Effect of modifying negative interpretation bias toward ambiguous social stimuli across eating and personality disorders.

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Title: Effect of modifying negative interpretation bias toward ambiguous social stimuli across eating and personality disorders.
Authors: An, Zhen, Kwag, Kyung Hwa, Kim, Mirihae, Yang, Jae‐Won, Shin, Hui‐Ji, Treasure, Janet, Kim, Youl‐Ri
Source: International Journal of Eating Disorders. Jul2023, Vol. 56 Issue 7, p1341-1352. 12p. 4 Charts, 2 Graphs.
Subjects: Treatment of eating disorders, Personality disorder treatment, Effect sizes (Statistics), Task performance, Treatment effectiveness, Social status, Descriptive statistics, Cognitive testing, Statistical sampling, Cognitive therapy, Attentional bias, Evaluation
Abstract: Objective: Heightened sensitivity toward social rejection has been implicated in eating disorders (ED) and personality disorder (PD). This study examined the effect of a cognitive bias modification training (CBM‐I) targeting the interpretation of ambiguous social situations in individuals with comorbid ED and PD. Method: A total of 128 participants [33 with ED and PD, 22 with ED‐only, 22 with PD‐only, and 51 healthy controls (HC)] were recruited from a hospital and university settings, and included in the final analyses. The participants were randomly assigned to a CBM‐I task with benign resolutions or a control task with neutral resolutions in a counterbalanced order in two sessions using a within‐subject design. Interpretation bias toward social stimuli was measured using the ambiguous sentence completion task before and after completing the assigned task. Results: The CBM‐I task increased benign and decreased negative interpretations with large effect sizes in the diagnostic groups, and with a moderate effect size in the HC group. Participants' anxiety levels were also reduced after the task. The size of the change in negative interpretation was positively associated with baseline negative affect, and negatively associated with baseline positive affect. Discussion: The results suggest that modifying interpretation bias has the potential as a transdiagnostic target of treatment for ED and PD, and a fully powered clinical trial with consecutive sessions would be warranted. Public Significance: Participants with eating disorders and/or personality disorder, and healthy controls completed a single session of a cognitive training intervention targeting rejection sensitivity. The training produced a large decrease in negative interpretation in the diagnostic groups, and a moderate effect in healthy controls. The findings indicate that training for positive processing of social information may be of value to augment treatment in conditions such as eating disorders and personality disorder, in which there are high levels of rejection sensitivity. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Effect of modifying negative interpretation bias toward ambiguous social stimuli across eating and personality disorders.
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  Data: <searchLink fieldCode="AR" term="%22An%2C+Zhen%22">An, Zhen</searchLink><br /><searchLink fieldCode="AR" term="%22Kwag%2C+Kyung+Hwa%22">Kwag, Kyung Hwa</searchLink><br /><searchLink fieldCode="AR" term="%22Kim%2C+Mirihae%22">Kim, Mirihae</searchLink><br /><searchLink fieldCode="AR" term="%22Yang%2C+Jae‐Won%22">Yang, Jae‐Won</searchLink><br /><searchLink fieldCode="AR" term="%22Shin%2C+Hui‐Ji%22">Shin, Hui‐Ji</searchLink><br /><searchLink fieldCode="AR" term="%22Treasure%2C+Janet%22">Treasure, Janet</searchLink><br /><searchLink fieldCode="AR" term="%22Kim%2C+Youl‐Ri%22">Kim, Youl‐Ri</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Jul2023, Vol. 56 Issue 7, p1341-1352. 12p. 4 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Treatment+of+eating+disorders%22">Treatment of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Personality+disorder+treatment%22">Personality disorder treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Effect+sizes+%28Statistics%29%22">Effect sizes (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Task+performance%22">Task performance</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Social+status%22">Social status</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+testing%22">Cognitive testing</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Attentional+bias%22">Attentional bias</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Heightened sensitivity toward social rejection has been implicated in eating disorders (ED) and personality disorder (PD). This study examined the effect of a cognitive bias modification training (CBM‐I) targeting the interpretation of ambiguous social situations in individuals with comorbid ED and PD. Method: A total of 128 participants [33 with ED and PD, 22 with ED‐only, 22 with PD‐only, and 51 healthy controls (HC)] were recruited from a hospital and university settings, and included in the final analyses. The participants were randomly assigned to a CBM‐I task with benign resolutions or a control task with neutral resolutions in a counterbalanced order in two sessions using a within‐subject design. Interpretation bias toward social stimuli was measured using the ambiguous sentence completion task before and after completing the assigned task. Results: The CBM‐I task increased benign and decreased negative interpretations with large effect sizes in the diagnostic groups, and with a moderate effect size in the HC group. Participants' anxiety levels were also reduced after the task. The size of the change in negative interpretation was positively associated with baseline negative affect, and negatively associated with baseline positive affect. Discussion: The results suggest that modifying interpretation bias has the potential as a transdiagnostic target of treatment for ED and PD, and a fully powered clinical trial with consecutive sessions would be warranted. Public Significance: Participants with eating disorders and/or personality disorder, and healthy controls completed a single session of a cognitive training intervention targeting rejection sensitivity. The training produced a large decrease in negative interpretation in the diagnostic groups, and a moderate effect in healthy controls. The findings indicate that training for positive processing of social information may be of value to augment treatment in conditions such as eating disorders and personality disorder, in which there are high levels of rejection sensitivity. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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    Identifiers:
      – Type: doi
        Value: 10.1002/eat.23936
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 1341
    Subjects:
      – SubjectFull: Treatment of eating disorders
        Type: general
      – SubjectFull: Personality disorder treatment
        Type: general
      – SubjectFull: Effect sizes (Statistics)
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      – SubjectFull: Task performance
        Type: general
      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Social status
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Cognitive testing
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      – SubjectFull: Statistical sampling
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      – SubjectFull: Cognitive therapy
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      – SubjectFull: Attentional bias
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      – SubjectFull: Evaluation
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      – TitleFull: Effect of modifying negative interpretation bias toward ambiguous social stimuli across eating and personality disorders.
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            NameFull: An, Zhen
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            – D: 01
              M: 07
              Text: Jul2023
              Type: published
              Y: 2023
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