Social reward and rejection sensitivity in eating disorders: an investigation of attentional bias and early experiences
Abstract
OBJECTIVES: People with eating disorders (EDs) have difficulties with social functioning. One explanatory mechanism is a problem with over-sensitivity to rejection and/or low sensitivity to social reward. The aim of this study is to investigate attentional bias to facial stimuli in people with a lifetime diagnosis of EDs and healthy controls (HCs) and to test whether these attentional biases are linked to adverse early experiences. METHODS: Forty-six participants with a current diagnosis of EDs (29 with anorexia nervosa (AN) and 17 with bulimia nervosa (BN)), 22 participants recovered from an eating disorder (13 with past AN and nine with past BN) and 50 HCs completed a dot-probe task with faces expressing rejection and acceptance. Participants reported on parental style and adverse early experiences. RESULTS: People with a lifetime diagnosis of EDs show an attentional bias to rejecting faces and a difficulty disengaging attention from these stimuli. Also, they had a sustained attentional avoidance of accepting faces. HCs demonstrated the opposite attentional pattern. The attentional bias to rejection was correlated with adverse childhood experiences. CONCLUSIONS: People with an EDs show vigilance to rejection and avoidance of social reward. This may contribute to the causation or maintenance of the illness.
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Decreased sensitivity to social rewards is documented in schizophrenia, eating disorders, PTSD, and autism spectrum disorders.
“Specifically, decreased sensitivity to social rewards is documented in schizophrenia (61), eating disorders (93), PTSD (118), and autism spectrum disorders (146).”
From A transdiagnostic perspective on social anhedonia (2019) · cites this paper as [93]
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- Authors
- Cardi, V., Matteo, R. D., Corfield, F., & Treasure, J.
- Affiliations
- King's College London (GB)
- University of Chieti-Pescara (IT)
- Corresponding author
- Cardi, Valentina
- Venue
- The World Journal of Biological Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2012-03-16
- Volume
- 14
- Issue
- 8
- Pages
- 622-633
- ISSN
- 1562-2975 (ISSN-L)
- 1814-1412
- OpenAlex
- W2167384946
- Cited by
- 176
- References
- 65
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 9 · 2023: 15 · 2022: 19 · 2021: 25 · 2020: 13 · 2019: 11 · 2018: 19 · 2017: 14 · 2016: 8 · 2015: 8 · 2014: 8 · 2013: 13 · 2012: 5
- FWCI
- 12.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The World Journal of Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- eating disorders, anorexia nervosa, bulimia nervosa, rejection sensitivity, social reward, attentional bias, facial expressions, adverse childhood experiences, parental styles, dot-probe task, attentional avoidance, social functioning
- MeSH terms
- Adult, Anorexia Nervosa, Attention, Facial Expression, Female, Humans, Life Change Events, Psychiatric Status Rating Scales, Reward, Psychological Distance, Social Perception, Bulimia Nervosa, Young Adult
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