Cognitive and Interpersonal Factors in Adolescent Inpatients with Anorexia Nervosa: A Network Analysis
The cognitive-interpersonal model of anorexia nervosa (AN) posits that cognitive and interpersonal traits contribute to the development and maintenance of AN. We investigated cognitive and interpersonal factors put forward by the model in a sample of 145 adolescent inpatients with AN using network a...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-04-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/10/4/730 |
| _version_ | 1797605952768180224 |
|---|---|
| author | Chantal P. Delaquis Nathalie T. Godart EVHAN Group Melina Fatséas Sylvie Berthoz |
| author_facet | Chantal P. Delaquis Nathalie T. Godart EVHAN Group Melina Fatséas Sylvie Berthoz |
| author_sort | Chantal P. Delaquis |
| collection | DOAJ |
| description | The cognitive-interpersonal model of anorexia nervosa (AN) posits that cognitive and interpersonal traits contribute to the development and maintenance of AN. We investigated cognitive and interpersonal factors put forward by the model in a sample of 145 adolescent inpatients with AN using network analysis. Our main outcomes included core eating disorder symptoms, cognitive style, socio-affective factors, and mood symptoms. We estimated a cross-sectional network using graphical LASSO. Core and bridge symptoms were identified using strength centrality. Goldbricker was used to reduce topological overlap. The node with the highest strength centrality was Concern over Mistakes, followed by Eating Preoccupation, Social Fear, and Overvaluation of Weight and Shape. The nodes with the highest bridge strength were Concern over Mistakes, Doubt about Actions, Overvaluation of Weight and Shape, and Depression. Notably, both performance on a cognitive flexibility task and BMI were not connected to any other nodes and were subsequently removed from the final network. We provide partial support for the cognitive-interpersonal model while also supporting certain premises put forward by the transdiagnostic cognitive-behavioral model. The high centrality of Concern over Mistakes and Social Fear supports the theory that both cognitive and interpersonal difficulties contribute to AN, particularly in adolescence. |
| first_indexed | 2024-03-11T05:08:25Z |
| format | Article |
| id | doaj.art-c8b1a7cc96a349abbe4a7dd062e03ad6 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T05:08:25Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-c8b1a7cc96a349abbe4a7dd062e03ad62023-11-17T18:46:53ZengMDPI AGChildren2227-90672023-04-0110473010.3390/children10040730Cognitive and Interpersonal Factors in Adolescent Inpatients with Anorexia Nervosa: A Network AnalysisChantal P. Delaquis0Nathalie T. Godart1EVHAN GroupMelina Fatséas2Sylvie Berthoz3INCIA CNRS UMR 5287, Université de Bordeaux, 33000 Bordeaux, FranceFondation Santé des Etudiants de France, 75014 Paris, FranceINCIA CNRS UMR 5287, Université de Bordeaux, 33000 Bordeaux, FranceINCIA CNRS UMR 5287, Université de Bordeaux, 33000 Bordeaux, FranceThe cognitive-interpersonal model of anorexia nervosa (AN) posits that cognitive and interpersonal traits contribute to the development and maintenance of AN. We investigated cognitive and interpersonal factors put forward by the model in a sample of 145 adolescent inpatients with AN using network analysis. Our main outcomes included core eating disorder symptoms, cognitive style, socio-affective factors, and mood symptoms. We estimated a cross-sectional network using graphical LASSO. Core and bridge symptoms were identified using strength centrality. Goldbricker was used to reduce topological overlap. The node with the highest strength centrality was Concern over Mistakes, followed by Eating Preoccupation, Social Fear, and Overvaluation of Weight and Shape. The nodes with the highest bridge strength were Concern over Mistakes, Doubt about Actions, Overvaluation of Weight and Shape, and Depression. Notably, both performance on a cognitive flexibility task and BMI were not connected to any other nodes and were subsequently removed from the final network. We provide partial support for the cognitive-interpersonal model while also supporting certain premises put forward by the transdiagnostic cognitive-behavioral model. The high centrality of Concern over Mistakes and Social Fear supports the theory that both cognitive and interpersonal difficulties contribute to AN, particularly in adolescence.https://www.mdpi.com/2227-9067/10/4/730anorexiaadolescentnetwork analysiscognitive-interpersonal modelperfectionismalexithymia |
| spellingShingle | Chantal P. Delaquis Nathalie T. Godart EVHAN Group Melina Fatséas Sylvie Berthoz Cognitive and Interpersonal Factors in Adolescent Inpatients with Anorexia Nervosa: A Network Analysis Children anorexia adolescent network analysis cognitive-interpersonal model perfectionism alexithymia |
| title | Cognitive and Interpersonal Factors in Adolescent Inpatients with Anorexia Nervosa: A Network Analysis |
| title_full | Cognitive and Interpersonal Factors in Adolescent Inpatients with Anorexia Nervosa: A Network Analysis |
| title_fullStr | Cognitive and Interpersonal Factors in Adolescent Inpatients with Anorexia Nervosa: A Network Analysis |
| title_full_unstemmed | Cognitive and Interpersonal Factors in Adolescent Inpatients with Anorexia Nervosa: A Network Analysis |
| title_short | Cognitive and Interpersonal Factors in Adolescent Inpatients with Anorexia Nervosa: A Network Analysis |
| title_sort | cognitive and interpersonal factors in adolescent inpatients with anorexia nervosa a network analysis |
| topic | anorexia adolescent network analysis cognitive-interpersonal model perfectionism alexithymia |
| url | https://www.mdpi.com/2227-9067/10/4/730 |
| work_keys_str_mv | AT chantalpdelaquis cognitiveandinterpersonalfactorsinadolescentinpatientswithanorexianervosaanetworkanalysis AT nathalietgodart cognitiveandinterpersonalfactorsinadolescentinpatientswithanorexianervosaanetworkanalysis AT evhangroup cognitiveandinterpersonalfactorsinadolescentinpatientswithanorexianervosaanetworkanalysis AT melinafatseas cognitiveandinterpersonalfactorsinadolescentinpatientswithanorexianervosaanetworkanalysis AT sylvieberthoz cognitiveandinterpersonalfactorsinadolescentinpatientswithanorexianervosaanetworkanalysis |