathways that connect these constructs are unclear. We therefore used network analysis to examine the relationship between these symptoms in an AN sample. Methods: One hundred and ninety‐three treatment‐seeking individuals diagnosed with AN (95.6% female, M = 26.89 [SD = 9.45] years old) completed self‐report measures assessing depression, anxiety, cognitive flexibility, and ED symptoms. To determine each symptom's influence in the network, we calculated the expected influence. Results: The two relationships with the greatest edges were those between (1) weight/shape concerns and eating/dietary restraint and (2) weight/shape concerns and psychological distress (a measure that combined depression and anxiety). Cognitive flexibility was not connected to weight/shape concerns but had negative partial associations with eating concerns/dietary restraint and psychological distress. There was also a slight, non‐zero connection between eating concerns/dietary restraint and psychological distress. Conclusions: The findings underscore the importance of weight/shape, eating/dietary concerns, and psychological distress in the AN network and suggest that addressing cognitive flexibility may be a useful target for eating concerns/dietary restraint and psychological distress. Future studies assessing the longitudinal course of psychopathology within the AN network structure may help in identifying whether specific symptoms function as risk factors or maintaining factors for this co‐occurrence. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of British Journal of Clinical Psychology 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: 10.1111/bjc.12451
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        Text: English
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      – SubjectFull: Mental depression risk factors
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      – SubjectFull: Cognitive flexibility
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      – SubjectFull: Self-evaluation
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      – SubjectFull: Psychology
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      – SubjectFull: Risk assessment
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      – SubjectFull: Conceptual models
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      – SubjectFull: Anorexia nervosa
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      – SubjectFull: Anxiety
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      – SubjectFull: Psychological distress
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              Text: Mar2024
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