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Rumination in anorexia nervosa: Cognitive-affective and neuroendocrinological aspects

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  • Additional Information
    • Affiliation:
      a Division of Psychological and Social Medicine and Developmental Neuroscience, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany
      b Translational Developmental Neuroscience Section, Eating Disorder Research and Treatment Center, Department of Child and Adolescent Psychiatry, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany
      c Institute for Clinical Chemistry and Pathobiochemistry, Otto-von-Guericke University Magdeburg, Magdeburg, Germany
    • Keywords:
      Anorexia nervosa
      Rumination
      Leptin
      Ecological momentary assessment
    • Abstract:
      Rumination about body weight/figure as well as food is common in patients with Anorexia Nervosa (AN) and may be a maintenance factor of the disorder. While rumination can generally be considered as a cognitive-affective process, food-related rumination may be driven primarily by a physiological response to undernutrition. In the current longitudinal study, we integrate ecological momentary assessment of rumination and affect and, as a biological marker of undernutrition, plasma leptin levels collected from 33 AN patients. At the very acute stage and again after short-term weight-restoration patients answered short questionnaires six times per day over two weeks. Analyses via hierarchical linear modelling confirmed that rumination is closely linked to affect in AN before and after weight-restoration. Rumination about food decreased during weight-restoration and was correlated with leptin levels. In contrast, rumination about body weight/figure was not linked to leptin, persisted after weight gain, and showed stronger connections with affect. This suggests that rumination about body weight/figure seems to be a cognitive-affective aspect of the disorder, but food-related rumination may need to be considered from a physiological perspective. It is possible that food-related ruminative thoughts reflect a physiological symptom induced by undernutrition, similar to well-described leptin-associated changes in physical activity.
    • ISSN:
      0005-7967
    • Accession Number:
      10.1016/j.brat.2018.10.001
    • Accession Number:
      S0005796718301542
    • Copyright:
      © 2018 Elsevier Ltd. All rights reserved.
  • Citations
    • ABNT:
      FÜRTJES, S. et al. Rumination in anorexia nervosa: Cognitive-affective and neuroendocrinological aspects. Behaviour Research and Therapy, [s. l.], v. 111, p. 92–98, 2018. DOI 10.1016/j.brat.2018.10.001. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0005796718301542. Acesso em: 20 set. 2020.
    • AMA:
      Fürtjes S, Seidel M, King JA, Biemann R, Roessner V, Ehrlich S. Rumination in anorexia nervosa: Cognitive-affective and neuroendocrinological aspects. Behaviour Research and Therapy. 2018;111:92-98. doi:10.1016/j.brat.2018.10.001
    • APA:
      Fürtjes, S., Seidel, M., King, J. A., Biemann, R., Roessner, V., & Ehrlich, S. (2018). Rumination in anorexia nervosa: Cognitive-affective and neuroendocrinological aspects. Behaviour Research and Therapy, 111, 92–98. https://doi.org/10.1016/j.brat.2018.10.001
    • Chicago/Turabian: Author-Date:
      Fürtjes, Sophia, Maria Seidel, Joseph A. King, Ronald Biemann, Veit Roessner, and Stefan Ehrlich. 2018. “Rumination in Anorexia Nervosa: Cognitive-Affective and Neuroendocrinological Aspects.” Behaviour Research and Therapy 111 (December): 92–98. doi:10.1016/j.brat.2018.10.001.
    • Harvard:
      Fürtjes, S. et al. (2018) ‘Rumination in anorexia nervosa: Cognitive-affective and neuroendocrinological aspects’, Behaviour Research and Therapy, 111, pp. 92–98. doi: 10.1016/j.brat.2018.10.001.
    • Harvard: Australian:
      Fürtjes, S, Seidel, M, King, JA, Biemann, R, Roessner, V & Ehrlich, S 2018, ‘Rumination in anorexia nervosa: Cognitive-affective and neuroendocrinological aspects’, Behaviour Research and Therapy, vol. 111, pp. 92–98, viewed 20 September 2020, .
    • MLA:
      Fürtjes, Sophia, et al. “Rumination in Anorexia Nervosa: Cognitive-Affective and Neuroendocrinological Aspects.” Behaviour Research and Therapy, vol. 111, Dec. 2018, pp. 92–98. EBSCOhost, doi:10.1016/j.brat.2018.10.001.
    • Chicago/Turabian: Humanities:
      Fürtjes, Sophia, Maria Seidel, Joseph A. King, Ronald Biemann, Veit Roessner, and Stefan Ehrlich. “Rumination in Anorexia Nervosa: Cognitive-Affective and Neuroendocrinological Aspects.” Behaviour Research and Therapy 111 (December 1, 2018): 92–98. doi:10.1016/j.brat.2018.10.001.
    • Vancouver/ICMJE:
      Fürtjes S, Seidel M, King JA, Biemann R, Roessner V, Ehrlich S. Rumination in anorexia nervosa: Cognitive-affective and neuroendocrinological aspects. Behaviour Research and Therapy [Internet]. 2018 Dec 1 [cited 2020 Sep 20];111:92–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0005796718301542