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Real-life self-control conflicts in anorexia nervosa: An ecological momentary assessment investigation

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...

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Autores principales: Fürtjes, Sophia, Seidel, Maria, Diestel, Stefan, Wolff, Max, King, Joseph A., Hellerhoff, Inger, Bernadoni, Fabio, Gramatke, Katrin, Goschke, Thomas, Roessner, Veit, Ehrlich, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280923/
https://www.ncbi.nlm.nih.gov/pubmed/35707860
http://dx.doi.org/10.1192/j.eurpsy.2022.29
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author Fürtjes, Sophia
Seidel, Maria
Diestel, Stefan
Wolff, Max
King, Joseph A.
Hellerhoff, Inger
Bernadoni, Fabio
Gramatke, Katrin
Goschke, Thomas
Roessner, Veit
Ehrlich, Stefan
author_facet Fürtjes, Sophia
Seidel, Maria
Diestel, Stefan
Wolff, Max
King, Joseph A.
Hellerhoff, Inger
Bernadoni, Fabio
Gramatke, Katrin
Goschke, Thomas
Roessner, Veit
Ehrlich, Stefan
author_sort Fürtjes, Sophia
collection PubMed
description 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.
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spelling pubmed-92809232022-07-29 Real-life self-control conflicts in anorexia nervosa: An ecological momentary assessment investigation Fürtjes, Sophia Seidel, Maria Diestel, Stefan Wolff, Max King, Joseph A. Hellerhoff, Inger Bernadoni, Fabio Gramatke, Katrin Goschke, Thomas Roessner, Veit Ehrlich, Stefan Eur Psychiatry Research Article 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. Cambridge University Press 2022-06-16 /pmc/articles/PMC9280923/ /pubmed/35707860 http://dx.doi.org/10.1192/j.eurpsy.2022.29 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
spellingShingle Research Article
Fürtjes, Sophia
Seidel, Maria
Diestel, Stefan
Wolff, Max
King, Joseph A.
Hellerhoff, Inger
Bernadoni, Fabio
Gramatke, Katrin
Goschke, Thomas
Roessner, Veit
Ehrlich, Stefan
Real-life self-control conflicts in anorexia nervosa: An ecological momentary assessment investigation
title Real-life self-control conflicts in anorexia nervosa: An ecological momentary assessment investigation
title_full Real-life self-control conflicts in anorexia nervosa: An ecological momentary assessment investigation
title_fullStr Real-life self-control conflicts in anorexia nervosa: An ecological momentary assessment investigation
title_full_unstemmed Real-life self-control conflicts in anorexia nervosa: An ecological momentary assessment investigation
title_short Real-life self-control conflicts in anorexia nervosa: An ecological momentary assessment investigation
title_sort real-life self-control conflicts in anorexia nervosa: an ecological momentary assessment investigation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280923/
https://www.ncbi.nlm.nih.gov/pubmed/35707860
http://dx.doi.org/10.1192/j.eurpsy.2022.29
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