Tímea Krizbai*1, Laura Csenki2, Bea Pászthy2, Pál Szabó3
*timea.krizbai@gmail.com
1Sapientia, Hungarian University of Transylvania, Romania
2Semmelweis University, Budapest, Hungary
3University of Debrecen, Debrecen, Hungary
Abstract
In eating disorders, the pathological and disordered eating behaviors are manifestations of serious underlying emotional issues. An individual struggling with an eating disorder does not learn how to accept, manage and express their emotions. Emotional functioning deficits of affect regulation deficits have been widely examined in eating disorders (Taska et al., 2009; Vansteelandt, Rijmen, Pieters, Probst, Vanderlinden, 2007). Affect regulation deficit means that the emotional responses are poorly modulated, and do not fall within the conventionally accepted range of emotive response. Studies show that the overgenerality of the autobiographical memory can also be an affect regulation strategy for diminishing the negative emotions in anorexia nervosa (Williams, 1996). Conway (1995) considers that autobiographical memory is organized hierarchically, event-specific memories are at the basis of the hierarchy, and they are representations of the personal experiences, which are vivid memories. On the top of the hierarchy are the life stories which are representations of longer periods and they are rather vague. General memories are vaguer and emotionally more neutral than specific memories.
The aims of our study were to analyze the affective responses to different food stimuli on the dimension of valence, arousal and dominance, and the functioning of autobiographical memory in girls suffering from anorexia nervosa.
Our results show that, in the responses to food images, a specific emotion regulation deficit can be detected in anorexic patients. The anorexia nervosa also causes differences in recalling specific memories related to negative and positive cue words. Furthermore the positive specific memories strongly connect with the eating disorder symptoms.
Keywords: autobiographical memory, emotion regulation deficits, anorexia nervosa
Published online: 2016/09/01
Published print: 2016/09/01
References
Brewin, C.R., Reynolds, M., & Tata, P. (1999). Autobiographical memory processes and the course of depression. Journal of Abnormal Psychology, 108 (3), 511-517.
Brittlebank, A.D., Scott, J., Williams, J.M.G., & Ferrier, I.N. (1993). Autobiographical memory in depression: State of trait marker? British Journal of Psychology, 162, 118-121.
Conway, M.A. (1995). Autobiographical knowledge and autobiographical memories. In: Rubin, D.C. (Eds). Remembering our past. Studies in Autobiographical memory. (pp. 201-245). Cambridge University Press, Cambridge.
Dalgleish, T., Tchanturia, K., Serpell, L., Hems, S., Yiend, J., De Silva, P., & Treasure, J. (2003). Self-reported parental abuse relates to autobiographical memory style in patients with eating disorders. Emotion, 3(3), 211-222. doi: 10.1037/1528-3542.3.3.211
Deák, A., Csenki, L., & Révész, Gy. (2010). Hungarian ratings for the International Affective Picture System (IAPS): a cross-cultural comparison. Empirical Text and Culture Research, 4, 90-101.
Doba, K., Nandrino, J.L., Lesne, A., Humez, C. & Pezard, L. (2008). Organization of the narrative components in autobiographical speech of anorexic adolescents: A statistical and non-linear dynamical analysis. New Ideas in Psychology, 26, 295-308. doi:10.1016/j.newideapsych.2007.07.004
Goddard, L., Dritschel, B., & Burton, A. (1996). The role of autobiographical memory in social problem solving and depression. Journal of Abnormal Psychology, 105(4), 609-616.
Gross, J.J. (1998). The emerging field of emotions regulation: an integrative review. Review of General Psychology, 2(3), 271-299.
Halmi, K.A., Eckert, E., Marchi, P., Sampugnaro, V., Apple, R., & Cohen, J. (1991). Comorbidity of psychiatric diagnosis in anorexia nervosa. Archives of General Psychiatry, 48(8), 712-718. doi: 10.1001/archpsyc.1991.01810320036006
Hermans, D., Van den Broeck, K., Belis, G., Raes, F., Pieters, G., & Eelen, P. (2004). Trauma and autobiographical memory specificity in depressed inpatients. Behaviour Research and Therapy, 42(7), 775-789. doi: 10.1016/S0005-7967(03)00197-9
Herzog, D.B., Keller, M.B., Sacks, N.R., Yeh, C.J., & Lavori, P.W. (1992). Psychiatric comorbidity in treatment-seeking anorexics and bulimics. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 810-818. doi:10.1097/00004583-199309000-00011
Jones, L., Harmer, C., Cowen, P. & Cooper., N. (2008). Emotional face processing in women with high and low levels of eating disorder related symptoms. Eating Behaviors, 9(4), 389-397. doi: 10.1016/j.eatbeh.2008.03.001
Karwautz, A., Völkl-Kernstock, S., Nobis, G., Kalchmayr, G., Hafferl-Gattermayre, A., Wöber-Bingöl, C., & Friedrich, M.H. (2001). Characteristics of self-regulation in adolescent patients with anorexia nervosa. British Journal of Medical Psychology, 74, 101-114.
Kovács, M. (1985). The Children Depression Inventory (CDI). Psychopharmacology Bulletin, 21, 995-999.
Kovács, M. (1992). Children’s depression inventory (CDI) manual. North Tonawanda, NY & Toronto, Canada: Multi-Health Systems, Inc.
Laberg, S., & Andersson, G. (2004). Autobiographical memories in patients treated for bulimia nervosa. European Eating Disorders Review, 12(1), 34-41.
Lang, P.J., Bradley, M.M., & Cuthbert, B.N. (2008). International affective picture System (IAPS): Affective ratings of pictures and instruction manual. Technical Report A-8. University of Florida, Gainesville, FL.
Lask, B., Bryant–Waugh, R. (2007): Eating disorders in childhood and adolescents. Routledge: East Sussex.
Markus, H. (1977). Self-schemata and processing of information about the self. Journal of Personality and Social Psychology, 35(2), 63-78. doi: 10.1037/0022-3514.35.2.63
McNally, R. J., Lasko, N. B., Macklin, M. L., Pitman, R. K. (1995). Autobiographical memory disturbance in combat–related posttraumatic stress disorder. Behavioural Research Therapy, 33, 619–630.
Nandrino, J.L., Doba, K., Lesne, A., Christophe, V. & Pezard, L. (2006). Autobiographical memory deficit in anorexia nervosa: Emotion regulation and effect of duration of illness. Journal of Psychosomatic Research, 61, 537-543. doi: 10.1016/j.jpsychores.2006.02.008
Quinton, S. & Wagner, H.L. (2005). Alexithymia, ambivalence over emotional expression, and eating attitudes. Personality and Individual Differences, 38, 1163-1173. doi: 10.1016/j.paid.2004.07.013
Rawal, A., Park, R.J. & Williams, M.G. (2010). Rumination, experiential avoidance, and dysfunctional thinking in eating disorders. Behaviour Research and Therapy, 48, 851-859. doi: 10.1016/j.brat.2010.05.009
Rózsa, S., Vetró, Á., Komlósi, A., Gádoros, J., Kő, N., & Csorba, J. (1999). A gyermek- és serdülőkori depresszió kérdőíves mérésének lehetősége a klinikai és normatív mintán szerzett tapasztalatok alapján. [The possibility of measuring child and adolescent depression based on experiences gathered on clinival and normative samples]. Pszichológia, 19, 459-482.
Salbach-Andrae, A., Bohnekamp, I., Pfeiffer, E. & Lehmkuhl, U. (2008). Dialectical behavior therapy of anorexia and bulimia nervosa among adolescents: A case series. Cognitive and Behavioral Practice, 15, 415-425.
Sharpe, E., Wallis, D.J., & Ridout, N. (2016). The influence of variations in eating disorder-related symptoms on processing of emotional faces in a non-clinical female sample: An eye-tracking study. Psychiatry Research, 240, 321-327. doi: 10.1016/j.psychres.2016.04.065
Steinhausen, H.C. (2002). The outcome of anorexia nervosa in the 20th century. American Journal of Psychiatry, 159(8), 1284–1293. doi: 10.1176/appi.ajp.159.8.1284
Stewart, A. (2005). Disorders of eating control. In P.J. Graham (Ed.), Cognitive behavior therapy for children and families (pp. 359-384). Cambridge University Press.
Taska, G.A., Szadkowski, L., Illing, V., Trinneer, A., Grenon, R., Demidenko, N., Krysansky, V., Balfour, L.,& Bissada, H. (2009). Adult attachment, depression, and eating disorder symptoms: The mediating role of affect regulation strategies. Personality and Individual Differences, 47, 662–667. doi: 10.1016/j.paid.2009.06.006
Tekcan, A.I., Caglar Tas, A., Topcouglu, V. & Yücel, B. (2008). Memory bias in anorexia nervosa: Evidence from directed forgetting. Journal of Behavior Therapy and Experimental Psychiatry, 39(3), 369-380. doi: 10.1016/j.jbtep.2007.09.005
Thompson, R.A. (1994). Emotion regulation: A theme in search of definition. In N. A. Fox (Ed.), The development of emotion regulation and dysregulation: Biological and behavioral aspects. Monographs of the Society for Research in Child Development, 59 (2-3), (pp. 25-52). (Serial no. 240)
Túry, F., Sáfrán, Zs., Wildmann, M., & László. Zs. (1997). Az Evési Zavar Kérdőív hazai adaptációja. [Hungarian Adatation of Eating Disorder Inventory]. Szenvedélybetegségek, 5, 336-342.
Túry, F., Szabó, P. (2000). A táplálkozási magatartás zavarai: az anorexia nervosa és a bulimia nervosa. [The eating disorders: anorexia nervosa and bulimia nervosa]. Medicina Kiadó, Budapest.
Vansteelandt, K., Rijmen, F., Pieters, G., Probst, M., Vanderlinden, J. (2007). Drive for thinness, affect regulation and physical activity in eating disorders: A daily life study. Behaviour Research and Therapy, 45(8), 1717–1734. doi: 10.1016/j.brat.2006.12.005
Wessel, I., Meeren, M., Peeters, F., Arntz, A., & Merckelbach, H. (2001). Correlates of autobiographical memory specificity. Behaviour Research and Therapy, 39(4), 409-421.
Williams, J. M. G. (1996). Depression and the specificity of autobiographical memory. In: Rubin, D. (ed). Remembering our Past: Studies in Autobiographical Memory. Cambridge University Press: Cambridge, 244–267. doi: 10.1016/j.comppsych.2007.07.004
Williams, J. M. G., Broadbent, K. (1986). Autobiographical memory in attempted suicide patients. Journal of Abnormal Psychology, 95, 144–149. doi: 10.1037/0021-843X.95.2.144
Zonnevijlle-Bender, M.J.S., van Goozen, S.H.M., Cohen-Kettenis, P.T., van Elburg, A. & van Engeland, H. (2002). Do adolescent anorexia nervosa patients have deficits in emotional functionig? European Child and Adolescent Psychiatry, 11, 38-42. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11942427