Cited by 176Eating Disorders and BehaviorsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesBody Image and Dysmorphia Studies

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Social reward and rejection sensitivity in eating disorders: An investigation of attentional bias and early experiences

Cardi, Valentina, Matteo, Rosalia Di, Corfield, Freya, Treasure, Janet·2013·The World Journal of Biological Psychiatry

DOI 10.3109/15622975.2012.665479

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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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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
ORCID: Cardi, Valentina
Matteo, Rosalia Di
Treasure, Janet
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
DOI: 10.3109/15622975.2012.665479
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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Social reward and rejection sensitivity in eating disorders: An investigation of attentional bias and early experiences

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