L’attentional bias nei disturbi dell’alimentazione: il ruolo del contenuto emozionale degli stimoli

Titolo Rivista QUADERNI DI PSICOTERAPIA COGNITIVA
Autori/Curatori Monica David, Caterina Lombardo
Anno di pubblicazione 2013 Fascicolo 2013/32
Lingua Italiano Numero pagine 18 P. 79-96 Dimensione file 453 KB
DOI 10.3280/QPC2013-032006
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La letteratura scientifica ha sottolineato ormai da tempo il ruolo di bias attentivi nell’etiologia e nel mantenimento della psicopatologia. Il bias attenzionale può essere definito come il cambiamento nella direzione in cui una persona focalizza la propria attenzione in risposta ad uno stimolo associato alla propria patologia oppure in risposta ad uno stimolo percepito come minaccioso. La presente rassegna esamina i risultati ottenuti dagli studi condotti nell’ambito dei disturbi dell’alimentazione allo scopo di valutare se le caratteristiche metodologiche, quali il tipo di paradigma o la tipologia di stimoli usati per indurre il fenomeno dell’attentional bias, producono risultati differenti. Per lo più si tratta di studi condotti con il paradigma Stroop che, sebbene criticato, ha permesso di evidenziare il diverso comportamento dei pazienti con anoressia e bulimia; mentre i primi sembrerebbero maggiormente focalizzati sul corpo, i secondi anche sugli stimoli legati al cibo. Molto probabilmente ciò è dovuto ai diversi meccanismi che vengono messi in atto: evitamento cognitivo (nel caso dei pazienti con anoressia davanti a stimoli legati al cibo) e craving (nel caso dei pazienti con bulimia davanti agli stessi stimoli). Inoltre, usando paradigmi diversi (odd-one-out e dot-probe) è stato possibile distinguere anche nel campo dei disturbi dell’alimentazione due diverse componenti del costrutto: speeded detection (lo spostamento dell’attenzione verso) e increased distraction (la difficoltà a distogliere l’attenzione da). Tuttavia, sebbene questi paradigmi siano frequentemente utilizzati nel campo dei disturbi d’ansia, nel caso dei disturbi dell’alimentazione gli studi sono ancora poco numerosi per poter trarre delle conclusioni definitive.;

Keywords:Attentional bias, disturbi dell’alimentazione, anoressia nervosa, bulimia nervosa, body exposure, food exposure

  1. measuring shape and food concerns in eating disorders: A quantitative measure of psychopathology? International Journal of Eating Disorders, 8 (6): 681-7.
  2. Battagliese G., Lombardo C. (2011). L’attentional bias nella psicopatologia. Psicoterapia Cognitivo Comportamentale, 17 (1): 75-98.
  3. Blechert J., Ansorge U., Tuschen-Caffier B. (2010). A body related dot-probe task reveals distinct attentional patterns for bulimia nervosa and anorexia nervosa. Journal of Abnormal Psychology, 119 (3): 575-85. DOI: 10.1037/a001953
  4. Ben-Tovim D.I., Walker M.K., Fok D., Yap E. (1989). An adaptation of the Stroop test for
  5. Boon B., Vogelzang L., Janzen A. (2000). Do restrained eaters show attention toward or away from food, shape and weight stimuli? European Eating Disorders Review, 8 (1): 51-8. DOI: 10.1002/(SICI)1099-0968(200002
  6. Brooks S., Prince A., Stahl D., Campbell I., Treasure J. (2011). A systematic review and meta-analysis of cognitive bias to food stimuli in people with disordered eating behaviour. Clinical Psychology Review, 31 (1): 37-51. DOI: 10.1016/j.cpr.2010.09.00
  7. Channon S., Hemsley D., De Silva P. (1988). Selective processing of food words in anorexia nervosa. British Journal of Clinical Psychology, 27 (3): 259-60.
  8. Cooper M.J., Fairburn C.G. (1992). Selective processing of eating, weight, and shape related words in patients with eating disorders and dieters. British Journal of Clinical Psychology, 31 (3): 363-5.
  9. Cooper M.J., Fairburn C.G. (1994). Change in selective information processing with three psychological treatments for bulimia nervosa. British Journal of Clinical Psychology, 33 (3): 353-6.
  10. Cooper M.J., Todd G. (1997). Selective processing of three types of stimuli in eating disorders. British Journal of Clinical Psychology, 36 (2): 279-81.
  11. Dobson K.S., Dozois D.J.A. (2004). Attentional biases in eating disorders: A meta-analytic review of Stroop performance. Clinical Psychology Review, 23 (8): 1001-22. DOI: 10.1016/j.cpr.2003.09.00
  12. Donaldson C., Lam D., Mathews A. (2007). Rumination and attention in major depression. Behaviour Research and Therapy, 45 (11): 2664-78. DOI: 10.1016/j.brat.2007.07.00
  13. Eysenck M.W. (1992). Anxiety: The cognitive perspective. Hove: Erlbaum.
  14. Eysenck M.W. (1997). Anxiety and cognition. A unified theory. Hove: Psychology Press.
  15. Field M., Cox W.M. (2008). Attentional bias in addictive behaviors: A review of its development, causes, and consequences. Drug and Alcohol Dependence, 97 (1-2): 1-20. DOI: 10.1016/j.drugalcdep.2008.03.03
  16. Garner D.M. (1991). Eating Disorder Inventory 2: Professional manual. Odessa: Psychological Resources.
  17. Green M.W., Ellimann N.A., Rogers P.J., Welch D.A. (1997). Impaired color naming of body shape words: Weight phobia or distinct affective state? International Journal of Eating Disorders, 21 (1): 77-82.
  18. Green M.W., Rogers P.J. (1993). Selective attention to food and body shape words in dieters and restrained nondieters. International Journal of Eating Disorders, 14 (4):515-17.
  19. Gotlib I.H., Krasnoperova E., Yue D.N., Joormann J. (2004). Attentional biases for negative interpersonal stimuli in clinical depression. Journal of Abnormal Psychology, 113 (1): 127-35. DOI: 10.1037/0021-843X.113.1.12
  20. Hansen C.H., Hansen R.D. (1988). Finding the face in the crowd: An anger superiority effect. Journal of Personality and Social Psychology, 54 (6): 917-24.
  21. Hollit S., Kemps E., Tiggemann M., Smeets E., Mills J. (2010). Components of attentional bias for food cues among restrained eaters. Appetite, 54 (2): 309-13. DOI: 10.1016/j.appet.2009.12.005JansenA.,HuygensK.,TenneyN.(1998).Noevidenceforaselectiveprocessingofsubliminallypresentedbodywordsinrestrainedeaters.InternationalJournalofEatingDisorders,24(4):435-38
  22. Jansen A., Nederkoorn C., Mulkens S. (2005). Selective visual attention for ugly and beautiful body parts in eating disorders. Behaviour Research and Therapy, 43 (2): 183-96. DOI: 10.1016/j.brat.2004.01.00
  23. Jones-Chesters M.H., Monsell S., Cooper P.J. (1998). The disorder-salient Stroop effect as a measure of psychopatology in eating disorders. International Journal of Eating Disorders, 24 (1): 65-82.
  24. Rodriguez Campayo M.A., Martinez-Sanchez F. (2005). Sesgos cognitivos en una tarea experimental de atencion selectiva focalizada en los trastornos de la conducta alimentaria. Actas Espanolas de Psiquiatria, 33 (2): 71-80.
  25. Rofey D.L., Corcoran K.J., Tran G.Q. (2004). Bulimic symptoms and mood predict food relevant Stroop interference in women with troubled eating patterns. Eating Behaviors, 5 (1): 35-45. DOI: 10.1016/S1471-0153(03)00058-
  26. Shafran R., Lee M., Cooper Z., Palmer R.L., Fairburn C.G. (2007). Attentional bias in eating disorders. International Journal of Eating Disorders, 40 (4): 369-80. DOI: 10.1002/eat.2037
  27. Smeet E., Roefs A., Van Furth E., Jansen A. (2008). Attentional bias for body and food in eating disorders: Increased distraction, speeded detection or both? Behaviour Research Therapy, 46 (2): 229-38. DOI: 10.1016/j.brat.2007.12.00
  28. Smith E., Rieger E. (2006). The effects of attentional bias toward shape- and weight –related information on body dissatisfaction. International Journal of Eating Disorders, 39 (6): 509-15. DOI: 10.1002/eat.2029
  29. Stormark K.M., Torkildsen O. (2004). Selective processing of linguistica and pictorial food stimuli in famales with anorexia and bulimia nervosa. Eating Behaviors, 5 (1): 27-33.
  30. Stroop J.R. (1935). Study of interference in serial verbal reaction. Journal of Experimental Psychology, 18(86): 643-62.
  31. Tuschen-Caffier B., Vogele C., Bracht S., Hilbert A. (2003). Psychological responses to body shape exposure in patients with bulimia nervosa. Behaviour Research and Therapy, 41 (5): 573-86. DOI: 10.1016/S0005-7967(02)00030-
  32. Vitousek K.B. (1996). The current status of cognitive-behavioral models of anorexia nervosa and bulimia nervosa. In P.M. Salkovskis. Frontiers of cognitive therapy. New York: Guilford Press.
  33. Vocks S., Wachter A., Wucherer M., Kosfelder J. (2008). Look at yourself: Can body image therapy affect the cognitive and emotional response to seeing oneself in the mirror in eating disorders? European Eating Disorders Review, 16 (2): 147-54. DOI: 10.1002/erv.82
  34. Walker M.K., Ben-Tovim D.I., Paddick S., McNamara J. (1995). Pictioral adaptation of Stroop measures of body-related concern in eating disorders. International Journal of Eating Disorders, 17 (3): 309-11. DOI: 10.1002/1098-108X(199504
  35. Wells A., Mathews G. (1994). Attention and emotion: A clinical perspective. Hillsdale: Erlbaum.
  36. Williams J.M.G., Watt F.N., MacLeod C., Mathews A. (1988). Cognitive psychology and emotional disorders. Chichester: Wiley.
  37. Williams M.G., Mathews A., MacLeod C. (1996). The emotional Stroop task and psychopathology. Psychological Bulletin, 120 (1): 3-24. DOI: 10.1037/0033-2909.120.1.
  38. Williamson D.A., Muller S.L., Reas D.L., Thaw J.M. (1999). Cognitive bias in eating disorders: Implications for theory and treatment. Behaviour Modification, 23 (4): 556-77. DOI: 10.1177/014544559923400
  39. Rinck M., Reinecke A., Ellwart T., Heuer K., Becker E. (2005). Speeded detection and increased discreased distraction in fear of spiders: Evidence from eye movements. Journal of Abnormal Psychology, 114 (2): 235-48. DOI: 10.1037/0021-843X.114.2.23
  40. Rieger E., Schotte D.E., Touyz S.W., Beumont P.J.V., Griffiths R., Russel J. (1998). Attentional bias in eating disorders: a visual probe detection procedure. International Journal of Eating Disorders, 23 (2): 199-205. DOI: 10.1002/(SICI)1098-108X(199803
  41. Rensink R.A. (2002). Change detection. Annual Review Psychology, 53: 245-277.
  42. Quinton S. (1998). The processing of threat-related information in female dieters and nondieters. European Eating Disorders Review, 6 (4): 266-76. DOI: 10.1002/(SICI)1099-0968(199812
  43. Pringle A., Harmer C.J., Cooper M.J. (2010). Investigating vulnerability to eating disorders: Biases in emotional processing. Psychological Medicine, 40: 645-655. DOI: 10.1017/S003329170999077
  44. Posner, M. I., Snyder, C. R., Davidsona, B. J. (1980). Attention and the detection of signals. Journal of experimental psychology: General, 109 (2): 160-74.
  45. Posavac H.D., Posavac S.S., Posavac E.J. (1998). Exposure to media images of female attractiveness and concern with body weight among young women. Sex Roles, 38 (3-4): 187-201. DOI: 10.1023/A:101872901549
  46. Polivy J., Herman C.P., Coelho J.S. (2008). Caloric restriction in the presence of attractive food cues: External cues, eating and weight. Physiology and Behavior, 94 (5): 729-33. DOI: 10.1016/j.physbeh.2008.04.01
  47. Placanica J.L., Faunce G.J., Job R.F.S. (2002). The effect of fasting on attentional biases for food and body/shape/weight words in high and low eating disorders inventory scores. International Journal of Eating Disorders, 32 (1): 79-90. DOI: 10.1002/eat.1006
  48. Pishyar R., Harris L.M., Menzies R.G. (2004). Attentional bias for words and faces in social anxiety. Anxiety Stress Coping: An International Journal, 17 (1): 23-36. DOI: 10.1080/1061580031000160145
  49. Perpina C., Hemsley D., Treasure J., De Silva P. (1993). Is the selective information processing for food and body words specific to patients with eating disorders? International Journal of Eating Disorders, 14(83): 359-66.
  50. Mogg K., Bradley B.P. (1998). A cognitive motivational analysis of anxiety. Behavior Research Therapy, 36 (9): 809-48. DOI: 10.1016/S0005-7967(98)00063-
  51. Mobini S., Grant A. (2007). Clinical implications of attentional bias in anxiety disorders: an integrative literature review. Psychotherapy: Theory, Research, Practice, Training, 44 (4): 450-62. DOI: 10.1037/0033-3204.44.4.45
  52. Meyer C., Waller G., Watson D. (2000). Cognitive avoidance and bulimic psychopathology: the relevance of temporal factors in a nonclinical population. International Journal of Eating Disorders, 27(4): 405-10. DOI: 10.1002/(SICI)1098-108X(200005
  53. Mahamedi F., Heatherton T.F. (1993). Effects of high calorie preloads on selective processing of food and body shape stimuli among dieters and nondieters. International Journal of Eating Disorders, 13(3): 305-14.
  54. MacLeod C., Mathews A., Tata P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95 (1): 15-20.
  55. Lundh L.G., Wikstrom J., Westerlund J. (2001). Cognitive bias, emotion, and somatic complaints in a normal sample. Cognition and Emotion, 15 (3): 249-77. DOI: 10.1080/026999300420020
  56. Lovell D.M., Williams J.M.G., Hill A.B. (1997). Selective processing of shape-related words in women with eating disorders, and those who have recovered. British Journal of Clinical Psychology, 36 (3): 421-32.
  57. Lee M., Shafran R. (2004). Information processes biases in eating disorders. Clinical Psychology Review, 24 (2): 215-38. DOI: 10.1016/j.cpr.2003.10.00
  58. Kuhl J., Kazen M. (1999). Volitional facilitation of difficult intentions: Joint activation of intention memory and positive affect removes Stroop interference. Journal of Experimental Psychology: General, 128 (3): 382-99.
  59. Keogh E., Dillon C., Georgiou G., Hunt C. (2001). Selective attentional biases for physical threat in physical anxiety sensivity. Anxiety Disorders, 15 (4): 299-315. DOI: 10.1016/S0887-6185(01)00065-2
  60. Johansson L., Lundh L. G., Andersson G. (2005b). Attentional bias for negative self-words in young women: The role of thin ideal priming and body shape dissatisfaction. Personality and Individual Differences, 38 (3): 723-33. DOI: 10.1016/j.paid.2004.05.02
  61. Johansson L., Ghaderi A., Andersson G. (2005a). Stroop interference for food-and body-related words: a meta-analysis. Eating Behavior, 6 (3): 271-81. DOI: 10.1016/j.eatbeh.2004.11.00
  62. Johansson L., Ghaderi A., Andersson G. (2004). The role of sensivity of external food cues in attention allocation to food words on dot probe and Stroop task. Eating Behaviors, 5 (3): 261-71. DOI: 10.1016/j.eatbeh.2004.01.00

Monica David, Caterina Lombardo, L’attentional bias nei disturbi dell’alimentazione: il ruolo del contenuto emozionale degli stimoli in "QUADERNI DI PSICOTERAPIA COGNITIVA" 32/2013, pp 79-96, DOI: 10.3280/QPC2013-032006