title: Worry and rumination in anorexia nervosa.
abstract: BACKGROUND
  Difficulties with comprehending and managing emotions are core features of the pathology of anorexia nervosa (AN). Advancements in understanding aetiology and treatment have been made within other clinical domains by targeting worry and rumination. However, worry and rumination have been given minimal consideration in AN.
  
  
  OBJECTIVE
  This study is the largest to date of worry and rumination in AN.
  
  
  METHODS
  Sixty-two outpatients with a diagnosis of AN took part. Measures of worry, rumination, core AN pathology and neuropsychological correlates were administered.
  
  
  RESULTS
  Findings suggest that worry and rumination are elevated in AN patients compared with both healthy controls and anxiety disorder comparison groups. Regression analyses indicated that worry and rumination were significant predictors of eating disorder symptomatology, over and above the effects of anxiety and depression. Worry and rumination were not associated with neuropsychological measures of set-shifting and focus on detail.
  
  
  CONCLUSIONS
  The data suggest that worry and rumination are major concerns for this group and warrant further study.
authors.affiliation: King's College London, Institute of Psychiatry, Division of Psychological Medicine, Section of Eating Disorders P059, De Crespigny Park, London SE5 8AF, UK. helen.startup@kcl.ac.uk
authors.forename: Helen
authors.initials: H
authors.lastname: Startup
authors.forename: Anna
authors.initials: A
authors.lastname: Lavender
authors.forename: Anna
authors.initials: A
authors.lastname: Oldershaw
authors.forename: Richard
authors.initials: R
authors.lastname: Stott
authors.forename: Kate
authors.initials: K
authors.lastname: Tchanturia
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology*; D001288:Attention; D001364:Awareness; D003469:Culture; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D056344:Executive Function; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D009483:Neuropsychological Tests / Q000706:statistics & numerical data; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics; D013850:Thinking; D055815:Young Adult