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Social perception in people with eating disorders
Authors:B. Renwick  H. Dejong  M. Kenyon  N. Samarawickrema  R. Loomes  C. Watson  S. Ghelani  U. Schmidt
Affiliation:1. King''s College London, Institute of Psychiatry, Department of Psychological Medicine, Section of Eating Disorders, London, United Kingdom;2. The Warneford Hospital, Cotswold House, Oxford Adult Eating Disorder Service, London, United Kingdom;3. Mental Health Research Network, North London Hub, London, United Kingdom;1. Institute of Clinical Psychology and Psychotherapy, TU Dresden, Dresden, Germany;2. Department of Process-oriented Assessment, TU Dresden, Dresden, Germany;3. Department of Psychology, University of California, Los Angeles, California, United States;1. Child and Adolescent Mental Health Services Clinical Academic Group, South London & Maudsley NHS Foundation Trust, Mapother House, De Crespigny Park, Denmark Hill, London SE5 8AF, United Kingdom;2. King''s College, PO77 Department of Psychology, Institute of Psychiatry, 16, De Crespigny Park, Denmark Hill, London SE5 8AF, United Kingdom;3. Centre for Biostatistics, Institute of Population Health, The University of Manchester, 4.304 Jean McFarlane Building, Oxford Road, Manchester M13 9PL, United Kingdom;1. Department of Clinical Medicine, University of Bergen, Bergen, Norway;2. Department of Child and Adolescent Psychiatry, Haukeland University Hospital, Norway;3. Department of Pediatric, Haukeland University Hospital, Norway;1. Department of Psychology, University of Turin, Turin, Italy;2. Department of Philosophy and Educational Sciences, University of Turin, Turin, Italy;3. Neuroscience Institute of Turin, Turin, Italy;4. A.O.U. “Città della Salute e della Scienza” Hospital of Turin, Turin, Italy
Abstract:ObjectiveSocial perception is a key aspect of social cognition which has so far not been investigated in eating disorders (ED). This study aimed to investigate social perception in individuals with anorexia nervosa (AN) and bulimia nervosa (BN).MethodsOutpatients with AN (restricting subtype [AN-R]: n = 51; binge-purge subtype [AN-BP]: n = 26) or BN (n = 57) and 50 healthy control (HC) participants completed the Interpersonal Perception Task (IPT-15). This is an ecologically valid task, which consists of 15 video clips, depicting complex social situations relating to intimacy, status, kinship, competition and deception. The participants have to assess relationships between protagonists’ based on non-verbal cues.ResultsOverall, there was no difference between groups on the IPT total score and subscale scores. Group differences on the Intimacy subscale approached significance so post hoc comparisons were carried out. HCs performed significantly better than AN-R participants in determining the degree of intimacy between others.ConclusionsSocial perception is largely preserved in ED patients. Individuals with AN-R show impairments in identifying intimacy in social situations, this may be due to the lack of relationship experience. Further research into different aspects of social cognition is required to establish the link between interpersonal difficulties and ED psychopathology.
Keywords:Anorexia nervosa  Bulimia nervosa  Eating disorders  Social cognition  Social perception
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