Sensitivity to reward and punishment in eating disorders
Abstract
The aim of this review was to collate and summarise the self-report data regarding anomalies in sensitivity to reward and punishment in eating disorders (ED) with use of a meta-analysis where possible. Electronic databases were searched to December 2008. Studies were required to have a non-eating disorder healthy control group and include at least one self-report measure of sensitivity to reward or punishment in an eating disorder population. Findings were very heterogeneous and inconsistencies between studies and measures were highlighted. In general, patients with anorexia nervosa (restricting type) were less sensitive to reward than healthy controls, whereas patients with bulimia nervosa and anorexia nervosa (binge/purge) type were more sensitive. All ED groups report higher sensitivity to punishment than healthy controls. Individuals with eating disorders differ from healthy controls in measures of reward and punishment sensitivity as measured using the Temperament and Character Inventory, Tridimensional Personality Questionnaire and BIS/BAS scales, but further work is required as there is some heterogeneity in the data. Generating more research using behavioural measures may increase understanding of the findings.
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Lower impulsivity is often observed in those with AN.
“However, lower impulsivity is often observed in those with AN (Harrison, O'Brien, Lopez, & Treasure, 2010).”
From Do anxiety, depression, and intolerance of uncertainty contribute to social problem solving in adult women with anorexia nervosa? (2020) · cites this paper as Harrison, O'Brien, Lopez, & Treasure, 2010
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BackgroundResultInfluentialIncreased neural processing of rewarding and aversive food stimuli in recovered anorexia nervosa
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Self-citation
- Authors
- Harrison, A., O'Brien, N., Lopez, C., & Treasure, J.
- Affiliations
- King's College London (GB)
- Corresponding author
- Harrison, Amy
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 177
- Issue
- 1-2
- Pages
- 1-11
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2051367276
- Cited by
- 244
- References
- 10
- Citations by year
- 2026: 16 · 2025: 8 · 2024: 12 · 2023: 18 · 2022: 15 · 2021: 25 · 2020: 13 · 2019: 14 · 2018: 13 · 2017: 17 · 2016: 18 · 2015: 16 · 2014: 21 · 2013: 11 · 2012: 12
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Menzies Centre for Australian Studies, King's College London, University of London
- 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
- eating disorders, reward sensitivity, punishment sensitivity, anorexia nervosa, bulimia nervosa, self-report measures, Temperament and Character Inventory, Tridimensional Personality Questionnaire, BIS/BAS scales, personality traits
- MeSH terms
- Feeding and Eating Disorders, Humans, Personality, Personality Inventory, Psychiatric Status Rating Scales, Punishment, Surveys and Questionnaires, Reward, Self Concept, Meta-Analysis as Topic
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