Anorexia: Cognitive explanations
Cognitive explanations of anorexia
The cognitive approach argues that cognitive processes play a role in our mental health. Cognitive psychologists argue that negative schema and attention bias may be key factors in the development of eating disorders.
Before completing the module below, please read the section of the textbook called the cognitive approach to anorexia. When reading this section, please make note of the following important concepts:
- Attentional bias
- Body-image distortion hypothesis
- Weight-related schema
Understanding the role of cognition
In the textbook, you will see a study by Fallon & Rozin (1985). In this study, the researchers used cartoon-style images and asked US undergraduates to choose the body shape that was most like their own. In this study, however, the participants did not have anorexia. Modern researchers have used similar tools to better understand the way that people living with anorexia perceive their own weight and body shape.
Please watch the following video and answer the questions below.
Checking for understanding
Please answer the following questions based on the video above.
1. What is the difference between body dysmorphic disorder and anorexia?
2. Describe the eye-tracking technique used in this study.
3. What is the key difference between people with BDD and health participants in the eye-tracking test?
4. Which symptom of BDD (and often, anorexia) is linked to the way that these participants look at human faces?
Although this video is about body dysmorphic disorder, a similar test is used when looking at people living with anorexia. Watch the following video. How does this technique compare to the one in the video above?
This final video shows that the distortion of body size is the result of information that we process in our environment. How might the findings in this video be linked to the argument that the promotion of thinness in the media has an effect on eating disorders?
Cognitive explanations of anorexia
Read through the following presentation. When you have finished, answer the questions based on the presentation and the textbook reading. Write out your answers below before checking the hidden boxes below.
Applying our understanding
Complete each of the following statements, based on your understanding of cognitive theories of the etiology of anorexia nervosa.
1. Maladaptive schema theory argues that we develop dysfunctional ways of thinking as a result of …
2. Bruch said that patients with anorexia show “an absence of concern about emaciation, even when advanced.” This is the basis for which theory?
3. Fairburn argues that distorted weight-related schema are the result of ...
4. The research method used in Fallon & Rozin’s (1985) study was …
5. According to the videos we watched and the study by Kim et al, what might be the reason for attentional bias in people with anorexia?
6. Guillaume et al (2016) found that the severity of symptoms in patients with eating disorder was correlated with ….
7. A domain of schema that focuses on the needs of others, rather than self-care is called ...
8. A domain of schema that focuses on the belief that one has little or no control over life events is called ....
Thinking about research
Please read the following two summaries of research that is linked to the cognitive explanation of anorexia. Then answer and submit the short-answer questions below.
Study 1. Cornelissen et al (2017)
Cornelissen et al (2017) investigated the extent to which patients with anorexia nervosa over-estimate their body size. The researchers took 3D scans of 15 women who had symptoms of anorexia and 15 healthy control women. Then, using a 3D modelling package to build avatars from the scans, they accurately manipulated the images to create a range of avatars reflecting different measures of body mass index [BMI]. The women were asked to choose the avatar that was the most accurate representation of their current body size. The results show that women who are currently receiving treatment for anorexia showed an overestimation of body size. In addition, the higher the woman's BMI, the higher the overestimation. By contrast, the women acting as healthy controls were able to accurately estimate their body size irrespective of their own BMI.
Study 2. McKenzie et al (1993)
McKenzie et al (1993) interviewed women with eating disorders and a control group about their body weight, shape, and ideals, and got them to estimate their own size in relation to other women. They found that when asked to compare themselves with controls who were the same size, women who had been diagnosed with an eating disorder tended to overestimate their own body weight. When asked to indicate their ideal body weight, women with eating disorders chose a significantly lighter weight than the control group. The participants were then given a chocolate bar and a soft drink to consume. Following this, they were asked to re-estimate their body weight. The women with eating disorders judged that their size has increased, while the control group judged that their size had not changed.
1. Choose one of the two studies and comment on its internal validity.
2. Choose one of the two studies and comment on its ecological validity.
3. Choose one of the two studies and comment on its construct validity.
4. Choose one of the two studies and identify the research method that was used. What is one strength and one limitation of that method?
5. Which of the two studies do you think is better evidence of the role of cognitive factors in anorexia? Justify your position.
Continue to Sociocultural explanations of anorexia