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  1. Article ; Online: Social cognition and trust: Exploring the role of theory of mind and hostile attribution bias in children's skepticism of inaccurate informants.

    Palmquist, Carolyn M / Floersheimer, Andrew / Crum, Katherine / Ruggiero, Julia

    Journal of experimental child psychology

    2021  Volume 215, Page(s) 105341

    Abstract: A growing body of research has examined the role of individual differences in children's selective trust. The current study was designed to explore how individual differences in theory of mind and hostile attribution bias affect children's trust. Four- ... ...

    Abstract A growing body of research has examined the role of individual differences in children's selective trust. The current study was designed to explore how individual differences in theory of mind and hostile attribution bias affect children's trust. Four- and five-year-old children took part in a standard selective trust paradigm in which they had the choice between a previously inaccurate informant and an unfamiliar informant. They were also asked to interpret why the previously inaccurate informant had provided incorrect information in the past. Finally, children completed a hostile attribution bias task and a theory of mind task. Children with better theory of mind ability were more likely to defer to the unfamiliar informant on the selective trust task. Children with greater hostile attribution bias were more likely to interpret previous inaccuracy as a result of "being tricky" rather than having "made a mistake." However, these interpretations did not influence children's choices on the selective trust task. Therefore, although there is reason to believe that establishing selective trust involves both cognitive and social processes, the current study raises questions about the nature of this relationship and how children draw on different sociocognitive skills when establishing epistemic trust.
    MeSH term(s) Child ; Child, Preschool ; Hostility ; Humans ; Social Cognition ; Social Perception ; Theory of Mind ; Trust
    Language English
    Publishing date 2021-12-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 218137-x
    ISSN 1096-0457 ; 0022-0965
    ISSN (online) 1096-0457
    ISSN 0022-0965
    DOI 10.1016/j.jecp.2021.105341
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 670: Show issues Location:
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  2. Article ; Online: Perspectives on relapse prevention following intensive treatment of anorexia nervosa: A focus group study.

    Pagano, Nikki / Glasofer, Deborah R / Attia, Evelyn / Ruggiero, Julia / Eziri, Kelechi / Goldstein, Carly M / Steinglass, Joanna E

    The International journal of eating disorders

    2023  Volume 56, Issue 7, Page(s) 1417–1431

    Abstract: Objective: Including the perspectives of individuals with lived experience of mental health issues is a critical step in research and treatment development. Focus groups with patients with a history of treatment for anorexia nervosa (AN) were conducted ... ...

    Abstract Objective: Including the perspectives of individuals with lived experience of mental health issues is a critical step in research and treatment development. Focus groups with patients with a history of treatment for anorexia nervosa (AN) were conducted in anticipation of a clinical trial of Relapse Prevention and Changing Habits (REACH+).
    Methods: Seven female adults (23-51 years) who had previously received inpatient treatment for AN, now in remission, participated in one of two semistructured focus groups. Rapid qualitative analysis was used to examine participants' contributions and identify common topics.
    Results: Transcript analysis yielded three topics related to relapse prevention: (1) recovery aids, including a sense of agency in treatment decisions and finding new interests/passions, (2) recovery hindrances, such as lack of access to care, and (3) identification of members of support system. Aspects of REACH+ received positive feedback, such as continuity of care from the inpatient setting and the use of telehealth. Viewpoints differed with respect to the helpfulness of obtaining patient weights in treatment. The REACH+ online platform received positive comments regarding content and usability, as well as suggestions for additional content.
    Discussion: Qualitative feedback from patients with a history of AN highlighted the value of engaging patients in their own treatment decisions, as well as in treatment design and innovation. Within this small group, there were differences of opinion about treatment components, specifically weight assessment, that suggest the need for further data. User-centered design provides opportunities to improve the acceptability and, therefore, dissemination of novel treatments.
    Public significance: Relapse prevention is a critical treatment need for patients with anorexia nervosa, as this illness too often follows a protracted course. There are challenges in both obtaining specialized care and in retaining patients in treatment. Here, patient perspectives on these challenges offer input to allow for optimization of relapse prevention treatment. Shared decision-making may be particularly valuable to support an individual's sense of agency and engagement in care.
    MeSH term(s) Adult ; Humans ; Female ; Anorexia Nervosa/prevention & control ; Anorexia Nervosa/psychology ; Secondary Prevention ; Focus Groups ; Hospitalization ; Weight Gain
    Language English
    Publishing date 2023-04-13
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 603170-5
    ISSN 1098-108X ; 0276-3478
    ISSN (online) 1098-108X
    ISSN 0276-3478
    DOI 10.1002/eat.23952
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1749: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Change in food choice during acute treatment and the effect on longer-term outcome in patients with anorexia nervosa.

    Steinglass, Joanna E / Fei, Wenbo / Foerde, Karin / Touzeau, Caroline / Ruggiero, Julia / Lloyd, Caitlin / Attia, Evelyn / Wang, Yuanjia / Walsh, B Timothy

    Psychological medicine

    2023  Volume 54, Issue 6, Page(s) 1133–1141

    Abstract: Background: Restriction of food intake is a central pathological feature of anorexia nervosa (AN). Maladaptive eating behavior and, specifically, limited intake of calorie-dense foods are resistant to change and contribute to poor long-term outcomes. ... ...

    Abstract Background: Restriction of food intake is a central pathological feature of anorexia nervosa (AN). Maladaptive eating behavior and, specifically, limited intake of calorie-dense foods are resistant to change and contribute to poor long-term outcomes. This study is a preliminary examination of whether change in food choices during inpatient treatment is related to longer-term clinical course.
    Methods: Individuals with AN completed a computerized Food Choice Task at the beginning and end of inpatient treatment to determine changes in high-fat and self-controlled food choices. Linear regression and longitudinal analyses tested whether change in task behavior predicted short-term outcome (body mass index [BMI] at discharge) and longer-term outcome (BMI and eating disorder psychopathology).
    Results: Among 88 patients with AN, BMI improved significantly with hospital treatment (
    Conclusions: Short-term treatment is associated with improvement in BMI but with no significant change, on average, in choices made in a task known to predict actual eating. However, the degree to which individuals increased high-fat choices during treatment and decreased the use of self-control over food choice were associated with reduced weight loss over the following 3 years, underscoring the need to focus on changing eating behavior in treatment of AN.
    MeSH term(s) Humans ; Anorexia Nervosa/therapy ; Anorexia Nervosa/diagnosis ; Body Mass Index ; Food Preferences ; Feeding and Eating Disorders ; Hospitalization ; Treatment Outcome
    Language English
    Publishing date 2023-10-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 217420-0
    ISSN 1469-8978 ; 0033-2917
    ISSN (online) 1469-8978
    ISSN 0033-2917
    DOI 10.1017/S0033291723002933
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Optimizing relapse prevention and changing habits (REACH+) in anorexia nervosa.

    Steinglass, Joanna E / Attia, Evelyn / Glasofer, Deborah R / Wang, Yuanjia / Ruggiero, Julia / Walsh, B Timothy / Thomas, J Graham

    The International journal of eating disorders

    2022  Volume 55, Issue 6, Page(s) 851–857

    Abstract: Introduction: Relapse rates in anorexia nervosa (AN) are high, even after full weight restoration. This study aims to develop a relapse prevention treatment that specifically addresses persistent maladaptive behaviors (habits). Relapse Prevention and ... ...

    Abstract Introduction: Relapse rates in anorexia nervosa (AN) are high, even after full weight restoration. This study aims to develop a relapse prevention treatment that specifically addresses persistent maladaptive behaviors (habits). Relapse Prevention and Changing Habits (REACH+) aims to support patients in developing routines that promote weight maintenance, encourage health, and challenge habits that perpetuate illness. The clinical trial design uses the Multiphase Optimization STrategy (MOST) framework to efficiently identify which components of treatment contribute to positive outcomes.
    Methods: Participants will be 60 adults with AN who have achieved weight restoration in an inpatient setting. Treatment will consist of 6 months of outpatient telehealth sessions. REACH+ consists of behavior, cognitive, and motivation components, as well as food monitoring and a skill consolidation phase. A specialized online platform extends therapy between sessions. Participants will be randomly assigned to different versions of each component in a fractional factorial design. Outcomes will focus on maintenance of remission, measured by rate of weight loss and end-of-trial status. Interventions that contribute to remission will be included in an optimized treatment package, suitable for a large-scale clinical trial of relapse prevention in AN.
    MeSH term(s) Adult ; Anorexia Nervosa/drug therapy ; Anorexia Nervosa/prevention & control ; Habits ; Humans ; Inpatients ; Recurrence ; Secondary Prevention
    Language English
    Publishing date 2022-04-30
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural
    ZDB-ID 603170-5
    ISSN 1098-108X ; 0276-3478
    ISSN (online) 1098-108X
    ISSN 0276-3478
    DOI 10.1002/eat.23724
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1749: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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