The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
The Enigmatic Persistence of Anorexia Nervosa
Open accessAbstract
OBJECTIVE: In this review, based on recent advances in cognitive neuroscience, the author presents a formulation in which the marked persistence of anorexia nervosa can be usefully understood as a well-ingrained maladaptive habit. METHOD: The author reviewed the relevant literature on the development and course of anorexia nervosa and interpreted critical features in light of developments in cognitive neuroscience. RESULTS: Anorexia nervosa is a well characterized disorder with remarkable persistence both across history and among affected individuals. Food restriction, the salient behavioral feature of the disorder, often begins innocently but gradually takes on a life of its own. Over time, it becomes highly entrenched and resistant to change through either psychological or pharmacological treatment. Cognitive neuroscience has described two related but distinct processes that underlie the acquisition of new patterns of behavior, namely, action-outcome and stimulus-response learning. It is likely that both processes are engaged in the development of anorexia nervosa and that stimulus-response learning (that is, habit formation) is critical to the persistence of the dieting behavior. CONCLUSIONS: The formulation of the dieting behavior characteristic of anorexia nervosa as a well-entrenched habit provides a basis for understanding the striking persistence of this disorder. This model helps explain the resistance of anorexia nervosa to interventions that have established efficacy in related disorders and implies that addressing the dieting behavior is critical, especially early in the course of the illness, before it has become ingrained.
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Citations
Cites
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Self-citationFluoxetine After Weight Restoration in Anorexia Nervosa: A Randomized Controlled Trial
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Self-citation
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Treasure, J., Stein, D., & Maguire, S. (2015) · Early Intervention in Psychiatry · doi:10.1111/eip.12170 · Cited by 353
Oldershaw, A., Lavender, T., Sallis, H., Stahl, D., & Schmidt, U. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.04.005 · Cited by 222
On weight and waiting: delay discounting in anorexia nervosa pretreatment and posttreatment
Decker, J. H., Figner, B., & Steinglass, J. E. (2015) · Biological Psychiatry · doi:10.1016/j.biopsych.2014.12.016 · Cited by 163
A systematic review comparing atypical anorexia nervosa and anorexia nervosa
Walsh, B. T., Hagan, K. E., & Lockwood, C. (2023) · International Journal of Eating Disorders · doi:10.1002/eat.23856 · Cited by 170
Self-citationPsychological treatments for eating disorders
Kass, A. E., Kolko, R. P., & Wilfley, D. E. (2013) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e328365a30e · Cited by 152
Metadata
- Authors
- Walsh, B. T.
- Venue
- American Journal of Psychiatry
- Published
- 2013-05
- Volume
- 170
- Issue
- 5
- Pages
- 477-484
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2139888794
- Cited by
- 306
- References
- 20
- FWCI
- 27.16
- Type
- journal article
- Language
- en
- Open access
- green
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