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Overcoming limitations of self-report : an assessment of fear of weight gain in anorexia nervosa and healthy controls using implicit association tests

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2021

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Borgers, Tiana
Krüger, Nathalie
Vocks, Silja
Thomas, Jennifer J.
Plessow, Franziska

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Open Access-Veröffentlichung
Open Access Gold
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Published

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Journal of Eating Disorders. BioMed Central. 2021, 9, 26. eISSN 2050-2974. Available under: doi: 10.1186/s40337-021-00379-8

Zusammenfassung

Background
Fear of weight gain is a characteristic feature of anorexia nervosa (AN), and reducing this fear is often a main target of treatment. However, research shows that 20% of individuals with AN do not report fear of weight gain. Studies are needed that evaluate the centrality of fear of weight gain for AN with a method less susceptible to deception than self-report.

Methods
We approximated implicit fear of weight gain by measuring implicit drive for thinness using implicit association tests (IATs). We asked 64 participants (35 AN, 29 healthy controls [HCs]) to categorize statements as pro-dieting vs. non-dieting and true vs. false in a questionnaire-based IAT, and pictures of underweight vs. normal-weight models and positive vs. negative words in a picture-based IAT using two response keys. We tested for associations between implicit drive for thinness and explicitly reported psychopathology within AN as well as group differences between AN and HC groups.

Results
Correlation analyses within the AN group showed that higher implicit drive for thinness was associated with more pronounced eating disorder-specific psychopathology. Furthermore, the AN group showed a stronger implicit drive for thinness than HCs in both IATs.

Conclusion
The results highlight the relevance of considering fear of weight gain as a continuous construct. Our implicit assessment captures various degrees of fear of weight gain in AN, which might allow for more individually tailored interventions in the future.

Zusammenfassung in einer weiteren Sprache

Fachgebiet (DDC)
150 Psychologie

Schlagwörter

Anorexia nervosa, Implicit association test, IAT, Drive for thinness, Fat phobia, Implicit association, Fear of weight gain, Feeding and eating disorders

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ISO 690BORGERS, Tiana, Nathalie KRÜGER, Silja VOCKS, Jennifer J. THOMAS, Franziska PLESSOW, Andrea S. HARTMANN, 2021. Overcoming limitations of self-report : an assessment of fear of weight gain in anorexia nervosa and healthy controls using implicit association tests. In: Journal of Eating Disorders. BioMed Central. 2021, 9, 26. eISSN 2050-2974. Available under: doi: 10.1186/s40337-021-00379-8
BibTex
@article{Borgers2021-02-18Overc-55552,
  year={2021},
  doi={10.1186/s40337-021-00379-8},
  title={Overcoming limitations of self-report : an assessment of fear of weight gain in anorexia nervosa and healthy controls using implicit association tests},
  volume={9},
  journal={Journal of Eating Disorders},
  author={Borgers, Tiana and Krüger, Nathalie and Vocks, Silja and Thomas, Jennifer J. and Plessow, Franziska and Hartmann, Andrea S.},
  note={Article Number: 26}
}
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