Comparing the implicit and explicit associations of depression, anxiety and food attitudes in people with eating disorders and healthy people
Subject Areas : Psychologysusan alizadeh fard 1 , maryam zalizadeh 2 , Ahmad علیپور 3
1 - Department of Psychology, Payame Noor University, Tehran, Iran.
2 - Department of Psychology, Payame Noor University, Tehran, Iran.
3 - Department of Psychology, Payame Noor University, Tehran, Iran.
Keywords: eating disorder, anxiety, depression, food attitude, implicit associations, explicit associations,
Abstract :
Eating disorder is a complex psychiatric illness that is chronic and debilitating. In recent decades, the cognitive model of eating disorders has been at the forefront of theorizing, research, and treatment. New research uses two distinct theoretical models for explicit and implicit information processing and evaluation. The aim of the present study was to compare the implicit and explicit associations of depression, anxiety and food attitudes in people with eating disorders and healthy people. The method of study is descriptive and correlational. The statistical population includes people with eating disorders in Tehran who have referred to medical and counseling centers in the first six months of 1399. The sampling method was cluster accessible and purposeful. The sample size was 300 people who were examined with SCL-90 questionnaires, Ahvaz Eating Disorder Inventory (Sharififard, 1998), Food Attitude Scale (Teachman et al., 2003) and computer-based task of implicit association test (Greenwald et al., 1998). Data were analyzed by using analysis of variance, which showed there is a significant difference between people with eating disorders and healthy people in explicit and implicit association of depression, in implicit association of anxiety, and in explicit association of eating attitudes. The results of regression analysis also showed that only explicit and implicit association of depression, and implicit association of anxiety can significantly predict eating disorder. These results confirm the role of implicit and explicit associations in the clinical field; and helps to better understand eating disorder, to be considered in the development of educational programs and psychological interventions.
تحویلداری، نازنین؛ جعفری راد، سیما؛ کشاورز، علی؛ هاشمی شیخ شبانی، اسماعیل؛ حقیقی زاده محمدحسین؛ و وکیلی، مهدیس. (1396). بررسی ارتباط اضطراب با رفتارهای غذا خوردن در دانشجویان درحال تحصیل در شهرهای تهران و اهواز. علوم تغذیه و صنایع غذایی ایران، (2)12، 44-35.
خدیرزارع، مریم؛ نرگسی، فریده؛ زندی، فرزاد؛ و مخبری، علیرضا. (1401). هنجاریابی پرسشنامه شناختهایی درباره بدن و سلامتی (کابا). مجله روانشناسی، (26)1، 67-75.
خیرآبادی، هادی؛ جاجرمی، محمود؛ و بخشی پور، ابوالفضل. (1400). مدل یابی ارتباط ساختاری استرس و اختلال خوردن با میانجیگری معنای زندگی و اجتناب تجربی. مجله روانشناسی، (25)4، 518-509.
سرشار، مهدیه؛ و زینالی، شیرین. (1400). سبک دلبستگي، غذاخوردن ذهن آگاهي و باورهاي مادر با غذا خوردن هيجاني کودک: نقش واسطهاي تنظيم هيجان کودک. مجله روانشناسی، (25)2، 273-289.
شریفی فرد، امل؛ نجاریان، بهمن؛ و شکرکن، حسین. (1376). بررسی رابطۀ اختلالات تغذیه با عزت نفس و افسردگی در دانشآموزان دختر دبیرستانهاي اهواز، خلاصه مقالات نخستین کنگرهء انجمن روانشناسی ایران، 123-122.
عزیززاده فروزی، منصوره؛ محمدعلیزاده، سکینه؛ حقدوست، علی اکبر؛ گروسی، بهشید؛ و شمس الدین سعید، ناهید. (1388). ارتباط تصویر ذهنی از بدن با اختلالات خوردن، پژوهش پرستاری، (15)4، 33-43.
فراهانی، حجت اله؛ عریضی، حمیدرضا. (1388). روشهای پیشرفته پژوهش در علوم انسانی. اصفهان، دانشگاه اصفهان، انتشارات جهاد دانشگاهی.
فیسک، سوزان؛ و تیلور، آشلی. (2017). شناخت اجتماعی: از مغز تا فرهنگ. مترجم: علیزاده فرد، سوسن؛ زارع، حسین؛ و رافضی، زهره. (1399). تهران: انتشارات آییژ.
مدبرنیا، محمدجعفر؛ شجاعی تهرانی، حسین؛ فلاحی، مهناز؛ و فقیرپور، مقصود. (1389). هنجاریابی آزمون SCL-R 90 در دانشآموزان دبیرستانی، پیشدانشگاهی استان گیلان. مجله دانشگاه علوم پزشکی گیلان، (۷۵)19، ۵۸-۶۵.
Alvarenga, M. S., Koritar, P., Pisciolaro, F., Mancini, M., Cordás, T. A., Scagliusi, F. B. (2014). Eating attitudes of anorexia nervosa, bulimia nervosa, binge eating disorder and obesity without eating disorder female patients: differences and similarities. Physiology & behavior, 28; 131: 99-104.
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Association: 329–354.
Brauhardt, A., Rudolph, A., Hilbert, A. (2014). Implicit cognitive processes in binge-eating disorder and obesity. Journal of Behavior Therapy and Experimental Psychiatry, 45(2): 285-290.
Burrows, K., Stewart, J. L., Antonacci, CH., Kuplicki, R., Thompson, K., Taylor, A., Teague, T. K., Paulus, M. P. (2020). Association of poorer dietary quality and higher dietary inflammation with greater symptom severity in depressed individuals with appetite loss. Journal of Affective Disorders, 263: 99-106.
Cury, M. E. G., Berberian, A., Scarpato, B. S., Kerr-Gaffney, J., Santos, F. H. and Claudino, A. M. (2020). Scrutinizing Domains of Executive Function in Binge Eating Disorder: A Systematic Review and Meta-Analysis. Frontiers in Psychiatry 11:288.
Deragatis, L. R. (1987). SCL-90-R: Administration, Scoring and Procedures Manual for the Revised Version. Clinical Psychometric Research; Baltimore MD.
Elran-Barak, T., Goldschmidt, A. B. (2021). Differences in severity of eating disorder symptoms between adults with depression and adults with anxiety. Eating and Weight Disorder, 26(5):1409-1416.
Elran-Barak, R., Dror, T., Goldschmidt, A. B. and Teachman, B. A. (2020). The Implicit Association of High-Fat Food and Shame Among Women Recovered from Eating Disorders. Frontiers in Psychology, 11:1068.
Escandón-Nagel, N., Peró, M., Grau, A., Soriano, J., Feixas, G. (2018). Emotional eating and cognitive conflicts as predictors of binge eating disorder in patients with obesity. International Journal of Clinical and Health Psychology, 18(1): 52-59.
Fronza, S., Galimberti, E., Fadda, E., Fanini, F., Bellodi, L. (2011). Implicit associations in eating disorders: An experimental study with the “self -esteem” implicit associations test. European Psychiatry, 26(1): 719.
Grilo, C. M., White, M. A., & Masheb, R. M. (2012). Significance of overvaluation of shape and weight in an ethnically diverse sample of obese patients with binge eating disorder in primary care settings. Behavioral Research and Therapy, 50, 298e303.
Greenwald, A. G., Poehlman, T. A., Uhlmann, E. L., & Banaji, M.R. (2009). Understanding and using the Implicit Association Test: III. Meta-analysis of predictive validity. Journal of Personality and Social Psychology, 97, 17-41.
Hebras, J., Marty, V., Personnaz, J., Mercier, P., Krogh, N., Nielsen, H., Aguirrebengoa, M., Seitz, H., Pradere, J. P., Guiard, B. P., Cavaille, J. (2020). Reassessment of the involvement of Snord115 in the serotonin 2c receptor pathway in a genetically relevant mouse model. Elife, 5(9): e60862.
Jordan, C. H., Spencer, S. J., Zanna, M. P. (2003). I Love Me, I Love Me Not: Implicit self-estem, expilicit self-steem, and defensiveness. Mahwah, NJ: Lawrence Elbaum.
Korn, J., Dietel, F. A. & Hartmann, A. S. (2019). An experimental Study on the Induction of an Eating Disorder -Specific Interpretation Bias in Healthy Individuals: Testing the Interpretation Modification Paradigm for Eating Disorders (IMP-ED). Cognitive Therapy and Research, 43: 1097–1108.
Lenzo, V., Barberis, N., Cannavò, M., Filastro, A., Verrastro, V., Quattropani, M.C. (2020). The relationship between alexithymia, defense mechanisms, eating disorders, anxiety and depression. Review of Psyichiatry, 55(1):24-30.
Mattar, L., Thiébaud, M. R., Huas, C., Cebula, C., Godart, N. (2012). Depression, anxiety and obsessive-compulsive symptoms in relation to nutritional status and outcome in severe anorexia nervosa. Psychiatry Research, 200, 513–517.
Parra Carriedo, A., Tena-Suck, A., Barajas-Márquez, M. et al. (2020). When clean eating isn’t as faultless: the dangerous obsession with healthy eating and the relationship between Orthorexia nervosa and eating disorders in Mexican University students. Journal of Eating Disorders, 8(54).
Paslakis, G., Scholz-Hehn, A. D., Sommer, L. M., Kuhn, S. (2021). Implicit bias to food and body cues in eating disorders: a systematic review. Eating and Weight Disorder, 26, 1303–1321.
Pengpid, S., Peltzer, K. (2018). Risk of disordered eating attitudes and its relation to mental health among university students in ASEAN. Eating and Weight Disorder, 23, 349–355.
Saleh, R. N., Salameh, R. A., Yhya, H. H. et al. (2018). Disordered eating attitudes in female students of An-Najah National University: a cross-sectional study. Journal of Eating Disorder, 6(16).
Santarossa, S., & Woodruff, S. J. (2017). Social Media: Exploring the Relationship of Social Networking Sites on Body Image, Self-Esteem, and Eating Disorders. Social Media & Society: 1-10.
Teachman, B. A., Gapinski, K. D., Brownell, K. D., Rawlins, M., & Jeyaram, S. (2003). Demonstrations of implicit anti-fat bias: the impact of providing causal information and evoking empathy. Health Psychology, 22, 68-78.
Underwood, G. & Bright, J. E. H. (1996). Cognition with and without awareness. In "Implicit Cognition". Oxford Universty Press.
Vartanian, L. R., Polivy, J., & Herman, C. P. (2004). Implicit cognitions and eating disorders: their application in research and treatment. Cognitive and Behavioral Practice, 11, 160e167.