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Affect consciousness and eating disorders. Short term stability and subgroup characteristics
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning, Clinical and Social Psychology. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0003-4753-6745
2012 (English)In: European eating disorders review, ISSN 1072-4133, E-ISSN 1099-0968, Vol. 20, no 1, e50-e55 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to analyse differences in observer rated affect consciousness (AC) between subgroups of patients diagnosed with eating disorders (N=44; 30 with anorexia nervosa and 14 with bulimia nervosa), and a non-clinical group (N=40). Another aim was to study the short-term stability of AC over 1011 weeks of treatment and its relation to self-reported eating pathology and general psychopathology. A moderate short-term stability of AC was found but the levels were not correlated with eating pathology or psychopathology. No differences between the two diagnostic categories were found, but the eating disorder group as whole had significantly lower AC compared with a non-eating disorder reference group. AC seems to be a moderately stable ability that differentiates patients diagnosed with eating disorders from a non-clinical population. However, AC is not related to symptoms of eating disorder or general psychiatric symptoms in this group of patients.

Place, publisher, year, edition, pages
John Wiley and Sons , 2012. Vol. 20, no 1, e50-e55 p.
Keyword [en]
affect consciousness, affect consciousness interview - revised, anorexia nervosa, bulimia nervosa, stability
National Category
Social Sciences
URN: urn:nbn:se:liu:diva-75114DOI: 10.1002/erv.1091ISI: 000298792700006OAI: diva2:504545
Available from: 2012-02-21 Created: 2012-02-17 Last updated: 2014-11-28
In thesis
1. Consciousness about own and others’ affects
Open this publication in new window or tab >>Consciousness about own and others’ affects
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

It is essential for individuals’ well-being and relationships that they have the ability to consciously experience, express and respond to their own and others’ affects. The validity of a new conception of affect consciousness (AC), incorporating consciousness of both own and others’ affects, was investigated in this thesis. The clinical usefulness of the new conception was explored and an interview (affect consciousness interview – self/other; ACI-S/O) intended to capture this new definition was validated. In study I the interrater reliability and the concurrent validity of the ACI-S/O were assessed and found to be acceptable. There were significant differences in all variables of ACI-S/O between the four groups that participated in the study. Joy and interest had the highest ratings in all groups and guilt and shame had the lowest. By means of a factor analysis, two factors, labeled “general affect consciousness” and “consciousness about shame and guilt,” were obtained. General affect consciousness was related to different aspects of relational and emotional problems and possibly protection against them. In study II the clinical implications of AC were further explored in relation to eating disorders (ED). The level of AC in the ED group was compared with a comparable non-clinical group. The relation between AC and aspects of ED pathology were explored, as well as whether AC should be seen as a state or trait in patients diagnosed with ED. ACI-S/O was not significantly related to ED pathology or general psychological distress. There were no significant differences in AC between the different sub-diagnoses of ED but there were between the ED group and the non-clinical group. Significant pre-post correlations for both factors of ACI-S/O were found, indicating that AC could be seen as a stable dimension that might be important for ED pathology but is unrelated to ED symptoms. In study III the relationship between AC and self-reported attachment style (ASQ) was explored in a non-clinical group and three patient groups. There were significant correlations between all scores on ACI- S/O and the ASQ, with the exception of consciousness about guilt. Multiple regression analyses showed that AC, and especially others’ affects, contributed significantly to the ASQ subscales. AC and in particular own joy and others’ guilt and anger seem to be of importance for attachment style. In study IV the importance of AC for the treatment process was explored. Patients’ AC before therapy was significantly correlated with patients’ positive feelings towards their therapists but not with their alliance ratings. Patients’ warm and positive feelings were related to pre-therapy AC, whereas negative feelings were related to low alliance ratings in the previous sessions.

Abstract [sv]

Det är viktigt för människans relationer och välbefinnande att ha en förmåga att medvetet uppleva, uttrycka egna samt svara på andras affekter. I denna avhandling studerades användbarheten av en ny definition av Affektmedvetenhet (AM), omfattande medvetande om egna och andras affekter samt validiteten i en intervju (affektmedvetenhetsintervjun-själv/andra; AMI-S/A) som avser att fånga den nya definitionen. I studie I undersöktes interbedömarreliabilitet och den samtidiga validiteten hos AMI-S/A. De befanns vara godtagbara. Det fanns signifikanta skillnader på alla delsskalor i AMI-S/A mellan de fyra grupper som deltog i studien. Affekterna glädje och intresse hade de högsta skattningarna i alla grupper och skuld och skam hade de lägsta. En faktoranalys genomfördes där två faktorer föll ut. De beskrevs som "Generell affektmedvetenhet" och "Medvetenhet om skam och skuld". Generell affektmedvetenhet visade sig vara relaterad till olika aspekter av relationella och känslomässiga problem och antogs skydda mot dessa. I studie II genomfördes vidare undersökning av den kliniska betydelsen av AM för ätstörningar. Nivån av AM hos patienter med ätstörningar jämfördes med en demografiskt jämförbar icke-klinisk grupp. Förhållandet mellan AM och ätstörningspatologi undersöktes. Någon signifikant relation mellan AMI-S/A och ätstörningssymtom eller allmän psykisk ohälsa hos ätstörningspatienterna hittades inte. Det fanns heller inga signifikanta skillnader i AM mellan olika undergrupper av ätstörning men däremot mellan hela ätstörningsgruppen och den icke-kliniska gruppen. Frågan om AM kan betraktas mer som ett drag eller tillstånd hos patienter med ätstörning utforskades. Det fanns signifikanta korrelationer mellan före och eftermätning på båda faktorerna på AMI-S/A. Resultaten tyder på att AM kan ses som en stabil dimension i sig själv som tycks vara viktig för ätstörningar, men som inte har samband med ätstörningssymtom. I studie III undersöktes förhållandet mellan AM och självrapporterad anknytningsstil (ASQ) i en icke-klinisk grupp och tre patientgrupper. Det fanns signifikanta korrelationer mellan alla skattningar på AMI-S/A och ASQ, med undantag av medvetenhet om skuld. Regressionsanalyser visade att AM, och speciellt medvetenhet om andras affekter, bidrog signifikant till anknytningsstilen. AM och i synnerhet egen glädje och andras skuld och ilska verkar vara av betydelse för anknytningsstil. I studie IV undersöktes betydelse av AM för behandlingsprocessen i olika former av samtalsbehandling. Patienternas AM före behandlingen var signifikant korrelerad med deras positiva känslor gentemot sina terapeuter vid det tredje samtalet, men inte med deras alliansskattning vid detta samtal. Patienternas negativa känslor var inte relaterade till deras AM före behandlingen men däremot till låg alliansskattning vid de tidigare samtalen.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2012. 82 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 551Linköping Studies in Behavioural Science, ISSN 1654-2029 ; 161
Affect, affect consciousness, affect consciousness interview- self/other, emotion, psychopathology, relationships, Affekt, affektmedvetenhet, affektmedvetenhetsintervjun-själv/andra, AMI-S/A, emotion, känsla, psykopatologi, relation
National Category
Social Sciences
urn:nbn:se:liu:diva-75524 (URN)78-91-7519-936-8 (ISBN)
Public defence
2012-03-30, sal 101, Hus I, Campus Valla, Linköpings universitet, Linköping, 09:00 (Swedish)
Available from: 2012-03-06 Created: 2012-03-06 Last updated: 2014-11-28Bibliographically approved

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Lech, BörjeHolmqvist, RolfAndersson, Gerhard
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Department of Behavioural Sciences and LearningFaculty of Arts and SciencesClinical and Social Psychology
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European eating disorders review
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