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- Title
Real-life self-control conflicts in anorexia nervosa: An ecological momentary assessment investigation.
- Authors
Fürtjes, Sophia; Seidel, Maria; Diestel, Stefan; Wolff, Max; King, Joseph A.; Hellerhoff, Inger; Bernadoni, Fabio; Gramatke, Katrin; Goschke, Thomas; Roessner, Veit; Ehrlich, Stefan
- Abstract
Background. Individuals with anorexia nervosa (AN) are often thought to show heightened self-control and increased ability to inhibit desires. In addition to inhibitory self-control, antecedent-focused strategies (e.g., cognitive reconstrual—the re-evaluation of tempting situations) might contribute to disorder maintenance and enable disorder-typical, maladaptive behaviors. Methods. Over a period of 14 days, 40 acutely underweight young female patients with anorexia nervosa (AN) and 40 healthy control (HC) participants reported their affect and behavior in self-control situations via ecological momentary assessment during inpatient treatment (AN) and everyday life (HC). Data were analyzed via hierarchical analyses (linear and logistic modeling). Results. Conflict strength had a significantly lower impact on self-control success in AN compared to HC. While AN and HC did not generally differ in the number or strength of self-control conflicts or in the percentage of self-control success, AN reported self-controlled behavior to be less dependent on conflict strength. Conclusions. While patients with AN were not generally more successful at self-control, they appeared to resolve self-control conflicts more effectively. These findings suggest that the magnitude of self-control conflicts has comparatively little impact on individuals with AN, possibly due to the use of antecedent-focused strategies. If confirmed, cognitive-behavioral therapy might focus on and help patients to exploit these alternative self-control strategies in the battle against their illness.
- Subjects
ECOLOGICAL momentary assessments (Clinical psychology); ANOREXIA nervosa; SELF-control; COGNITIVE therapy
- Publication
European Psychiatry, 2022, Vol 65, Issue 1, p1
- ISSN
0924-9338
- Publication type
Article
- DOI
10.1192/j.eurpsy.2022.29