A cognitive behavioural theory of anorexia nervosa
Abstract
A cognitive behavioural theory of the maintenance of anorexia nervosa is proposed. It is argued that an extreme need to control eating is the central feature of the disorder, and that in Western societies a tendency to judge self-worth in terms of shape and weight is superimposed on this need for self-control. The theory represents a synthesis and extension of existing accounts. It is 'new', not so much because of its content, but because of its exclusive focus on maintenance, its organisational structure and its level of specification. It is suggested that the theory has important implications for treatment.
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Weight, shape, and eating concerns may increase during times when the sense of self-control decreases by external factors such as the present crisis.
“Thus, weight, shape, and eating concerns may increase during times when the sense of self‐control decreases by external factors such as occurring in the present crisis (Fairburn, Shafran, & Cooper, 1999).”
From Eating disorders in times of the <scp>COVID</scp>‐19 pandemic—Results from an online survey of patients with anorexia nervosa (2020) · cites this paper as Fairburn, Shafran, & Cooper, 1999
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- Authors
- Fairburn, C. G., Shafran, R., & Cooper, Z.
- Affiliations
- Warneford Hospital (GB)
- Corresponding author
- Fairburn, Christopher G
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1999-01
- Volume
- 37
- Issue
- 1
- Pages
- 1-13
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2085592087
- Cited by
- 644
- References
- 59
- Citations by year
- 2026: 13 · 2025: 22 · 2024: 17 · 2023: 18 · 2022: 17 · 2021: 25 · 2020: 27 · 2019: 16 · 2018: 24 · 2017: 18 · 2016: 28 · 2015: 30 · 2014: 28 · 2013: 37 · 2012: 28
- FWCI
- 23.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Wellcome Trust
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- anorexia nervosa, cognitive behavioural theory, maintenance of eating disorders, self-control, food intake regulation, body image, weight and shape concerns, self-worth, therapeutic implications
- MeSH terms
- Adolescent, Adolescent Behavior, Adult, Anorexia Nervosa, Body Image, Bulimia, Feeding Behavior, Female, Humans, Male, Models, Psychological, Self Concept, Weight Loss, Cognitive Behavioral Therapy
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