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Eating Disorders
The Journal of Treatment & Prevention
Volume 19, 2010 - Issue 1: Eating Disorders and Mindfulness
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Qualitative Articles

Psychological Inflexibility and Symptom Expression in Anorexia Nervosa

Rhonda M. Merwin Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA
,
C. Alix Timko Department of Behavioral and Social Sciences, University of the Sciences, Philadelphia, Pennsylvania, USA
,
Ashley A. Moskovich Department of Psychology and Neuroscience, Duke University, Durham, North Carolina, USA
,
Krista Konrad Ingle Department of Psychology, Meredith College, Raleigh, North Carolina, USA
,
Cynthia M. Bulik Department of Psychiatry, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, USA
&
Nancy L. Zucker Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA; Department of Psychology and Neuroscience, Duke University, Durham, North Carolina, USACorrespondence[email protected]
Pages 62-82 | Published online: 20 Dec 2010
 
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Abstract

The purpose of this article is to outline a model of anorexia nervosa (AN) as a disorder of psychological inflexibility, motivated by an insatiable desire for prediction and control with related intolerance for uncertainty. We describe preliminary data that provide initial support for this conceptualization and point to the ways in which mindfulness and acceptance-based strategies might be particularly useful for treating AN. This article is not intended to be an exhaustive literature review, rather a conceptual framework to guide future research and treatment development.

Acknowledgments

This work is supported by National Institute of Mental Health (NIMH) grants K23-MH-070418 (Principal investigator: Zucker), R01-MH-07821 (Principal investigator: Zucker) and RC1-MH-088678 (Principal investigator: Zucker.)

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