Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-747
Authors: Kolar, David R.
Hammerle, Florian
Jenetzky, Ekkehart
Huss, Michael
Bürger, Arne
Title: Aversive tension in female adolescents with Anorexia Nervosa : a controlled ecological momentary assessment using smartphones
Online publication date: 24-May-2016
Language: english
Abstract: BACKGROUND: Current models of Anorexia Nervosa (AN) emphasize the role of emotion regulation. Aversive tension, described as a state of intense arousal and negative valence, is considered to be a link between emotional events and disordered eating. Recent research focused only on adult patients, and mainly general emotion regulation traits were studied. However, the momentary occurrence of aversive tension, particularly in adolescents with AN, has not been previously studied. METHOD: 20 female adolescents with AN in outpatient treatment and 20 healthy adolescents aged 12 to 19years participated in an ecological momentary assessment using their smartphones. Current states of aversive tension and events were assessed hourly for two consecutive weekdays. Mean and maximum values of aversive tension were compared. Multilevel analyses were computed to test the influence of time and reported events on aversive tension. The effect of reported events on subsequent changes of aversive tension in patients with AN were additionally tested in a multilevel model. RESULTS: AN patients showed higher mean and maximum levels of aversive tension. In a multilevel model, reported food intake was associated with higher levels of aversive tension in the AN group, whereas reported school or sport-related events were not linked to specific states of aversive tension. After food intake, subsequent increases of aversive tension were diminished and decreases of aversive tension were induced in adolescents with AN. CONCLUSIONS: Aversive tension may play a substantial role in the psychopathology of AN, particular in relation with food intake. Therefore, treatment should consider aversive tension as a possible intervening variable during refeeding. Our findings encourage further research on aversive tension and its link to disordered eating. TRIAL REGISTRATION: German register of clinical trials (DRKS): DRKS00005228 (Date of registration: September 2, 2013).
DDC: 150 Psychologie
150 Psychology
Institution: Johannes Gutenberg-Universität Mainz
Department: FB 04 Medizin
Place: Mainz
ROR: https://ror.org/023b0x485
DOI: http://doi.org/10.25358/openscience-747
URN: urn:nbn:de:hebis:77-publ-537872
Version: Published version
Publication type: Zeitschriftenaufsatz
License: CC BY
Information on rights of use: https://creativecommons.org/licenses/by/4.0/
Journal: BMC Psychiatry
16
Pages or article number: Art. 97
Publisher: BioMed Central
Publisher place: London
Issue date: 2016
ISSN: 1471-244X
Publisher URL: http://dx.doi.org/10.1186/s12888-016-0807-8
Publisher DOI: 10.1186/s12888-016-0807-8
Appears in collections:JGU-Publikationen

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