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Cited by 161Eating Disorders and BehaviorsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesNutrition, Health and Food Behavior

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Attentional Processing of Food Pictures in Individuals with Anorexia Nervosa—An Eye-Tracking Study

Giel, Katrin E., Friederich, Hans-Christoph, Teufel, Martin, Hautzinger, Martin, Enck, Paul, Zipfel, Stephan·2011·Biological Psychiatry
DOI 10.1016/j.biopsych.2010.09.047
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Abstract

Background Etiologic models of anorexia nervosa (AN) suggest that cognitive factors play a crucial role in the disorder's psychopathology. Attentional aspects of food processing in AN remain largely unknown. Both an early attentional bias (vigilance) and inattentiveness (avoidance) to food pictures have been reported in patients with eating disorders. The study's aim was to examine the vigilance-avoidance hypothesis concerning food information processing by unraveling the time course of attention deployment in individuals with AN. Methods We used eye-tracking to examine continuous attention deployment in 19 individuals with AN during free visual exploration of food pictures versus nonfood pictures compared with 18 fasted and 20 nonfasted healthy control subjects. Results Compared with healthy control subjects, AN patients allocated overall less attention to food pictures but showed no early attentional bias toward food pictures. Attentional engagement for food pictures was most pronounced in fasted healthy control subjects. The extent of attention deployment in AN patients was associated with indicators of the disorder's severity. Conclusions Gaze data suggest that individuals with AN show no early vigilance but later avoidance when confronted with food information. This suggests that initially, AN patients perceive incentive salience from food information because they process food pictures in the same way healthy control subjects do. The time course of attention deployment s…

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Metadata

Authors
Giel, K. E., Friederich, H.-C., Teufel, M., Hautzinger, M., Enck, P., & Zipfel, S.
Affiliations
  • Universitätsklinikum Tübingen (DE)
  • University Hospital Heidelberg (DE)
  • University of Tübingen (DE)
Corresponding author
Giel, Katrin E.
ORCID
Venue
Biological Psychiatry
Publisher
Elsevier BV
Published
2011-04
Volume
69
Issue
7
Pages
661-667
ISSN
0006-3223 (ISSN-L)
DOI
10.1016/j.biopsych.2010.09.047
OpenAlex
W2012452018
Cited by
161
References
0
Citations by year
2026: 3 · 2025: 9 · 2024: 12 · 2023: 9 · 2022: 10 · 2021: 12 · 2020: 11 · 2019: 12 · 2018: 18 · 2017: 16 · 2016: 6 · 2015: 15 · 2014: 6 · 2013: 13 · 2012: 4
FWCI
7.36
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Biological Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
Bundesministerium für Bildung und Forschung (01GV0624)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
anorexia nervosa, food images, attentional bias, food avoidance, attentional deployment, eye movements, incentive salience, eating disorders, food processing, disorder severity
MeSH terms
Adolescent, Adult, Analysis of Variance, Anorexia Nervosa, Attention Deficit Disorder with Hyperactivity, Female, Fixation, Ocular, Food, Humans, Orientation, Photic Stimulation, Psychophysics, Statistics as Topic, Visual Perception, Young Adult

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