Altered social reward and attention in anorexia nervosa
Open accessAbstract
Dysfunctional social reward and social attention are present in a variety of neuropsychiatric disorders including autism, schizophrenia, and social anxiety. Here we show that similar social reward and attention dysfunction are present in anorexia nervosa (AN), a disorder defined by avoidance of food and extreme weight loss. We measured the implicit reward value of social stimuli for female participants with (n = 11) and without (n = 11) AN using an econometric choice task and also tracked gaze patterns during free viewing of images of female faces and bodies. As predicted, the reward value of viewing bodies varied inversely with observed body weight for women with anorexia but not control women, in contrast with their explicit ratings of attractiveness. Surprisingly, women with AN, unlike control women, did not find female faces rewarding and avoided looking at both the face and eyes - independent of observed body weight. These findings suggest comorbid dysfunction in the neural circuits mediating gustatory and social reward in anorexia nervosa.
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Watson and colleagues outlined a framework delineating linkages between AN and reward-processing deficits, stressing the highly social nature of eating, the overlapping reward circuitry of gustatory and social stimuli, and the tendency of individuals with AN to deprive themselves of pleasure.
“Watson and colleagues [334] outlined a framework delineating linkages between AN and reward-processing deficits. Their model stressed the highly social nature of eating, the overlapping reward circuitry of gustatory and social stimuli [335,336], and the tendency of individuals with AN to deprive themselves of pleasure.”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [334]
Women with anorexia nervosa avoid looking at the faces and eyes of others and find them less rewarding compared to non-eating disorder controls.
“Evidence from behavioral studies suggests women with AN avoid looking at the faces and eyes of others and find them less rewarding compared to non-eating disorder controls (100), while at the neural level, areas of hypo- and hyperactivation have been identified in response to positive and negative social exchanges, respectively (101, 102).”
From A transdiagnostic perspective on social anhedonia (2019) · cites this paper as [100]
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Social motivation in autism: Gaps and directions for measurement of a putative core construct
Keifer, C. M., Dichter, G. S., McPartland, J. C., & Lerner, M. D. (2019) · Behavioral and Brain Sciences · doi:10.1017/s0140525x18002418 · Cited by 10 · see citing works
Experimental Investigation of Non-Verbal Communication in Eating Disorders
Harrison, A. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.113732 · Cited by 10 · see citing works
Distinct effects of social motivation on face evaluations in adolescents with and without autism
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The Functional Significance of Shyness in Anorexia Nervosa
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Look me in the eyes! A preliminary study on eye‐contact in adolescents with anorexia nervosa
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Murray, S. B., Zbozinek, T. D., Craske, M. G., Tadayonnejad, R., Strober, M. A., Bari, A., O’Doherty, J. P., & Feusner, J. D. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00546-5 · Cited by 5 · see citing works
Longo, P., Scaliti, E., Panero, M., Toppino, F., Brustolin, A., Salis, B., Lacidogna, M. C., Daga, G. A., & Martini, M. (2024) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2024.100476 · Cited by 5 · see citing works
Body Image Disturbances in Anorexia Nervosa
Marzola, E., & Daga, G. A. (2018) · Springer eBooks · doi:10.1007/978-3-319-90817-5_8 · Cited by 4 · see citing works
Experiences of mimicry in eating disorders
Erwin, S., Liu, P. J., Datta, N., Nicholas, J. K., Rivera‐Cancel, A. M., Leary, M. R., Chartrand, T. L., & Zucker, N. L. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00607-9 · Cited by 4 · see citing works
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The social motivation theory of autism spectrum disorder: Exploring mechanisms and interventions
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Cognitive-Affective Status in Anorexia Nervosa: Self-image and Absence of Positive Emotions
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Anorexia Nervosa and Eye Movements
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Neural Processing of Self-Touch and Other-Touch in Anorexia and AutismPreprint
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Anorexia Nervosa and Eye Movements
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Social Cognition and Processing in Eating Disorders
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Domain-General Affect: Neural Mechanisms and Clinical Implications
Winecoff, A. (2014) · DukeSpace (Duke University)
Kerr‐Gaffney, J., Hayward, H., Jones, E. J. H., Halls, D., Murphy, D., & Tchanturia, K. (2021) · Figshare · doi:10.6084/m9.figshare.14889427
Murray, S. B., Zbozinek, T. D., Craske, M., Tadayonnejad, R., Strober, M., Bari, A., O’Doherty, J. P., & Feusner, J. D. (2022) · Figshare · doi:10.6084/m9.figshare.19745451
Kerr‐Gaffney, J., Hayward, H., Jones, E. J. H., Halls, D., Murphy, D., & Tchanturia, K. (2021) · Figshare · doi:10.6084/m9.figshare.14889430
Murray, S. B., Zbozinek, T. D., Craske, M., Tadayonnejad, R., Strober, M., Bari, A., O’Doherty, J. P., & Feusner, J. D. (2022) · Figshare · doi:10.6084/m9.figshare.19745448
Additional file 1 of Experiences of mimicry in eating disorders
Erwin, S., Liu, P. J., Datta, N., Nicholas, J. K., Rivera‐Cancel, A. M., Leary, M., Chartrand, T. L., & Zucker, N. L. (2022) · Figshare · doi:10.6084/m9.figshare.20327383
Using facial cues to produce social decisions. A cognitive and evolutionary approach
Safra, L. (2017) · theses.fr (ABES) · doi:10.70675/47319474zdbe9z43fdzaf6ezc6d9d29319c0 · Cited by 1 · see citing works
- Authors
- Watson, K. K.
- Affiliations
- Duke University (US)
- Corresponding author
- Watson, Karli K.
- ORCID
- Watson, Karli K.
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2010
- Volume
- 1
- Pages
- 36-36
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC3157932
- OpenAlex
- W2147639757
- Cited by
- 90
- References
- 34
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 4 · 2022: 11 · 2021: 8 · 2020: 5 · 2019: 6 · 2018: 5 · 2017: 6 · 2016: 10 · 2015: 11 · 2014: 5 · 2013: 4 · 2012: 8
- FWCI
- 4.56
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Autism Speaks (AS1636)
- National Institutes of Health
- National Institute of Mental Health (R01MH078211, R01MH086712, RC1MH088678)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
- Keywords
- anorexia nervosa, social reward, social attention, gaze patterns, body weight, female faces, body attractiveness
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