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Cognitive and Interpersonal Factors in Adolescent Inpatients with Anorexia Nervosa: A Network Analysis

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  • معلومة اضافية
    • Contributors:
      Institut de Neurosciences cognitives et intégratives d'Aquitaine (INCIA); Université Bordeaux Segalen - Bordeaux 2-Université Sciences et Technologies - Bordeaux 1 (UB)-SFR Bordeaux Neurosciences-Centre National de la Recherche Scientifique (CNRS); Centre de recherche en épidémiologie et santé des populations (CESP); Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay; Université de Versailles Saint-Quentin-en-Yvelines - UFR Sciences de la santé Simone Veil (UVSQ Santé); Université de Versailles Saint-Quentin-en-Yvelines (UVSQ); CHU Bordeaux; Institut Mutualiste de Montsouris (IMM); CNAMTS; Fondation MGEN; PHRCN; Agence Nationale de la Recherche, ANR, (ANR-17-EURE-0028); Institut National de la Santé et de la Recherche Médicale, Inserm; Fondation de France; Ministère des Affaires Sociales et de la Santé; ANR-17-EURE-0028,UBGSNeuro,University of Bordeaux Neurocampus Graduate School(2017)
    • بيانات النشر:
      HAL CCSD
      MDPI
    • الموضوع:
      2023
    • نبذة مختصرة :
      International audience ; 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.
    • Relation:
      hal-04233261; https://hal.science/hal-04233261; https://hal.science/hal-04233261/document; https://hal.science/hal-04233261/file/children-10-00730.pdf
    • الرقم المعرف:
      10.3390/children10040730
    • Rights:
      http://creativecommons.org/licenses/by/ ; info:eu-repo/semantics/OpenAccess
    • الرقم المعرف:
      edsbas.CF06292B