Emotional differentiation and parental bonding in inpatients suffering from eating disorders
Objectives This study aimed (1) to determine whether inpatients with eating disorders (EDs) have difficulty differentiating their emotions and being aware of the emotions of others; (2) to investigate the link between actual skills in emotional awareness and the sense of self‐efficacy concerning the...
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| Veröffentlicht in: | British journal of clinical psychology 2013-06, Vol.52 (2), p.215-229 |
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| creator | Rommel, Delphine Nandrino, Jean-Louis Antoine, Pascal Dodin, Vincent |
| description | Objectives
This study aimed (1) to determine whether inpatients with eating disorders (EDs) have difficulty differentiating their emotions and being aware of the emotions of others; (2) to investigate the link between actual skills in emotional awareness and the sense of self‐efficacy concerning these skills; and (3) to assess the impact of the quality of parental bonding on patients' levels of emotional awareness.
Methods
A sample of 44 inpatients with EDs, including a subgroup of 25 patients with restricting type anorexia nervosa (AR) and a subgroup of 19 patients with purging symptoms (PUR), were compared with 37 controls. All participants completed measures on emotional awareness (using the Level of Emotional Awareness Scale [LEAS]), alexithymia (using the Toronto Alexithymia Scale‐20 [TAS‐20]), and parental bonding (using the Parental Bonding Inventory).
Results
Inpatients with EDs reported difficulties in identifying and describing their feelings when using the self‐report questionnaire (TAS‐20). However, using a performance‐based instrument (LEAS), inpatients with ED exhibited no deficits in differentiating their emotional states, although AR patients experienced difficulties when differentiating the emotional states of others. Moreover, there was no significant association between the TAS‐20 and the LEAS scores, suggesting that the two measurements provide insight into different aspects of emotional processing. Regression analyses showed that maternal care had a positive influence on emotional awareness in the AR subgroup, whereas maternal overprotection had a negative influence on emotional awareness in PUR subgroup.
Conclusions
Inpatients with EDs do not present with deficits in personal emotional awareness despite their self‐perception. AR patients showed deficits in the emotional awareness of others. In patients with EDs, perceived maternal bonding influenced the development of emotional awareness, and this influence was dependent on the type of ED. Psychotherapies that focus on maternal bonding and emotional communication within the family unit may enhance emotional awareness in patients with anorexia or subclinical eating pathologies as an alternative.
Practitioner Points
Inpatients suffering from eating disorders do not have a deficit in emotional awareness despite their self‐perception.
Inpatients suffering from anorexia nervosa have deficits in recognizing the emotions of others.
Maternal care positively influences the levels of emotional |
| doi_str_mv | 10.1111/bjc.12010 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_01919636v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1499088674</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4930-a46813fea95fd24a72edaa37d8f3621ed5a88ab1a7c1ea1747f4786fbf187d5e3</originalsourceid><addsrcrecordid>eNqNkV1rFDEUhoModlu98A_I3Ah6MW3O5HMu61LbytKCVAoihDOTRFPnY012rf33Zrrb7ZXQEMjhzXM-kpeQN0APIa-j5qY9hIoCfUZmFeW81JWkz8mMQo6lFGqP7Kd0QykwRtlLslfxCgTweka-n_TjKowDdoUN3rvohlXASSlwsMUSJyFfNuNgw_CjCEPeywxkORVpPaVMuo9jX7is59iGNEbrYnpFXnjsknu9PQ_I108nV_OzcnF5ej4_XpQtrxktkUsNzDushbcVR1U5i8iU1Z7JCpwVqDU2gKoFh6C48lxp6RsPWlnh2AH5sKn7EzuzjKHHeGdGDObseGEmjUINtWTyD2T2_YZdxvH32qWV6UNqXdfh4MZ1MvlXaqq1VPwJqNCgOYP6CSgowbXW7HHYNo4pRed3EwM1k50m22nu7czs223ZddM7uyMf_MvAuy2AqcXORxzakB45xWou6PTqow13Gzp39_-O5uPn-UPrcpMR0sr93WVg_GWkYkqY64tTI758u1rMxbUR7B9Mo8Sa</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1417548883</pqid></control><display><type>article</type><title>Emotional differentiation and parental bonding in inpatients suffering from eating disorders</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library All Journals</source><creator>Rommel, Delphine ; Nandrino, Jean-Louis ; Antoine, Pascal ; Dodin, Vincent</creator><creatorcontrib>Rommel, Delphine ; Nandrino, Jean-Louis ; Antoine, Pascal ; Dodin, Vincent</creatorcontrib><description>Objectives
This study aimed (1) to determine whether inpatients with eating disorders (EDs) have difficulty differentiating their emotions and being aware of the emotions of others; (2) to investigate the link between actual skills in emotional awareness and the sense of self‐efficacy concerning these skills; and (3) to assess the impact of the quality of parental bonding on patients' levels of emotional awareness.
Methods
A sample of 44 inpatients with EDs, including a subgroup of 25 patients with restricting type anorexia nervosa (AR) and a subgroup of 19 patients with purging symptoms (PUR), were compared with 37 controls. All participants completed measures on emotional awareness (using the Level of Emotional Awareness Scale [LEAS]), alexithymia (using the Toronto Alexithymia Scale‐20 [TAS‐20]), and parental bonding (using the Parental Bonding Inventory).
Results
Inpatients with EDs reported difficulties in identifying and describing their feelings when using the self‐report questionnaire (TAS‐20). However, using a performance‐based instrument (LEAS), inpatients with ED exhibited no deficits in differentiating their emotional states, although AR patients experienced difficulties when differentiating the emotional states of others. Moreover, there was no significant association between the TAS‐20 and the LEAS scores, suggesting that the two measurements provide insight into different aspects of emotional processing. Regression analyses showed that maternal care had a positive influence on emotional awareness in the AR subgroup, whereas maternal overprotection had a negative influence on emotional awareness in PUR subgroup.
Conclusions
Inpatients with EDs do not present with deficits in personal emotional awareness despite their self‐perception. AR patients showed deficits in the emotional awareness of others. In patients with EDs, perceived maternal bonding influenced the development of emotional awareness, and this influence was dependent on the type of ED. Psychotherapies that focus on maternal bonding and emotional communication within the family unit may enhance emotional awareness in patients with anorexia or subclinical eating pathologies as an alternative.
Practitioner Points
Inpatients suffering from eating disorders do not have a deficit in emotional awareness despite their self‐perception.
Inpatients suffering from anorexia nervosa have deficits in recognizing the emotions of others.
Maternal care positively influences the levels of emotional awareness in patients with restricting type anorexia nervosa.
Maternal overprotection negatively influences the level of emotional awareness in bulimia nervosa and anorexia nervosa purging type.
Because it is important to explore emotional processes based on the type of eating disorders, our study is limited by its small sample size.
The use of the LEAS in this study is a limitation, as it does not take into account the accuracy of the patients' ability to label their own emotions.</description><identifier>ISSN: 0144-6657</identifier><identifier>EISSN: 2044-8260</identifier><identifier>DOI: 10.1111/bjc.12010</identifier><identifier>PMID: 24215149</identifier><identifier>CODEN: BJCPDW</identifier><language>eng</language><publisher>Leicester: Blackwell Publishing Ltd</publisher><subject>Adult ; Adult and adolescent clinical studies ; Affective Symptoms - diagnosis ; Affective Symptoms - psychology ; Alexithymia ; Anorexia nervosa ; Anorexia Nervosa - psychology ; Awareness ; Biological and medical sciences ; Confounding Factors (Epidemiology) ; Eating behavior disorders ; Eating disorders ; Emotions ; Feeding and Eating Disorders - psychology ; Female ; Hospitalization ; Humanities and Social Sciences ; Humans ; Inpatients - psychology ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Object Attachment ; Outpatients - psychology ; Parental bonding ; Parents ; Personality Inventory ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Recognition (Psychology) ; Self Efficacy ; Surveys and Questionnaires</subject><ispartof>British journal of clinical psychology, 2013-06, Vol.52 (2), p.215-229</ispartof><rights>2012 The British Psychological Society</rights><rights>2015 INIST-CNRS</rights><rights>2012 The British Psychological Society.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4930-a46813fea95fd24a72edaa37d8f3621ed5a88ab1a7c1ea1747f4786fbf187d5e3</citedby><cites>FETCH-LOGICAL-c4930-a46813fea95fd24a72edaa37d8f3621ed5a88ab1a7c1ea1747f4786fbf187d5e3</cites><orcidid>0000-0003-2339-9432 ; 0000-0002-7848-5568</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbjc.12010$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbjc.12010$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27903,27904,30979,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27394501$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24215149$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-01919636$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Rommel, Delphine</creatorcontrib><creatorcontrib>Nandrino, Jean-Louis</creatorcontrib><creatorcontrib>Antoine, Pascal</creatorcontrib><creatorcontrib>Dodin, Vincent</creatorcontrib><title>Emotional differentiation and parental bonding in inpatients suffering from eating disorders</title><title>British journal of clinical psychology</title><addtitle>Br J Clin Psychol</addtitle><description>Objectives
This study aimed (1) to determine whether inpatients with eating disorders (EDs) have difficulty differentiating their emotions and being aware of the emotions of others; (2) to investigate the link between actual skills in emotional awareness and the sense of self‐efficacy concerning these skills; and (3) to assess the impact of the quality of parental bonding on patients' levels of emotional awareness.
Methods
A sample of 44 inpatients with EDs, including a subgroup of 25 patients with restricting type anorexia nervosa (AR) and a subgroup of 19 patients with purging symptoms (PUR), were compared with 37 controls. All participants completed measures on emotional awareness (using the Level of Emotional Awareness Scale [LEAS]), alexithymia (using the Toronto Alexithymia Scale‐20 [TAS‐20]), and parental bonding (using the Parental Bonding Inventory).
Results
Inpatients with EDs reported difficulties in identifying and describing their feelings when using the self‐report questionnaire (TAS‐20). However, using a performance‐based instrument (LEAS), inpatients with ED exhibited no deficits in differentiating their emotional states, although AR patients experienced difficulties when differentiating the emotional states of others. Moreover, there was no significant association between the TAS‐20 and the LEAS scores, suggesting that the two measurements provide insight into different aspects of emotional processing. Regression analyses showed that maternal care had a positive influence on emotional awareness in the AR subgroup, whereas maternal overprotection had a negative influence on emotional awareness in PUR subgroup.
Conclusions
Inpatients with EDs do not present with deficits in personal emotional awareness despite their self‐perception. AR patients showed deficits in the emotional awareness of others. In patients with EDs, perceived maternal bonding influenced the development of emotional awareness, and this influence was dependent on the type of ED. Psychotherapies that focus on maternal bonding and emotional communication within the family unit may enhance emotional awareness in patients with anorexia or subclinical eating pathologies as an alternative.
Practitioner Points
Inpatients suffering from eating disorders do not have a deficit in emotional awareness despite their self‐perception.
Inpatients suffering from anorexia nervosa have deficits in recognizing the emotions of others.
Maternal care positively influences the levels of emotional awareness in patients with restricting type anorexia nervosa.
Maternal overprotection negatively influences the level of emotional awareness in bulimia nervosa and anorexia nervosa purging type.
Because it is important to explore emotional processes based on the type of eating disorders, our study is limited by its small sample size.
The use of the LEAS in this study is a limitation, as it does not take into account the accuracy of the patients' ability to label their own emotions.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Affective Symptoms - diagnosis</subject><subject>Affective Symptoms - psychology</subject><subject>Alexithymia</subject><subject>Anorexia nervosa</subject><subject>Anorexia Nervosa - psychology</subject><subject>Awareness</subject><subject>Biological and medical sciences</subject><subject>Confounding Factors (Epidemiology)</subject><subject>Eating behavior disorders</subject><subject>Eating disorders</subject><subject>Emotions</subject><subject>Feeding and Eating Disorders - psychology</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Inpatients - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Object Attachment</subject><subject>Outpatients - psychology</subject><subject>Parental bonding</subject><subject>Parents</subject><subject>Personality Inventory</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Recognition (Psychology)</subject><subject>Self Efficacy</subject><subject>Surveys and Questionnaires</subject><issn>0144-6657</issn><issn>2044-8260</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkV1rFDEUhoModlu98A_I3Ah6MW3O5HMu61LbytKCVAoihDOTRFPnY012rf33Zrrb7ZXQEMjhzXM-kpeQN0APIa-j5qY9hIoCfUZmFeW81JWkz8mMQo6lFGqP7Kd0QykwRtlLslfxCgTweka-n_TjKowDdoUN3rvohlXASSlwsMUSJyFfNuNgw_CjCEPeywxkORVpPaVMuo9jX7is59iGNEbrYnpFXnjsknu9PQ_I108nV_OzcnF5ej4_XpQtrxktkUsNzDushbcVR1U5i8iU1Z7JCpwVqDU2gKoFh6C48lxp6RsPWlnh2AH5sKn7EzuzjKHHeGdGDObseGEmjUINtWTyD2T2_YZdxvH32qWV6UNqXdfh4MZ1MvlXaqq1VPwJqNCgOYP6CSgowbXW7HHYNo4pRed3EwM1k50m22nu7czs223ZddM7uyMf_MvAuy2AqcXORxzakB45xWou6PTqow13Gzp39_-O5uPn-UPrcpMR0sr93WVg_GWkYkqY64tTI758u1rMxbUR7B9Mo8Sa</recordid><startdate>201306</startdate><enddate>201306</enddate><creator>Rommel, Delphine</creator><creator>Nandrino, Jean-Louis</creator><creator>Antoine, Pascal</creator><creator>Dodin, Vincent</creator><general>Blackwell Publishing Ltd</general><general>British Psychological Society</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>1XC</scope><scope>BXJBU</scope><orcidid>https://orcid.org/0000-0003-2339-9432</orcidid><orcidid>https://orcid.org/0000-0002-7848-5568</orcidid></search><sort><creationdate>201306</creationdate><title>Emotional differentiation and parental bonding in inpatients suffering from eating disorders</title><author>Rommel, Delphine ; Nandrino, Jean-Louis ; Antoine, Pascal ; Dodin, Vincent</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4930-a46813fea95fd24a72edaa37d8f3621ed5a88ab1a7c1ea1747f4786fbf187d5e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Affective Symptoms - diagnosis</topic><topic>Affective Symptoms - psychology</topic><topic>Alexithymia</topic><topic>Anorexia nervosa</topic><topic>Anorexia Nervosa - psychology</topic><topic>Awareness</topic><topic>Biological and medical sciences</topic><topic>Confounding Factors (Epidemiology)</topic><topic>Eating behavior disorders</topic><topic>Eating disorders</topic><topic>Emotions</topic><topic>Feeding and Eating Disorders - psychology</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Inpatients - psychology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Object Attachment</topic><topic>Outpatients - psychology</topic><topic>Parental bonding</topic><topic>Parents</topic><topic>Personality Inventory</topic><topic>Psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Recognition (Psychology)</topic><topic>Self Efficacy</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rommel, Delphine</creatorcontrib><creatorcontrib>Nandrino, Jean-Louis</creatorcontrib><creatorcontrib>Antoine, Pascal</creatorcontrib><creatorcontrib>Dodin, Vincent</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société</collection><jtitle>British journal of clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rommel, Delphine</au><au>Nandrino, Jean-Louis</au><au>Antoine, Pascal</au><au>Dodin, Vincent</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emotional differentiation and parental bonding in inpatients suffering from eating disorders</atitle><jtitle>British journal of clinical psychology</jtitle><addtitle>Br J Clin Psychol</addtitle><date>2013-06</date><risdate>2013</risdate><volume>52</volume><issue>2</issue><spage>215</spage><epage>229</epage><pages>215-229</pages><issn>0144-6657</issn><eissn>2044-8260</eissn><coden>BJCPDW</coden><abstract>Objectives
This study aimed (1) to determine whether inpatients with eating disorders (EDs) have difficulty differentiating their emotions and being aware of the emotions of others; (2) to investigate the link between actual skills in emotional awareness and the sense of self‐efficacy concerning these skills; and (3) to assess the impact of the quality of parental bonding on patients' levels of emotional awareness.
Methods
A sample of 44 inpatients with EDs, including a subgroup of 25 patients with restricting type anorexia nervosa (AR) and a subgroup of 19 patients with purging symptoms (PUR), were compared with 37 controls. All participants completed measures on emotional awareness (using the Level of Emotional Awareness Scale [LEAS]), alexithymia (using the Toronto Alexithymia Scale‐20 [TAS‐20]), and parental bonding (using the Parental Bonding Inventory).
Results
Inpatients with EDs reported difficulties in identifying and describing their feelings when using the self‐report questionnaire (TAS‐20). However, using a performance‐based instrument (LEAS), inpatients with ED exhibited no deficits in differentiating their emotional states, although AR patients experienced difficulties when differentiating the emotional states of others. Moreover, there was no significant association between the TAS‐20 and the LEAS scores, suggesting that the two measurements provide insight into different aspects of emotional processing. Regression analyses showed that maternal care had a positive influence on emotional awareness in the AR subgroup, whereas maternal overprotection had a negative influence on emotional awareness in PUR subgroup.
Conclusions
Inpatients with EDs do not present with deficits in personal emotional awareness despite their self‐perception. AR patients showed deficits in the emotional awareness of others. In patients with EDs, perceived maternal bonding influenced the development of emotional awareness, and this influence was dependent on the type of ED. Psychotherapies that focus on maternal bonding and emotional communication within the family unit may enhance emotional awareness in patients with anorexia or subclinical eating pathologies as an alternative.
Practitioner Points
Inpatients suffering from eating disorders do not have a deficit in emotional awareness despite their self‐perception.
Inpatients suffering from anorexia nervosa have deficits in recognizing the emotions of others.
Maternal care positively influences the levels of emotional awareness in patients with restricting type anorexia nervosa.
Maternal overprotection negatively influences the level of emotional awareness in bulimia nervosa and anorexia nervosa purging type.
Because it is important to explore emotional processes based on the type of eating disorders, our study is limited by its small sample size.
The use of the LEAS in this study is a limitation, as it does not take into account the accuracy of the patients' ability to label their own emotions.</abstract><cop>Leicester</cop><pub>Blackwell Publishing Ltd</pub><pmid>24215149</pmid><doi>10.1111/bjc.12010</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0003-2339-9432</orcidid><orcidid>https://orcid.org/0000-0002-7848-5568</orcidid></addata></record> |
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| ispartof | British journal of clinical psychology, 2013-06, Vol.52 (2), p.215-229 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library All Journals |
| subjects | Adult Adult and adolescent clinical studies Affective Symptoms - diagnosis Affective Symptoms - psychology Alexithymia Anorexia nervosa Anorexia Nervosa - psychology Awareness Biological and medical sciences Confounding Factors (Epidemiology) Eating behavior disorders Eating disorders Emotions Feeding and Eating Disorders - psychology Female Hospitalization Humanities and Social Sciences Humans Inpatients - psychology Male Medical sciences Middle Aged Miscellaneous Object Attachment Outpatients - psychology Parental bonding Parents Personality Inventory Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Recognition (Psychology) Self Efficacy Surveys and Questionnaires |
| title | Emotional differentiation and parental bonding in inpatients suffering from eating disorders |
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