Abstract
This study examined the link between cognitive biases (i.e., attention biases and implicit associations) and symptoms of depression and eating disorders and whether the content of these biases is disorder-specific. These hypotheses were examined with a sample of 202 undergraduate women. Cognitive biases were measured via computer-based tasks (i.e., the probe detection task and the Implicit Association Test) and symptom levels were measured via interview and self-report. Partially supporting the main hypothesis, symptoms of depression and eating disorders were significantly correlated with disorder-specific implicit associations but not attentional biases. Partially supporting the specificity hypothesis, there was evidence for stronger associations between symptoms of eating disorders and eating specific implicit associations.
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Notes
Analyses were conducted to examine any potential non-linear relations (i.e., quadratic or cubic) between symptoms (as measured both by the interview and self-report measures) and attentional biases. No significant non-linear relations were observed.
Results of these analyses can be obtained from the first author.
We would like to mention, however, that post hoc analyses of analogue groups (high scores for both disorders, low scores for both disorders, and high scores for one disorder with low scores for the other disorder) revealed that no group effects existed.
References
Ahearn, A. L., Bennett, K. M., & Hetherington, M. M. (2008). Internalization of the ultra-thin ideal: Positive implicit associations with underweight fashion models are associated with drive for thinness in young women. Eating Disorders, 16, 294–307.
Ahearn, A. L., & Hetherington, M. M. (2006). The thin ideal and body image: An experimental study of implicit attitudes. Psychology of Addictive Behaviors, 20, 338–342.
Allgood-Merten, B., Lewinsohn, P. M., & Hops, H. (1990). Sex differences and adolescent depression. Journal of Abnormal Psychology, 99, 55–63.
Beck, A. T. (1967). Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press.
Beck, A. T. (1976). Cognitive therapy and emotional disorders. New York: New American Library.
Beck, A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy, 1, 5–37.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory manual (2nd ed.). San Antonio: The Psychological Corporation.
Beevers, C. G., & Carver, C. S. (2003). Attentional bias and mood persistence as prospective predictors of dysphoria. Cognitive Therapy and Research, 27, 619–637.
Beevers, C. G., Gibb, B. E., McGeary, J. E., & Miller, I. W. (2007). Serotonin transporter genetic variation and biased attention for emotional word stimuli among psychiatric inpatients. Journal of Abnormal Psychology, 116, 208–212.
Blazer, D. G., Kessler, R. C., McGonagle, K. A., & Swartz, M. S. (1994). The prevalence and distribution of major depression in a national community sample: The national comorbidity survey. American Journal of Psychiatry, 151, 979–986.
Bradley, B. P., Mogg, K., & Lee, S. C. (1997). Attentional biases for negative information in induced and naturally occurring dysphoria. Behavior Research and Therapy, 35, 911–927.
Brown, A., & Dittmar, H. (2005). Think “thin” and feel bad: The role of appearance schema activation, attention level, and thin-ideal internalization for young women’s responses to ultra-thin media ideals. Journal of Social and Clinical Psychology, 24, 1088–1113.
Caseras, X., Garner, M., Bradley, B. P., & Mogg, K. (2007). Biases in visual orienting to negative and positive scenes in dysphoria: An eye movement study. Journal of Abnormal Psychology, 116, 491–497.
Clark, D. A., Beck, A. T., & Alford, B. A. (1999). Scientific foundations of cognitive theory and therapy of depression. New York: Wiley.
Cooper, M. J. (2005a). Cognitive theory in anorexia nervosa and bulimia nervosa: Progress, development and future directions. Clinical Psychology Review, 25, 511–531.
Cooper, M. J. (2005b). A developmental vulnerability-stress model of eating disorders: A cognitive approach. In B. L. Hankin & J. R. Z. Abela (Eds.), Development of psychopathology: A vulnerability-stress perspective (pp. 328–354). Thousand Oaks, CA: Sage.
Cooper, Z., & Fairburn, C. (1987). The eating disorder examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders. International Journal of Eating Disorders, 6, 1–8.
Edman, J. L., Yates, A., Aruguete, M. S., & DeBord, K. A. (2007). Negative emotion and disordered eating among obese college students. Eating Behaviors, 6, 308–317.
Fabian, L. J., & Thompson, J. K. (1989). Body image and eating disturbance in young females. International Journal of Eating Disorders, 8, 63–74.
Fairburn, C. G., & Beglin, S. J. (1994). The assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16, 363–370.
Fairburn, C. G., & Cooper, Z. (1993). The eating disorder examination. In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment, and treatment (12th ed., pp. 317–360). New York, NY: Guilford Press.
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. Behaviour Therapy and Research, 41, 509–528.
Fairburn, C. G., Shafran, R., & Cooper, Z. (1998). A cognitive behavioural theory of anorexia nervosa. Behaviour Therapy and Research, 37, 1–13.
Friedman, M. A., & Whisman, M. A. (2004). Implicit cognition and the maintenance and treatment of major depression. Cognitive and Behavioral Practice, 11, 168–177.
Garber, J., & Flynn, C. (1998). Origins of the depressive cognitive style. In D. K. Routh & R. J. DeRubeis (Eds.), The science of clinical psychology: Accomplishments and future directions (pp. 53–93). Washington, DC: American Psychological Association.
Gotlib, I. H., Kasch, K. L., Traill, S., Joormann, J., Arnow, B., & Johnson, S. L. (2004a). Coherence and specificity of information-processing biases in depression and social phobia. Journal of Abnormal Psychology, 113, 386–398.
Gotlib, I. H., Krasnoperova, E., Yue, D. N., & Joormann, J. (2004b). Attentional biases for negative interpersonal stimuli in clinical depression. Journal of Abnormal Psychology, 113, 127–135.
Greenwald, A. G., McGhee, D. E., & Schwartz, J. L. K. (1998). Measuring individual differences in implicit cognition: The implicit association test. Journal of Personality and Social Psychology, 74, 1464–1480.
Greenwald, A. G., Nosek, B. A., & Banaji, M. R. (2003). Understanding and using the implicit association test: I. An improved scoring algorithm. Journal of Personality and Social Psychology, 85, 197–216.
Haines, B. A., Metalsky, G. I., Cardamone, A. L., & Joiner, T. (1999). Interpersonal and cognitive pathways into the origins of attributional style: A developmental perspective. In T. Joiner & J. C. Coyne (Eds.), The interactional nature of depression (pp. 65–92). Washington, DC: American Psychological Association.
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 56–62.
Hankin, B. L., Abramson, L. Y., Moffit, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107, 128–140.
Hankin, B. L., Mermelstein, R., & Roesch, L. (2007). Sex differences in adolescent depression: Stress exposure and reactivity models. Child Development, 78, 279–295.
Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the national comorbidity survey replication. Biological Psychiatry, 61, 348–358.
Ingram, R. E., & Ritter, J. (2000). Vulnerability to depression: Cognitive reactivity and parental bonding in high-risk individuals. Journal of Abnormal Psychology, 109, 588–596.
Janelle, C. M., Hausenblas, H. A., Fallon, E. A., & Gardner, R. E. (2003). A visual search examination of attentional biases among individuals with high and low drive for thinness. Eating and Weight Disorders, 8, 138–144.
Jefferies, L. N., Smilek, D., Eich, E., & Enns, J. T. (2008). Emotional valence and arousal interact in attentional control. Psychological Science, 19, 290–295.
Johansson, L., Lundh, L., & Andersson, G. (2005). Attentional bias for negative self-words in young women: The role of thin ideal priming and body shape dissatisfaction. Personality and Individual Differences, 38, 723–733.
Joormann, J. (2009). Cognitive aspects of depression. In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression (2nd ed., pp. 298–321). New York: Guilford.
Joormann, J., & Gotlib, I. H. (2007). Selective attention to emotional faces following recovery from depression. Journal of Abnormal Psychology, 116, 80–85.
Kellough, J. L., Beevers, C. G., Ellis, A. J., & Wells, T. T. (2008). Time course of selective attention in clinically depressed young adults: An eye tracking study. Behaviour Research and Therapy, 46, 1238–1243.
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602.
Luce, K. H., & Crowther, J. H. (1999). The reliability of the eating disorder examination-self-report questionnaire version (EDE-Q). International Journal of Eating Disorders, 25, 349–351.
MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95, 15–20.
Mathews, A., & MacLeod, C. (2005). Cognitive vulnerability to emotional disorders. Annual Review of Clinical Psychology, 1, 167–195.
Mathews, A., Ridgeway, V., & Williamson, D. A. (1996). Evidence for attention to threatening stimuli in depression. Behavior Research and Therapy, 34, 695.
McCabe, M. P., & Ricciardelli, L. A. (2001). Parent, peer, and media influences on body image and strategies to both increase and decrease body size among adolescent boys and girls. Adolescence, 36, 225–240.
Meites, T. M., Deveney, C. M., Steele, K. T., Holmes, A. J., & Pizzagalli, D. A. (2008). Implicit depression and hopelessness in remitted depressed individuals. Behaviour Research and Therapy, 46, 1078–1084.
Meng, X., Rosenthal, R., & Rubin, D. B. (1992). Comparing correlated correlation coefficients. Psychological Bulletin, 111, 172–175.
Mogg, K., Bradley, B. P., & Williams, R. (1995). Attentional bias in anxiety and depression: The role of awareness. British Journal of Clinical Psychology, 34, 17–36.
Nezu, A. M., Nezu, C. M., McClure, K. S., & Zwick, M. L. (2002). Assessment of depression. In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression (pp. 61–86). New York: The Guilford Press.
Nock, M. K., & Banaji, M. R. (2007). Prediction of suicide ideation and attempts among adolescents using a brief performance-based test. Journal of Consulting and Clinical Psychology, 75, 707–715.
Nolen-Hoeksema, S., & Girgus, J. S. (1994). The emergence of gender differences in depression during adolescence. Psychological Bulletin, 115, 424–443.
Nosek, B. A., Greenwald, A. G., & Banaji, M. R. (2005). Understanding and using the implicit association test: II. Method variables and construct validity. Personality and Social Psychology Bulletin, 2, 166–180.
Nummenmaa, L., Hyönä, J., & Calvo, M. G. (2006). Eye movement assessment of selective attention capture by emotional pictures. Emotion, 6, 257–268.
O’Brien, K. M., & Vincent, N. K. (2003). Psychiatric comorbidity in anorexia and bulimia nervosa: Nature, prevalence, and causal relationships. Clinical Psychology Review, 23, 57–74.
Olivardia, R., Pope, H. G., Borowiecki, J. J., & Cohane, G. H. (2004). Biceps and body image: The relationship between muscularity and self-esteem, depression, and eating disorder symptoms. Psychology of Men & Masculinity, 5, 112–120.
Rieger, E., Schotte, D. E., Touyz, S. W., Beumont, P. J. V., Griffiths, R., & Russell, J. (1998). Attentional biases in eating disorders: A visual probe detection procedure. International Journal of Eating Disorders, 23, 199–205.
Shafran, R., Fairburn, C. G., Nelson, L., & Robinson, P. H. (2003). The interpretation of symptoms of severe dietary restraint. Behaviour Research and Therapy, 41, 887–894.
Shafran, R., Lee, M., Cooper, Z., Palmer, R. L., & Fairburn, C. G. (2007). Attentional bias in eating disorders. International Journal of Eating Disorders, 40, 1–12.
Smith, E., & Rieger, E. (2006). The effect of attentional bias toward shape- and weight-related information on body dissatisfaction. International Journal of Eating Disorders, 39, 509–515.
Southall, D., & Roberts, J. E. (2002). Attributional style and self-esteem in vulnerability to adolescent depressive symptoms following life stress: A 14-week prospective study. Cognitive Therapy and Research, 26, 563–579.
Steinhausen, H., Gavez, S., & Metzke, C. W. (2005). Psychosocial correlates, outcome, and stability of abnormal adolescent eating behavior in community samples of young people. International Journal of Eating Disorders, 37, 119–126.
Stice, E., Killen, J. D., Hayward, C., & Taylor, C. B. (1998). Support for the continuity hypothesis of bulimic pathology. Journal of Consulting and Clinical Psychology, 66, 784–790.
Striegel-Moore, R. H., Franko, D. L., Thompson, D., Barton, B., Schreiber, G. B., & Daniels, S. R. (2004). Changes in weight and body image over time in women with eating disorders. International Journal of Eating Disorders, 36, 315–327.
Teachman, B. A., Gapinski, K. D., Brownell, K. D., Rawlins, M., & Jeyaram, S. (2003). Demonstrations of implicit anti-fat bias: The impact of providing causal information and evoking empathy. Health Psychology, 1, 68–78.
Thompson, J. K., Coovert, M. D., Richards, K. J., Johnson, S., & Cattarin, J. (1995). Development of body image, eating disturbance, and general psychological functioning in female adolescents: Covariance structure modeling and longitudinal investigations. International Journal of Eating Disorders, 18, 221–236.
Tottenham, N., Tanaka, J. W., Leon, A. C., McCarry, T., Nurse, M., Hare, T. A., et al. (2009). The NimStim set of facial expressions: Judgments from untrained research participants. Psychiatry Research, 168, 242–249.
Vartanian, L. R., Polivy, J., & Herman, C. P. (2004). Implicit cognitions and eating disorders: Their application in research and treatment. Cognitive and Behavioral Practice, 11, 160–167.
Wang, S. S., Brownell, K. D., & Wadden, T. A. (2004). The influence of the stigma of obesity on overweight individuals. International Journal of Obesity and Related Metabolic Disorders, 28, 1333–1337.
Williams, J. M. G., Watts, F. N., MacLeod, C., & Mathews, A. (1997). Cognitive psychology and emotional disorders (2nd ed.). New York: Wiley.
Williamson, D. A. (1996). Body image disturbances in eating disorders: A form of cognitive bias? Eating Disorders: The Journal of Treatment and Prevention, 4, 47–58.
Williamson, D. A., Muller, S. L., Reas, D. L., & Thaw, J. M. (1999). Cognitive bias in eating disorders: Implications for theory and treatment. Behavior Modification, 23, 556–577.
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Benas, J.S., Gibb, B.E. Cognitive Biases in Depression and Eating Disorders. Cogn Ther Res 35, 68–78 (2011). https://doi.org/10.1007/s10608-009-9279-1
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DOI: https://doi.org/10.1007/s10608-009-9279-1