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Testing a cognitive model of generalized anxiety disorder in the eating disorders
Authors:Konstantellou Anna  Campbell Mari  Eisler Ivan  Simic Mima  Treasure Janet
Institution:aSection of Family Therapy, PO73 Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, UK;bSection of Eating Disorders, Institute of Psychiatry, King's College London, Department of Psychiatry, 5th Floor, Thomas Guy House, Guy's Hospital, London SE1 9RT, UK;cChild and Adolescent Eating Disorders Service, South London and Maudsley NHS Foundation Trust, London, UK
Abstract:Generalized anxiety disorder (GAD) is one of the most common comorbid disorders found in individuals with eating disorders. Despite this, little is known of shared vulnerability factors between the two disorders. The aim of the present study was to examine the four main components of a cognitive model for GAD in the eating disorders. One hundred and sixty-two females took part. Three groups were formed comprising of 19 participants with an eating disorder and GAD, 70 with an eating disorder without GAD and 73 healthy controls. All completed self-report questionnaires that measured eating attitudes, levels of GAD, intolerance of uncertainty, positive beliefs about worry, negative problem orientation, and cognitive avoidance. Participants with an eating disorder and GAD scored the highest on all four components when compared to healthy individuals and on most components when compared to those with an eating disorder. Participants with an eating disorder without GAD scored higher on all components compared to healthy controls. Findings extend our understanding of shared vulnerability factors between the eating disorders and GAD.
Keywords:Generalized anxiety disorder  Intolerance of uncertainty  Worry  Eating disorders
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