José Miguel Budia, Carlos María Alcover, Juan José Fernández-Muñoz, Ascensión Blanco-Fernández, Miriam P. Félix-Alcántara
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However, the possible direct relationships between these three variables have not been studied.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>The main objective of this study is to analyse the relationship between these variables and propose a framework for analysing and understanding these relationships.</p>\n </section>\n \n <section>\n \n <h3> Methodology</h3>\n \n <p>A systematic review was carried out following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, searching the following terms: ‘anorexia’, ‘attachment’ and those related to motivational systems. 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Attachment, motivational systems and anorexia nervosa: A systematic review and proposed framework for eating disorders
Introduction
There is a direct association between patients with insecure attachment style (IAS), behavioural inhibition (BIS) and behavioural activation (BAS) motivational systems, and anorexia nervosa (AN). However, the possible direct relationships between these three variables have not been studied.
Objective
The main objective of this study is to analyse the relationship between these variables and propose a framework for analysing and understanding these relationships.
Methodology
A systematic review was carried out following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, searching the following terms: ‘anorexia’, ‘attachment’ and those related to motivational systems. The final search was limited to publications in English dated between 2014–2022 for ‘anorexia and attachment’ and 2010–2022 for ‘anorexia and BIS/BAS’.
Results
Of the 587 articles retrieved, 30 were included in this study for the textual data analysis of the relationship between anorexia and attachment (17), anorexia and motivational systems (10) and anorexia, attachment and motivational systems (3). An association between avoidant IAS, AN and hypersensitivity to punishment of the BIS was observed in the analysis. A relationship was also observed with hyperreinforcement sensitivity of the BAS. After reviewing the articles, a possible relationship between the three factors, along with other mediating factors, was found.
Discussion
AN is directly related to the avoidant IAS and to BIS. Similarly, bulimia nervosa (BN) was directly related with anxious IAS and BAS. However, contradictions were found in the BN–BAS relationship. This study proposes a framework for analysing and understanding these relationships.
期刊介绍：
Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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