{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T07:55:21Z","timestamp":1791100521184,"version":"4.1.0"},"reference-count":53,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,12,18]],"date-time":"2012-12-18T00:00:00Z","timestamp":1355788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2013,6]]},"abstract":"\n Objectives<\/jats:title>\n \n This study aimed (1) to determine whether inpatients with eating disorders (\n ED<\/jats:styled-content>\n s) have difficulty differentiating their emotions and being aware of the emotions of others; (2) to investigate the link between actual skills in emotional awareness and the sense of self\u2010efficacy concerning these skills; and (3) to assess the impact of the quality of parental bonding on patients' levels of emotional awareness.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A sample of 44 inpatients with\n ED<\/jats:styled-content>\n s, including a subgroup of 25 patients with restricting type anorexia nervosa (\n AR<\/jats:styled-content>\n ) and a subgroup of 19 patients with purging symptoms (\n PUR<\/jats:styled-content>\n ), were compared with 37 controls. All participants completed measures on emotional awareness (using the Level of Emotional Awareness Scale [\n LEAS<\/jats:styled-content>\n ]), alexithymia (using the Toronto Alexithymia Scale\u201020 [\n TAS<\/jats:styled-content>\n \u201020]), and parental bonding (using the Parental Bonding Inventory).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Inpatients with\n ED<\/jats:styled-content>\n s reported difficulties in identifying and describing their feelings when using the self\u2010report questionnaire (\n TAS<\/jats:styled-content>\n \u201020). However, using a performance\u2010based instrument (\n LEAS<\/jats:styled-content>\n ), inpatients with\n ED<\/jats:styled-content>\n exhibited no deficits in differentiating their emotional states, although\n AR<\/jats:styled-content>\n patients experienced difficulties when differentiating the emotional states of others. Moreover, there was no significant association between the\n TAS<\/jats:styled-content>\n \u201020 and the\n LEAS<\/jats:styled-content>\n scores, suggesting that the two measurements provide insight into different aspects of emotional processing. Regression analyses showed that maternal care had a positive influence on emotional awareness in the\n AR<\/jats:styled-content>\n subgroup, whereas maternal overprotection had a negative influence on emotional awareness in\n PUR<\/jats:styled-content>\n subgroup.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Inpatients with\n ED<\/jats:styled-content>\n s do not present with deficits in personal emotional awareness despite their self\u2010perception.\n AR<\/jats:styled-content>\n patients showed deficits in the emotional awareness of others. In patients with\n ED<\/jats:styled-content>\n s, perceived maternal bonding influenced the development of emotional awareness, and this influence was dependent on the type of\n ED<\/jats:styled-content>\n . Psychotherapies that focus on maternal bonding and emotional communication within the family unit may enhance emotional awareness in patients with anorexia or subclinical eating pathologies as an alternative.\n <\/jats:p>\n <\/jats:sec>\n \n Practitioner Points<\/jats:title>\n \n \n \n Inpatients suffering from eating disorders do not have a deficit in emotional awareness despite their self\u2010perception.<\/jats:p>\n <\/jats:list-item>\n \n Inpatients suffering from anorexia nervosa have deficits in recognizing the emotions of others.<\/jats:p>\n <\/jats:list-item>\n \n Maternal care positively influences the levels of emotional awareness in patients with restricting type anorexia nervosa.<\/jats:p>\n <\/jats:list-item>\n \n Maternal overprotection negatively influences the level of emotional awareness in bulimia nervosa and anorexia nervosa purging type.<\/jats:p>\n <\/jats:list-item>\n \n Because it is important to explore emotional processes based on the type of eating disorders, our study is limited by its small sample size.<\/jats:p>\n <\/jats:list-item>\n \n The use of the LEAS in this study is a limitation, as it does not take into account the accuracy of the patients' ability to label their own emotions.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bjc.12010","type":"journal-article","created":{"date-parts":[[2012,12,18]],"date-time":"2012-12-18T16:48:12Z","timestamp":1355849292000},"page":"215-229","source":"Crossref","is-referenced-by-count":22,"title":["Emotional differentiation and parental bonding in inpatients suffering from eating disorders"],"prefix":"10.1111","volume":"52","author":[{"given":"Delphine","family":"Rommel","sequence":"first","affiliation":[{"name":"Laboratory URECA University Lille North of France Villeneuve d'Ascq France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Louis","family":"Nandrino","sequence":"additional","affiliation":[{"name":"Laboratory URECA University Lille North of France Villeneuve d'Ascq France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Antoine","sequence":"additional","affiliation":[{"name":"Laboratory URECA University Lille North of France Villeneuve d'Ascq France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Dodin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry H\u00f4pital Saint Vincent de Paul Groupe Hospitalier de l'Institut Catholique de Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,12,18]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Bermond B. &Vorst H. 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