{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T20:04:13Z","timestamp":1760385853645,"version":"3.40.5"},"reference-count":48,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T00:00:00Z","timestamp":1620259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To enhance our understanding of reward stimuli in anorexia nervosa (AN) and to provide a basis for future research on reward processes, disorder specific reward stimuli as well as primary and secondary reinforcers were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We developed a set of pictures with \u201cdisorder specific reward\u201d stimuli, with the six subcategories \u201csport,\u201d \u201closing weight,\u201d \u201chealthy food,\u201d \u201cdiscipline,\u201d \u201cthin bodies,\u201d \u201cappreciation of others,\u201d and evaluated reward ratings of these \u201cdisorder specific reward\u201d stimuli as well as \u201cerotic,\u201d \u201chigh caloric,\u201d and \u201cneutral\u201d stimuli in 25 patients with AN and 25 participants in the comparison group (CG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found a significant main effect for picture category and a significant interaction. The reward ratings were higher in patients with AN compared with CG for the \u201cdisorder specific reward\u201d stimuli. In the reward subcategories, patients with AN had higher reward ratings compared with CG in all categories except of healthy food. The \u201cdisorder specific reward\u201d stimuli of the categories \u201csport,\u201d \u201closing weight,\u201d and \u201chealthy food\u201d showed higher reward ratings compared with the categories \u201cdiscipline,\u201d \u201cthin bodies,\u201d and \u201cappreciation of others\u201d in patients with AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The previously used category \u201cthin bodies\u201d used to investigate the reward system might be less effective compared with stimuli from the categories \u201csport,\u201d \u201closing weight,\u201d and \u201chealthy food.\u201d<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23526","type":"journal-article","created":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T02:37:30Z","timestamp":1620355050000},"page":"1477-1485","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Disorder specific rewarding stimuli in anorexia nervosa"],"prefix":"10.1002","volume":"54","author":[{"given":"Ann\u2010Kathrin","family":"Kogel","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy LWL University Hospital, Ruhr University Bochum  Bochum Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Herpertz","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy LWL University Hospital, Ruhr University Bochum  Bochum Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7651-0627","authenticated-orcid":false,"given":"Sabine","family":"Steins\u2010Loeber","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy Otto\u2010Friedrich\u2010University of Bamberg  Bamberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3257-7299","authenticated-orcid":false,"given":"Martin","family":"Diers","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy LWL University Hospital, Ruhr University Bochum  Bochum Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pscychresns.2013.07.004"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2014.00617"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717002161"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(94)90063-9"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/tp.2016.98"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/1064-1297.16.3.207"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2011.05.028"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1503\/jpn.140249"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.09010071"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/tp.2013.88"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/nn.4136"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2005.05.003"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsycho.2013.10.004"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2014.00778"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101872"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-59606-7_3"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2008.07.005"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0029125"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1503\/jpn.110156"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pscychresns.2014.04.015"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717001994"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0191059"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.161.12.2215"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tins.2013.01.003"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2016.08.005"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2007.06.007"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/scan\/nst070"},{"key":"e_1_2_9_31_1","unstructured":"Lang P. 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