Abstract
Set shifting, or the ability to shift back and forth between multiple tasks or mental sets, has been shown to be impaired in individuals with eating disorders. The purpose of this study was to experimentally examine set shifting among acutely body dissatisfied women. Participants included 146 undergraduate women selected for self-reported high or low body shame. Each participant was randomized to one of three still-image induction groups: body dissatisfaction, negative affect, or neutral affect. Immediately following the induction, participants were administered the Wisconsin Card Sorting Test (WCST) to assess set shifting. A 2 (high vs. low body shame) × 3 (induction group condition) ANOVA was conducted on the total number of WCST perseverative errors. The results suggest that for women who feel relatively satisfied with their bodies, thin ideal or negative affective images do not impact set shifting performance. However, for women who experience body shame, acute body dissatisfaction and negative affect may impact executive functioning as demonstrated by set shifting performance. In other words, women who endorse body shame may have difficulty shifting set during moments of increased negative affect, regardless of the general or body-specific nature of the negative affect.
Similar content being viewed by others
Notes
Two outliers were identified in the low body shame/neutral affect induction combined group upon examination of a normal Q–Q plot; these two participants made 21 and 25 perseverative errors with the remaining participants ranging from 3 to 15 errors with 77 % of individual making eight or fewer perseverative errors. These outliers were removed in all analyses related to the interactive hypothesis; removal of these outliers did not affect the significance of the omnibus F test.
References
Arffa, S. (2007). The relationship of intelligence to executive function and non-executive function measures in a sample of average, above average, and gifted youth. Archives of Clinical Neuropsychology, 22, 969–978.
Arffa, S., Lovell, M., Podell, K., & Goldberg, E. (1998). Wisconsin card sorting test performance in above average and superior school children: Relationship to intelligence and age. Archives of Clinical Neuropsychology, 13, 713–720.
Ashby, F. G., Isen, A. M., & Turken, U. (1999). A neuropsychological theory of positive affect and its influence on cognition. Psychological Review, 106, 529–550.
Baas, M., De Dreu, C. W., & Nijstad, B. A. (2008). A meta-analysis of 25 years of mood-creativity research: Hedonic tone, activation, or regulatory focus? Psychological Bulletin, 134, 779–806.
Basso, M. R., Bornstein, R. A., & Lang, J. M. (1999). Practice effects on commonly used measures of executive function across twelve months. The Clinical Neuropsychologist, 13, 283–292.
Baumann, N., & Kuhl, J. (2005). Positive affect and flexibility: Overcoming the precedence of global over local processing of visual information. Motivation and Emotion, 29, 123–134.
Beck, A. T. (1976). Cognitive therapy and emotional disorders. New York: International Universities Press.
Berland, N. W., Thompson, J., & Linton, P. H. (1986). Correlation between the EAT-26 and the EAT-40, the eating disorders inventory, and the restrained eating inventory. International Journal of Eating Disorders, 5, 569–574.
Boone, K. B., Ghaffarian, S., Lesser, I. M., & Hill-Gutierrez, E. (1993). Wisconsin card sorting test performance in healthy, older adults: Relationship to age, sex, education, and IQ. Journal of Clinical Psychology, 49, 54–60.
Bulik, C. M., Reba, L., Siega-Riz, A. M., & Reichborn-Kjennerud, T. (2005). Anorexia nervosa: Definition, epidemiology, and cycle of risk. International Journal of Eating Disorders, 37, S2–S9.
Channon, S. (1996). Executive dysfunction in depression: The Wisconsin Card Sorting Test. Journal of Affective Disorders, 39, 107–114.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. London: Routledge.
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.
Cowdrey, F. A., & Park, R. J. (2012). The role of experiential avoidance, rumination and mindfulness in eating disorders. Eating Behaviors, 13, 100–105.
Danner, U. N., Sanders, N., Smeets, P. A. M., van Meer, F., Adan, R. A. H., Hoek, H. W., et al. (2012). Neuropsychological weaknesses in anorexia nervosa: Set-shifting, central coherence, and decision making in currently ill and recovered women. International Journal of Eating Disorders, 45, 685–694.
Deveney, C. M., & Deldin, P. J. (2006). A preliminary investigation of cognitive flexibility for emotional information in major depressive disorder and non-psychiatric controls. Emotion, 6, 429–437.
Dreisbach, G., & Goschke, T. (2004). How positive affect modulates cognitive control: Reduced perseveration at the cost of increased distractibility. Journal of Experimental Psychology. Learning, Memory, and Cognition, 30, 343–353.
Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16(4), 363–370.
Fitzpatrick, K. K., Darcy, A., Colborn, D., Gudorf, C., & Lock, J. (2012). Set-shifting among adolescents with anorexia nervosa. International Journal of Eating Disorders, 45, 909–912.
Frederickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300–319.
Galimberti, E., Fadda, E., Cavallini, M. C., Martoni, R. M., Erzegovesi, S., & Bellodi, L. (2013). Executive functioning in anorexia nervosa patients and their unaffected relatives. Psychiatry Research, 3, 238–244.
Garner, D. M., & Bemis, K. M. (1982). A cognitive-behavioral approach to anorexia nervosa. Cognitive Therapy and Research, 6, 123–150.
Garner, D., & Garfinkel, P. (1980). Socio-cultural factors in the development of anorexia nervosa. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 10, 647–656.
Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: Psychometric features and clinical correlates. Psychological Medicine, 12(4), 871–878.
Giel, K. E., Wittorf, A., Wolkenstein, L., Klingberg, S., Drimmer, E., Schönenberg, M., et al. (2012). Is impaired set-shifting a feature of “pure” anorexia nervosa? Investigating the role of depression in set-shifting ability in anorexia nervosa and unipolar depression. Psychiatry Research, 200, 538–543.
Goldfein, J. A., Walsh, B. T., & Midlarsky, E. (2000). Influence of shape and weight on self-evaluation in bulimia nervosa. International Journal of Eating Disorders, 27(4), 435–445.
Greenleaf, C., & McGreer, R. (2006). Disordered eating attitudes and self-objectification among physically active and sedentary female college students. Journal of Psychology: Interdisciplinary and Applied, 140, 187–198.
Groesz, L. M., Levine, M. P., & Murnen, S. K. (2002). The effect of experimental presentation of thin media images on body satisfaction: A meta-analytic review. International Journal of Eating Disorders, 31, 1–16.
Heaton, R. K., Chelune, G. J., Talley, J., Kay, G. G., & Curtiss, G. (1993). Wisconsin card sorting test manual—revised and expanded. Odessa, FL: Psychological Assessment Resources.
Heinberg, L. J., & Thompson, J. (1995). Body image and televised images of thinness and attractiveness: A controlled laboratory investigation. Journal of Social and Clinical Psychology, 14, 325–338.
Henrickson, H. C., Crowther, J. H., & Harrington, E. F. (2010). Ethnic identity and maladaptive eating: Expectancies about eating and thinness in African American women. Cultural Diversity and Ethnic Minority Psychology, 16, 87–93.
Hirt, E. R., Devers, E. E., & McCrea, S. M. (2008). I want to be creative: Exploring the role of hedonic contingency theory in the positive mood-cognitive flexibility link. Journal of Personality and Social Psychology, 94, 214–230.
Holliday, J., Tchanturia, K., Landau, S., Collier, D., & Treasure, J. (2005). Is impaired set-shifting an endophenotype of anorexia nervosa? The American Journal of Psychiatry, 162, 2269–2275.
Hudson, J. I., Hiripi, E., Pope, H. G., Jr, & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 61(3), 348–358.
Ingram, R. E., & Kendall, P. C. (1986). Cognitive clinical psychology: Implications of an information-processing perspective. In R. E. Ingram (Ed.), Information-processing approaches to clinical psychology. San Diego, CA: Academic Press.
Johnson, D. R. (2009). Emotional attention set-shifting and its relationship to anxiety and emotion regulation. Emotion, 9(5), 681–690.
Kaye, W. H., Bulik, C. M., Thornton, L., Barbarich, N., & Masters, K. (2004). Comorbidity of anxiety disorders with anorexia and bulimia nervosa. American Journal of Psychiatry, 161, 2215–2221.
Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (2008). International affective picture system (IAPS): Affective ratings of pictures and instruction manual. Technical Report A-8. University of Florida, Gainesville, FL.
Martin, M. (1990). On the induction of mood. Clinical Psychology Review, 6, 669–697.
McKinley, N., & Hyde, J. (1996). The Objectified Body Consciousness Scale: Development and validation. Psychology of Women Quarterly, 20, 181–215.
Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., & Howerter, A. (2000). The unity and diversity of executive functions and their contributions to complex ‘frontal lobe’ tasks: A latent variable analysis. Cognitive Psychology, 41, 49–100.
Murphy, R., Straebler, S., & Fairburn, C. G. (2010). Cognitive behavioral therapy for eating disorders. Psychiatry Clinics of North America, 33, 611–627.
Nakazato, M., Tchanturia, K., Schmidt, U., Campbell, I. C., Treasure, J., Collier, D. A., et al. (2009). Brain-derived neurotrophic factor (BDNF) and set-shifting in currently ill and recovered anorexia nerosa (AN) patients. Psychological Medicine, 39, 1029–1035.
Park, R., Dunn, B., & Barnard, P. (2011). Schematic models and modes of mind in anorexia nervosa: A novel process account. International Journal of Cognitive Therapy, 4, 415–437.
Richardson, J. T. (2011). Eta squared and partial eta squared as measures of effect size in educational research. Educational Research Review, 6(2), 135–147.
Roberts, M. E., Tchanturia, K., Stahl, D., Southgate, L., & Treasure, J. (2007). A systematic review and meta-analysis of set-shifting ability in eating disorders. Psychological Medicine, 37, 1075–1084.
Roberts, M. E., Tchanturia, K., & Treasure, J. L. (2010). Exploring the neurocognitive signature of poor set-shifting in anorexia and bulimia nervosa. Journal of Psychiatric Research, 44, 964–970.
Serpell, L., Treasure, J., Teasdale, J., & Sullivan, V. (1999). Anorexia nervosa: Friend or foe? International Journal of Eating Disorders, 25, 177–186.
Shott, M. E., Filoteo, J. V., Bhatnagar, K. A. C., Peak, N. J., Hagman, J. O., Rockwell, R., et al. (2012). Cognitive set shifting in anorexia nervosa. European Eating Disorders Review, 20, 343–349.
Steinglass, J. E., Walsh, B. T., & Stern, Y. (2006). Set shifting deficit in anorexia nervosa. Journal of the International Neuropsychological Society, 12, 431–435.
Steinhausen, H. (2002). The outcome of anorexia nervosa in the 20th century. American Journal of Psychiatry, 159, 1284–1293.
Steinhausen, H. C., Boyadjieva, S., Griogotoiu-Serbanescu, M., & Neumarker, K. J. (2003). The outcome of adolescent eating diosrders: Findings from an international collaborative study. European Child and Adolescent Psychiatry, 12(Supplement 1), 91–98.
Stice, E., & Shaw, H. E. (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology: A synthesis of research findings. Journal of Psychosomatic Research, 53, 985–993.
Sweller, J. (1988). Cognitive load during problem solving: Effects on learning. Cognitive Science, 12, 257–285.
Sweller, J., & Chandler, P. (1994). Why some material is difficult to learn. Cognition and Instruction, 12, 185–233.
Tchanturia, K., Anderluh, M. B., Morris, R. G., Rabe-Hesketh, S., Collier, D. A., Sanchez, P., et al. (2004a). Cognitive flexibility in anorexia nervosa and bulimia nervosa. Journal of the International Neuropsychological Society, 10, 513–520.
Tchanturia, K., Campbell, L. C., Morris, R., & Treasure, J. (2005). Neuropsychological studies in anorexia nervosa. International Journal of Eating Disorders, 37, 72–76.
Tchanturia, K., Davies, H., Roberts, M., Harrison, A., Nakazato, M., Schmidt, U., et al. (2012). Poor cognitive flexibility in eating disorders: Examining the evidence using the Wisconsin Card Sorting Task. PLoS ONE, 7(1), e28331.
Tchanturia, K., Harrison, A., Davies, H., Roberts, M., Oldershaw, A., Nakazato, M., et al. (2011). Cognitive flexibility and clinical severity in eating disorders. PLoS ONE, 6(6), e20462.
Tchanturia, K., Morris, R. G., Anderluh, M. B., Collier, D. A., Nikolaou, V., & Treasure, J. (2004b). Set shifting in anorexia nervosa: An examination before and after weight gain, in full recovery and relationship to childhood and adult OCPD traits. Journal of Psychiatric Research, 38, 545–552.
Vanderlinden, J. (2008). Many roads lead to Rome: Why does cognitive behavioral therapy remain unsuccessful for many eating disorder patients? European Eating Disorders Review, 16, 329–333.
Wade, T., George, W., & Atkinson, M. (2009). A randomized controlled trial of brief interventions for body dissatisfaction. Journal of Consulting and Clinical Psychology, 77, 845–854.
Wang, Y., & Guo, D. (2008). The effects of positive emotions on task switching. Acta Psychologica Sinica, 40, 301–306.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.
Wilsdon, A., & Wade, T. D. (2006). Executive functioning in anorexia nervosa: Exploration of the role of obsessionality, depression and starvation. Journal of Psychiatric Research, 40, 746–754.
Zipfel, S., Lowe, B., Reas, D. L., Deter, H.-C., & Herzog, W. (2000). Long-term prognosis in anorexia nervosa: Lessons from a 21-year follow-up study. Lancet, 355, 721–722.
Conflict of Interest
Megan B. Harney and Anna M. Bardone-Cone declare that they have no conflict of interest. The authors did not receive grant funding for this research.
Informed Consent
Approval for this study was granted by the Institutional Review Board (IRB) at the University of North Carolina at Chapel Hill. All procedures followed were in accordance with the ethical standards of the IRB. Informed consent was obtained prior to study participation.
Animal Rights
No animal studies were carried out by the authors for this article.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Harney, M.B., Bardone-Cone, A.M. The Influence of Body Dissatisfaction on Set Shifting Ability. Cogn Ther Res 38, 439–448 (2014). https://doi.org/10.1007/s10608-014-9612-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10608-014-9612-1