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Cited by 12Eating Disorders and BehaviorsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesObsessive-Compulsive Spectrum Disorders

The relation between symptoms of bulimia nervosa and obsessive-compulsive disorder: a startle investigation

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Altman, Sarah E., Campbell, Miranda L., Nelson, Brady D., Faust, Julianne P., Shankman, Stewart A.·2013·Journal of Abnormal Psychology
DOI 10.1037/a0034487
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Abstract

Bulimia nervosa (BN) and obsessive-compulsive disorder (OCD) co-occur at greater rates than chance and may have shared mechanisms of dysfunction. One of these proposed mechanisms is a hyper-responsive aversive system as indicated by heightened startle response to aversive stimuli. The present study examined this hypothesis using 2 types of aversive stimuli: disorder specific (e.g., high-caloric food pictures for BN, contamination pictures for OCD) and nondisorder specific (e.g., knife). Temporal parameters of aversive responding were also examined by assessing startle response in anticipation of and following picture presentation. The sample consisted of 114 undergraduate women selected to have a broad range of BN and/or OCD symptomatology. OCD symptoms were associated with increased startle potentiation during the anticipation and presentation of contamination pictures, and BN symptoms were associated with increased startle potentiation during disorder-related contamination pictures (e.g., sink, toilet). BN symptoms were also associated with increased startle potentiation during and following the presentation of food pictures (though the former effect was only a trend). Additionally, the interaction of BN and OCD symptoms was associated with elevated startle responding during the presentation of contamination and threat stimuli. Overall, the present study provides evidence that BN and OCD symptoms are associated with heightened aversive responding to disorder-specific stimuli, and comorbid BN and OCD symptoms are associated with heightened aversive responding across disorder-specific and nonspecific aversive stimuli. Clinical and theoretical implications are discussed.

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Crossref · 10.1037/a0034487

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  • There is an exaggerated physiological startle response to anticipation and viewing of disorder-specific, potentially threatening stimuli, such as images of trauma, contamination, or food, in people with PTSD, OCD, and ED.

    “For example, there is an exaggerated physiological startle response to anticipation and viewing of disorder-specific, potentially threatening stimuli, such as images of trauma, contamination, or food (Altman et al., 2013;Mauler et al., 2006;Pitman et al., 2012;Simon et al., 2013).”

    From Meta-analytic review of the effects of a single dose of intranasal oxytocin on threat processing in humans (2018) · cites this paper as Altman et al., 2013

  • Behavioural studies have demonstrated that people with PTSD, OCD, and ED show anomalies in physiological response to threat.

    “Behavioural studies have demonstrated that people with PTSD, OCD, and ED show anomalies in physiological response to threat.”

    From Meta-analytic review of the effects of a single dose of intranasal oxytocin on threat processing in humans (2018) · cites this paper as Altman et al., 2013

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Authors
Altman, S. E., Campbell, M. L., Nelson, B. D., Faust, J. P., & Shankman, S. A.
Affiliations
University of Illinois Chicago (US)
Corresponding author
Shankman, Stewart A.
ORCID
Venue
Journal of Abnormal Psychology
Publisher
American Psychological Association (APA)
Published
2013-11
Volume
122
Issue
4
Pages
1132-1141
ISSN
  • 0021-843X (ISSN-L)
  • 1939-1846
DOI
10.1037/a0034487
OpenAlex
W2317339122
Cited by
12
References
68
Citations by year
2022: 2 · 2021: 1 · 2020: 2 · 2019: 3 · 2017: 2 · 2016: 1 · 2015: 1
FWCI
0.74
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Abnormal Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion, cc-by)
Funders
  • University of Illinois-Chicago
  • National Institute of Mental Health (R21MH080689)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
Keywords
bulimia nervosa, obsessive-compulsive disorder, startle potentiation, food images, threat stimuli, comorbidities, women
MeSH terms
Adolescent, Adult, Blinking, Female, Humans, Male, Obsessive-Compulsive Disorder, Photic Stimulation, Reflex, Startle, Comorbidity, Case-Control Studies, Bulimia Nervosa, Young Adult

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