A three-phase model of the social emotional functioning in eating disorders

Background Problems with social emotional functioning are an important part of eating disorder psychopathology. Aim This study aimed to propose a model of social emotional functioning before and during the illness and to explain the consequences for those involved. Method We propose a three-phase model of social and emotional processes as both causal and maintaining factors in anorexia nervosa. The predictions from this model are examined, and we consider the relevance for treatment. Results The evidence base for the theoretical model is presented: Phase 1 describes causal predispositions and environments, Phase 2 notes the way in which the symptoms themselves impact on brain function and social cognition and Phase 3 explains the reactions of close others. Conclusions A three-phase model including interpersonal and socio-emotional elements can be used to shape and plan treatment interventions. Understanding causal chains and consequences can give a rationale for change and frame therapeutic interventions. © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.