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The posited effect of positive affect in anorexia nervosa: Advocating for a forgotten piece of a puzzling disease

dc.contributor.authorConiglio, Kathryn A.
dc.contributor.authorChristensen, Kara A.
dc.contributor.authorHaynos, Ann F.
dc.contributor.authorRienecke, Renee D.
dc.contributor.authorSelby, Edward A.
dc.date.accessioned2019-09-30T15:31:00Z
dc.date.availableWITHHELD_13_MONTHS
dc.date.available2019-09-30T15:31:00Z
dc.date.issued2019-09
dc.identifier.citationConiglio, Kathryn A.; Christensen, Kara A.; Haynos, Ann F.; Rienecke, Renee D.; Selby, Edward A. (2019). "The posited effect of positive affect in anorexia nervosa: Advocating for a forgotten piece of a puzzling disease." International Journal of Eating Disorders 52(9): 971-976.
dc.identifier.issn0276-3478
dc.identifier.issn1098-108X
dc.identifier.urihttps://hdl.handle.net/2027.42/151291
dc.description.abstractAnorexia nervosa (AN) is a complex and life‐threatening eating disorder. Current models of AN onset and maintenance have largely focused on the role of negative affect, while fewer models have described the role of positive affect (PA). Given that these theoretical models have informed current treatment approaches, and that treatment remains minimally effective for adults with AN, we advocate that targeting PA is one avenue for advancing maintenance models and by extension, treatment. We specifically propose that AN may arise and be chronically and pervasively maintained as a function of dysregulated PA in response to weight loss and weight loss behaviors (e.g., restriction, excessive exercise), to a degree that is not accounted for in existing models of AN. We present evidence from multiple domains, including biological, behavioral, and self‐report, supporting the hypothesis that PA dysregulation in AN contributes to the maintenance of the disorder. We conclude with several specific avenues for treatment development research as well as a call for future work elucidating the biological correlates of PA.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otheranorexia nervosa
dc.subject.otherpositive affect dysregulation
dc.subject.otherpositive affect
dc.titleThe posited effect of positive affect in anorexia nervosa: Advocating for a forgotten piece of a puzzling disease
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/151291/1/eat23147.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/151291/2/eat23147_am.pdf
dc.identifier.doi10.1002/eat.23147
dc.identifier.sourceInternational Journal of Eating Disorders
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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