Disgust and Self-Disgust in Eating Disorders: A Systematic Review and Meta-analysis

Introduction Disgust and self-disgust are aversive emotions which are often encountered in people with eating disorders. Objectives The aim of this systematic review is to conduct a synthesis of studies that have measured aspects of disgust and self-disgust in people with EDs. Methods We conducted...

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Main Authors: S. Bektas, J. L. Keeler, H. Mutwalli, H. Himmerich, J. Treasure
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S0924933823009161/type/journal_article
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author S. Bektas
J. L. Keeler
H. Mutwalli
H. Himmerich
J. Treasure
author_facet S. Bektas
J. L. Keeler
H. Mutwalli
H. Himmerich
J. Treasure
author_sort S. Bektas
collection DOAJ
description Introduction Disgust and self-disgust are aversive emotions which are often encountered in people with eating disorders. Objectives The aim of this systematic review is to conduct a synthesis of studies that have measured aspects of disgust and self-disgust in people with EDs. Methods We conducted a systematic review and meta-analysis of disgust and self-disgust in people with eating disorders using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review of the literature revealed 52 original research papers. Results There was substantial heterogeneity regarding the research question and outcomes. However, we found 5 articles on disgust elicited by food images, 10 studies on generic disgust sensitivity, and 4 studies on self-disgust, and we proceeded to a meta-analytic approach on these studies. We found that women with eating disorders have significantly higher momentary disgust feelings in response to food images (1.32; 95% CI 1.05, 1.59), higher generic disgust sensitivity (0.49; 95% CI 0.24, 0.71), and higher self-disgust (1.90; 95% CI 1.51, 2.29) compared with healthy controls. Conclusions These findings indicate the potential clinical relevance of disgust and self-disgust in the treatment of eating disorders. Disclosure of Interest None Declared
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spelling doaj.art-02d0a1e538304c99a6b1cb6a4e24b00a2023-11-17T05:08:11ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S426S42610.1192/j.eurpsy.2023.916Disgust and Self-Disgust in Eating Disorders: A Systematic Review and Meta-analysisS. Bektas0J. L. Keeler1H. Mutwalli2H. Himmerich3J. Treasure4Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom Department of Psychology, Hacettepe University, Ankara, TürkiyeSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United KingdomSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom Department of Clinical Nutrition, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom Eating Disorders Unit, Bethlem Royal Hospital, South London and Maudsley NHS Foundation Trust (SLaM), Maudsley HospitalSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom Eating Disorders Unit, Bethlem Royal Hospital, South London and Maudsley NHS Foundation Trust (SLaM), Maudsley Hospital, London, United Kingdom Introduction Disgust and self-disgust are aversive emotions which are often encountered in people with eating disorders. Objectives The aim of this systematic review is to conduct a synthesis of studies that have measured aspects of disgust and self-disgust in people with EDs. Methods We conducted a systematic review and meta-analysis of disgust and self-disgust in people with eating disorders using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The systematic review of the literature revealed 52 original research papers. Results There was substantial heterogeneity regarding the research question and outcomes. However, we found 5 articles on disgust elicited by food images, 10 studies on generic disgust sensitivity, and 4 studies on self-disgust, and we proceeded to a meta-analytic approach on these studies. We found that women with eating disorders have significantly higher momentary disgust feelings in response to food images (1.32; 95% CI 1.05, 1.59), higher generic disgust sensitivity (0.49; 95% CI 0.24, 0.71), and higher self-disgust (1.90; 95% CI 1.51, 2.29) compared with healthy controls. Conclusions These findings indicate the potential clinical relevance of disgust and self-disgust in the treatment of eating disorders. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823009161/type/journal_article
spellingShingle S. Bektas
J. L. Keeler
H. Mutwalli
H. Himmerich
J. Treasure
Disgust and Self-Disgust in Eating Disorders: A Systematic Review and Meta-analysis
European Psychiatry
title Disgust and Self-Disgust in Eating Disorders: A Systematic Review and Meta-analysis
title_full Disgust and Self-Disgust in Eating Disorders: A Systematic Review and Meta-analysis
title_fullStr Disgust and Self-Disgust in Eating Disorders: A Systematic Review and Meta-analysis
title_full_unstemmed Disgust and Self-Disgust in Eating Disorders: A Systematic Review and Meta-analysis
title_short Disgust and Self-Disgust in Eating Disorders: A Systematic Review and Meta-analysis
title_sort disgust and self disgust in eating disorders a systematic review and meta analysis
url https://www.cambridge.org/core/product/identifier/S0924933823009161/type/journal_article
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