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A systematic review and meta-analysis of ‘Systems for Social Processes' in eating disorders
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Social and emotional problems have been implicated in the development and maintenance of eating disorders (ED). This paper reviews the facets of social processing in ED according to the NIMH Research and Domain Criteria (NIMH RDoC) 'Systems for Social Processes' framework. Embase, Medline, PsycInfo and Web of Science were searched for peer-reviewed articles published by March 2013. One-hundred and fifty four studies measuring constructs of: attachment, social communication, perception and understanding of self and others, and social dominance in people with ED, were identified. Eleven meta-analyses were performed, they showed evidence that people with ED had attachment insecurity (d=1.31), perceived low parental care (d=.51), appraised high parental overprotection (d=0.29), impaired facial emotion recognition (d=.44) and facial communication (d=2.10), increased facial avoidance (d=.52), reduced agency (d=.39), negative self-evaluation (d=2.27), alexithymia (d=.66), poor understanding of mental states (d=1.07) and sensitivity to social dominance (d=1.08). There is less evidence for problems with production and reception of non-facial communication, animacy and action.
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“Meta-analyses have found that people with eating disorders (EDs), depression, schizophrenia, and autism spectrum disorders (ASD) have similar difficulties in accurate interpretation of emotions, including recognition of basic emotions in faces and tone of voice with small effect sizes and in emotional theory of mind with medium to large effect sizes (Bora and Berk, 2016;Bora and Köse, 2016;Caglar-”
From Meta-analysis of the effects of intranasal oxytocin on interpretation and expression of emotions (2017) · cites this paper as Caglar-Nazali et al., 2014
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“Beyond reward difficulties in relation to food, current models also recognize the importance of social and emotional difficulties in the development, maintenance, and recovery from eating disorders (91, 92).”
From A transdiagnostic perspective on social anhedonia (2019) · cites this paper as [92]
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Metadata
- Authors
- Caglar-Nazali, H. P., Corfield, F., Cardi, V., Ambwani, S., Leppanen, J., Olabintan, O., Deriziotis, S., Hadjimichalis, A., Scognamiglio, P., Eshkevari, E., Micali, N., & Treasure, J.
- Affiliations
- King's College London (GB)
- Dickinson College (US)
- University College London (GB)
- Corresponding author
- Corfield, Freya
- ORCID
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2014-05
- Volume
- 42
- Pages
- 55-92
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W2017793106
- Cited by
- 294
- References
- 220
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 22 · 2023: 24 · 2022: 22 · 2021: 31 · 2020: 30 · 2019: 19 · 2018: 27 · 2017: 36 · 2016: 20 · 2015: 31 · 2014: 9
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Research Portal (King's College London) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- 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 › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- eating disorders, social processes, insecure attachment, parental overprotection, facial emotion recognition, facial communication, agency, self-assessment, alexithymia, theory of mind, social dominance, social communication
- MeSH terms
- Feeding and Eating Disorders, Humans, Self Concept, Social Perception, Social Skills
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