Cognitive distortions in anorexia nervosa and borderline personality disorder.

About this resource

Thought-shape fusion (TSF) is a cognitive distortion associated with eating disorders (ED). A similar distortion, thought-abandonment fusion (TAbF), is assumed to occur in borderline personality disorder (BPD). In this study the specificity of TSF in participants with anorexia nervosa (AN) and TAbF in participants with BPD was examined. 63 patients completed questionnaires assessing the manifestation of trait-TAbF and trait-TSF, as well as relevant psychopathology. Nonparametric conditional inference trees were used to test for cognitive disorder-specificity. Participants with AN exhibited higher trait-TSF-scores than those with BPD, when participants with BPD and a co-occurring AN were removed. Trait-TSF in participants with AN seemed to be disorder-specific. Participants with BPD and a co-occurring AN had the highest TAbF-scores. The specificity hypothesis could only be partially confirmed for trait-TAbF: while participants with BPD and a co-occurring AN tended to have the highest trait-TAbF scores, high mean values could also be found in participants with AN. The results indicate that TAbF is not specific to BPD, but may also play a role in AN. Both distortions seem to play a role in the maintenance of the respective disorders.

AuthorDel Pozo, Melina Andrea; Harbeck, Susanne; Zahn, Sabine; Kliem, Soren; Kroger,Christoph
JournalPsychiatry research

See also

Recovery and chronicity in anorexia nervosa: Brain activity associated with differential outcomes

Background: The course of anorexia nervosa varies from rapid recovery to a chronic debilitating illness.

Read more

A systematic review of physical therapy interventions for patients with anorexia and bulimia nervosa

PURPOSE: The purpose of this systematic review was to summarise the evidence from randomised controlled trials examining the effectiveness of physical therapy compared with care as usual or a wait-list condition on eating pathology and on physiological and psychological parameters in patients with anorexia and bulimia nervosa.

Read more

Typical and atypical anorexia nervosa in a Japanese sample

OBJECTIVE: We examined the existence of non-fat-phobic anorexia nervosa (NFP-AN) and fat-phobic AN, with no evidence of distortions related to body shape and weight (AN-NED), in a Japanese sample and studied eating disorder pathology and psychopathology in NFP-AN and AN-NED.

Read more

Radically open-dialectical behavior therapy for adult anorexia nervosa: Feasibility and outcomes from an inpatient program

Background: Anorexia Nervosa (AN) is a highly life-threatening disorder that is extremely difficult to treat.

Read more

Help us improve!

Give us feedback!

We will continue throughout 2019 to update and improve the NEDC website and welcome any feedback you may have on the site.

Provide feedback