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Cited by 52Eating Disorders and BehaviorsPsychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Cognitive and physiological dissociations in response to emotional pictures in patients with anorexia

Nandrino, Jean-Louis, Berna, Guillaume, Hot, Pascal, Dodin, Vincent, Latrée, Julie, Decharles, Sandra, Sequeira, Henrique·2012·Journal of Psychosomatic Research
DOI 10.1016/j.jpsychores.2011.11.003
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Abstract

Recent studies suggest that patients with anorexia may express dissociated cognitive and physiological reactivities to emotional stimuli. The present research aimed to compare subjective and autonomic responses to pleasant, unpleasant and neutral scenes during a categorization task and an activation rating task in anorexic (AN), alexithymic (AL), depressed (DEP) and control participants (CONT). The participants first categorized pictures according to their emotional valence, followed by a rating of their activation level, concomitant with the recording of skin conductance responses (SCRs). Main findings showed that the AN patients presented major difficulty in categorizing pictures, particularly neutral ones. Contrary to the AL participants, this difficulty did not induce significant increases of SCR amplitude in the AN patients. In the second task, the AN patients rated the intensity of activation of unpleasant pictures higher than the AL participants and that of pleasant ones higher than the AL and CONT participants. In addition, no significant linear correlation was observed between the intensity of activation ratings and SCR amplitude in the AN, AL or DEP participants contrarily to what was observed for control participants. This lack of relation suggests a non-specific disconnection between physiological and cognitive self-reported responses to emotional stimuli. Our results highlight a specific form of emotional processing in the AN patients distinct from that observed in alexithymia or depression and characterized by a dissociation between cognitive and physiological responses. This kind of disconnection could be associated with emotional regulation processes and may benefit the AN patients by lowering the psychological stress response.

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  • Individuals with high alexithymia seem less able to report their state of arousal accurately.

    “Individuals with high alexithymia also seem less able to report their state of arousal accurately (Gaigg et al., 2016; Nandrino et al., 2012; Stone and Nielson, 2001).”

    From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Nandrino et al., 2012

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Authors
Nandrino, J.-L., Berna, G., Hot, P., Dodin, V., Latrée, J., Decharles, S., & Sequeira, H.
Affiliations
  • Université Lille Nord de France (FR)
  • Centre National de la Recherche Scientifique (FR)
Corresponding author
Nandrino, Jean-Louis
ORCID
Venue
Journal of Psychosomatic Research
Publisher
Elsevier BV
Published
2012-01
Volume
72
Issue
1
Pages
58-64
ISSN
0022-3999 (ISSN-L)
DOI
10.1016/j.jpsychores.2011.11.003
OpenAlex
W2009562217
Cited by
52
References
71
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 6 · 2016: 4 · 2015: 6 · 2014: 2 · 2013: 3 · 2012: 3
FWCI
2.76
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Psychosomatic Research (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
  • LillOA (Université de Lille (University Of Lille)) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
anorexia nervosa, emotional processing, skin conductance response, alexithymia, depression, emotion regulation, psychological stress response
MeSH terms
Affective Symptoms, Anorexia Nervosa, Arousal, Autonomic Nervous System, Cognition, Depressive Disorder, Emotions, Female, Galvanic Skin Response, Humans, Psychiatric Status Rating Scales

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