Full Text Journal Articles by
Author Nancy L Zucker

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Longitudinal associations of trauma exposure with disordered eating: Lessons from the Great Smoky Mountains Study.

Rachel L Zelkowitz, Noga Zerubavel, Nancy L Zucker, William E Copeland,

Disordered eating is prevalent among trauma survivors, yet little is known about mechanisms underlying this relation. We explored cross-sectional and longitudinal associations of trauma exposure and posttraumatic stress disorder symptoms (PTSD) with disordered eating among 1,420 community-based youth participating in the Great Smoky Mountain Study. Participants were interviewed about trauma ... Read more >>

Eat Disord (Eating disorders)
[2021, 29(3):208-225]

Cited: 1 time

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The diagnosis of avoidant restrictive food intake disorder in the presence of gastrointestinal disorders: Opportunities to define shared mechanisms of symptom expression.

Julia K Nicholas, Miranda A L van Tilburg, Ilana Pilato, Savannah Erwin, Alannah M Rivera-Cancel, Lindsay Ives, Marsha D Marcus, Nancy L Zucker,

<h4>Objective</h4>Individuals with a gastrointestinal (GI) disorder often alter their diet to manage GI symptoms, adding complexity to understanding the diverse motivations contributing to food avoidance/restriction. When a GI disorder is present, the DSM-5 states that Avoidant/Restrictive Food Intake Disorder (ARFID) can be diagnosed only when eating disturbance exceeds that expected. ... Read more >>

Int J Eat Disord (The International journal of eating disorders)
[2021, 54(6):995-1008]

Cited: 0 times

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Children's Beliefs about Pain: An Exploratory Analysis.

Lindsay T Ives, Kate Stein, Alannah M Rivera-Cancel, Julia K Nicholas, Kristen Caldwell, Nandini Datta, Christian Mauro, Helen Egger, Eve Puffer, Nancy L Zucker,

Functional abdominal pain (FAP) is one of the most common childhood medical complaints, associated with significant distress and impairment. Little is known about how children understand their pain. Do they attribute it to personal weakness? Do they perceive pain as having global impact, affecting a variety of activities? How do ... Read more >>

Children (Basel) (Children (Basel, Switzerland))
[2021, 8(6):]

Cited: 1 time

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Internal states and interoception along a spectrum of eating disorder symptomology.

Nandini Datta, Tatyana Bidopia, Samir Datta, Gaurie Mittal, Franca Alphin, Beate M Herbert, Elizabeth J Marsh, Gavan J Fitzsimons, Timothy J Strauman, Nancy L Zucker,

<h4>Objective</h4>Recent studies on atypical interoceptive capabilities have focused on clinical populations, including anorexia nervosa[1,2]. The present exploratory study aims to characterize the influence of disordered eating symptomology on interoceptive capabilities in college students, a population for which dangerous dieting behaviors may emerge.<h4>Method</h4>Ninety-nine participants were randomized to consume a blinded high ... Read more >>

Physiol Behav (Physiology & behavior)
[2021, 230:113307]

Cited: 1 time

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Meal skipping and cognition along a spectrum of restrictive eating.

Nandini Datta, Tatyana Bidopia, Samir Datta, Gaurie Mittal, Franca Alphin, Elizabeth J Marsh, Gavan J Fitzsimons, Timothy J Strauman, Nancy L Zucker,

<h4>Objective</h4>Inadequate nutrition adversely impacts brain development and cognitive functioning (Pollitt et al., 1983). Studies examining the acute impact of eating regular meals on cognition have reported inconsistent findings, necessitating the exploration of individual differences in samples contributing to equivocal results. The present study examines the impact of skipping lunch on ... Read more >>

Eat Behav (Eating behaviors)
[2020, 39:101431]

Cited: 0 times

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A multi-method assessment of interoception among sexual trauma survivors.

Kristen M Reinhardt, Noga Zerubavel, Anna S Young, Mavis Gallo, Nikita Ramakrishnan, Alexandra Henry, Nancy L Zucker,

It is well established that many female sexual trauma survivors experience dissociation, particularly disconnection from the body, in the aftermath of sexual trauma. This study aims to address the open question of how sexual trauma is associated with awareness of inner body sensations (i.e., interoception). Given the important role that ... Read more >>

Physiol Behav (Physiology & behavior)
[2020, 226:113108]

Cited: 2 times

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Do interoceptive accuracy and interoceptive sensibility predict emotion regulation?

Stephanie A Schuette, Nancy L Zucker, Moria J Smoski,

<h4>Introduction</h4>Interoception refers to awareness, interpretation, and integration of sensations in the body. While interoceptive accuracy has long been regarded as a core component of emotional experience, less is known about the relationship of interoceptive accuracy and related facets of interoception to emotion regulation deficits. This study explores how interoceptive accuracy ... Read more >>

Psychol Res (Psychological research)
[2021, 85(5):1894-1908]

Cited: 4 times

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The Persistence of Picky Eating: Opportunities to Improve Our Strategies and Messaging.

Nancy L Zucker, Sheryl O Hughes,

Pediatrics (Pediatrics)
[2020, 145(6):]

Cited: 0 times

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On bells, saliva, and abdominal pain or discomfort: Early aversive visceral conditioning and vulnerability for anorexia nervosa.

Nancy L Zucker, Cynthia M Bulik,

Gastrointestinal (GI) symptoms are common in anorexia nervosa (AN), can predate illness onset, complicate renourishment, and persist after recovery. We explore how, through processes of aversive visceral conditioning, early GI pain and discomfort may increase vulnerability to AN in some individuals. Processes include enhanced preoccupation with the gut resulting from ... Read more >>

Int J Eat Disord (The International journal of eating disorders)
[2020, 53(4):508-512]

Cited: 5 times

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Rigidity and Sensory Sensitivity: Independent Contributions to Selective Eating in Children, Adolescents, and Young Adults.

Hana F Zickgraf, Emily Richard, Nancy L Zucker, Gregory L Wallace,

Objective: Selective or "picky" eating (SE) refers to rejection of a wide range of familiar and unfamiliar foods based on aversions to their sensory properties. When severe, SE can cause symptoms of avoidant/restrictive food intake disorder (ARFID), including weight loss, nutritional deficiencies, and/or psychosocial impairment. SE is highly prevalent in ... Read more >>

J Clin Child Adolesc Psychol (Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53)
[2020, :1-13]

Cited: 5 times

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Feeling and body investigators (FBI): ARFID division-An acceptance-based interoceptive exposure treatment for children with ARFID.

Nancy L Zucker, Maria C LaVia, Michelle G Craske, Martha Foukal, Adrianne A Harris, Nandini Datta, Erik Savereide, Gary R Maslow,

<h4>Objective</h4>Individuals with Avoidant Restrictive Food Intake Disorder (ARFID) experience impairing health consequences from insufficient nutritional variety and/or quantity. Early medical conditions and/or somatic symptoms such as abdominal pain may lead some with ARFID to experience somatic sensations as aversive. As such, food avoidance may be part of a broader behavioral ... Read more >>

Int J Eat Disord (The International journal of eating disorders)
[2019, 52(4):466-472]

Cited: 11 times

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The central role of disgust in disorders of food avoidance.

Adrianne A Harris, Adrienne L Romer, Eleanor K Hanna, Lori A Keeling, Kevin S LaBar, Walter Sinnott-Armstrong, Timothy J Strauman, Henry Ryan Wagner, Marsha D Marcus, Nancy L Zucker,

<h4>Background</h4>Individuals with extreme food avoidance such as Avoidant Restrictive Food Intake Disorder (ARFID) experience impairing physical and mental health consequences from nutrition of insufficient variety or/and quantity. Identifying mechanisms contributing to food avoidance is essential to develop effective interventions. Anxiety figures prominently in theoretical models of food avoidance; however, there ... Read more >>

Int J Eat Disord (The International journal of eating disorders)
[2019, 52(5):543-553]

Cited: 4 times

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Neurobiology of social reward valuation in adults with a history of anorexia nervosa.

Maggie M Sweitzer, Karli K Watson, Savannah R Erwin, Amy A Winecoff, Nandini Datta, Scott Huettel, Michael L Platt, Nancy L Zucker,

<h4>Objective</h4>Anorexia nervosa (AN) is a disorder characterized by atypical patterns of reward valuation (e.g. positive valuation of hunger). Atypical reward processing may extend into social domains. If so, such findings would be of prognostic significance as impaired social functioning predicts worse outcome. We explore neural circuits implicated in social reward ... Read more >>

PLoS One (PloS one)
[2018, 13(12):e0205085]

Cited: 4 times

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Time of Day When Type 1 Diabetes Patients With Eating Disorder Symptoms Most Commonly Restrict Insulin.

Rhonda M Merwin, Ashley A Moskovich, Lisa K Honeycutt, James D Lane, Mark Feinglos, Richard S Surwit, Nancy L Zucker, Natalia O Dmitrieva, Michael A Babyak, Heather Batchelder, Jan Mooney,

OBJECTIVE:Restricting insulin to lose weight is a significant problem in the clinical management of type 1 diabetes (T1D). Little is known about this behavior or how to effectively intervene. Identifying when insulin restriction occurs could allow clinicians to target typical high-risk times or formulate hypotheses regarding factors that influence this ... Read more >>

Psychosom Med (Psychosomatic medicine)
[2018, 80(2):222-229]

Cited: 3 times

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The Clinical Significance of Posterior Insular Volume in Adolescent Anorexia Nervosa.

Nancy L Zucker, Philip A Kragel, Henry Ryan Wagner, Lori Keeling, Emeran Mayer, Joyce Wang, Min Su Kang, Rhonda Merwin, W Kyle Simmons, Kevin S LaBar,

<h4>Objective</h4>The diagnostic criterion disturbance in the experience of the body remains a poorly understood and persistent feature of anorexia nervosa (AN). Increased sophistication in understanding the structure of the insular cortex-a neural structure that receives and integrates visceral sensations with action and meaning-may elucidate the nature of this disturbance. We ... Read more >>

Psychosom Med (Psychosomatic medicine)
[2017, 79(9):1025-1035]

Cited: 3 times

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Change in expressed emotion and treatment outcome in adolescent anorexia nervosa.

Ashley A Moskovich, C Alix Timko, Lisa K Honeycutt, Nancy L Zucker, Rhonda M Merwin,

Expressed emotion (EE) has been associated with poor outcomes in anorexia nervosa (AN); however, whether changes in EE predict superior treatment outcomes is unknown. The current study examined whether decreases in EE during an open trial of a novel family-based treatment for AN predicted symptoms at end of treatment. Forty-seven ... Read more >>

Eat Disord (Eating disorders)
[2017, 25(1):80-91]

Cited: 6 times

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Adolescent development of insula-dependent interoceptive regulation.

Dawei Li, Nancy L Zucker, Philip A Kragel, Virginia E Covington, Kevin S LaBar,

Adolescence is hypothesized to be a critical period for the maturation of self-regulatory capacities, including those that depend on interoceptive sensitivity, but the neural basis of interoceptive regulation in adolescence is unknown. We used functional magnetic resonance imaging and psychophysiology to study interoceptive regulation in healthy adolescent females. Participants regulated ... Read more >>

Dev Sci (Developmental science)
[2017, 20(5):]

Cited: 9 times

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Authors' Response.

Nancy L Zucker, William Copeland, Helen Egger,

Pediatrics (Pediatrics)
[2016, 137(1):]

Cited: 0 times

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Momentary Predictors of Insulin Restriction Among Adults With Type 1 Diabetes and Eating Disorder Symptomatology.

Rhonda M Merwin, Natalia O Dmitrieva, Lisa K Honeycutt, Ashley A Moskovich, James D Lane, Nancy L Zucker, Richard S Surwit, Mark Feinglos, Jennifer Kuo,

<h4>Objective</h4>Individuals with type 1 diabetes who restrict insulin to control weight are at high risk for diabetes-related complications and premature death. However, little is known about this behavior or how to effectively intervene. The aim of the current study was to identify predictors of insulin restriction in the natural environment ... Read more >>

Diabetes Care (Diabetes care)
[2015, 38(11):2025-2032]

Cited: 13 times

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The relationship between parent feeding styles and general parenting with loss of control eating in treatment-seeking overweight and obese children.

Brittany E Matheson, Casandra Camacho, Carol B Peterson, Kyung E Rhee, Sarah A Rydell, Nancy L Zucker, Kerri N Boutelle,

<h4>Objective</h4>To examine differences in parent feeding behaviors and general parenting of overweight children with and without loss of control (LOC) eating.<h4>Method</h4>One-hundred-and-eighteen overweight and obese children (10.40 ± 1.35 years; 53% female; 52% Caucasian; BMI-z: 2.06 ± 0.39) and their parents (42.42 ± 6.20 years; 91% female; 70% Caucasian; BMI: 31.74 ± 6.96 kg/m(2) ) were seen at ... Read more >>

Int J Eat Disord (The International journal of eating disorders)
[2015, 48(7):1047-1055]

Cited: 10 times

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Altered Insula Activity during Visceral Interoception in Weight-Restored Patients with Anorexia Nervosa.

Kara L Kerr, Scott E Moseman, Jason A Avery, Jerzy Bodurka, Nancy L Zucker, W Kyle Simmons,

Anorexia nervosa (AN) is a devastating psychiatric illness that is associated with significant morbidity and mortality. Aberrant visceral interoceptive processing within the insula has been hypothesized to be an important mechanism in AN's pathophysiology due to the theoretical link between interoception and emotional experience. We therefore utilized functional magnetic resonance ... Read more >>

Neuropsychopharmacology (Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology)
[2016, 41(2):521-528]

Cited: 46 times

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An open trial of Acceptance-based Separated Family Treatment (ASFT) for adolescents with anorexia nervosa.

C Alix Timko, Nancy L Zucker, James D Herbert, Daniel Rodriguez, Rhonda M Merwin,

Family based-treatments have the most empirical support in the treatment of adolescent anorexia nervosa; yet, a significant percentage of adolescents and their families do not respond to manualized family based treatment (FBT). The aim of this open trial was to conduct a preliminary evaluation of an innovative family-based approach to ... Read more >>

Behav Res Ther (Behaviour research and therapy)
[2015, 69:63-74]

Cited: 10 times

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Developmental trajectories of cortical-subcortical interactions underlying the evaluation of trust in adolescence.

Philip A Kragel, Nancy L Zucker, Virginia E Covington, Kevin S LaBar,

Social decision making is guided by the ability to intuitively judge personal attributes, including analysis of facial features to infer the trustworthiness of others. Although the neural basis for trustworthiness evaluation is well characterized in adults, less is known about its development during adolescence. We used event-related functional magnetic resonance ... Read more >>

Soc Cogn Affect Neurosci (Social cognitive and affective neuroscience)
[2015, 10(2):240-247]

Cited: 3 times

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Disinhibited eating and weight-related insulin mismanagement among individuals with type 1 diabetes.

Rhonda M Merwin, Ashley A Moskovich, Natalia O Dmitrieva, Carl F Pieper, Lisa K Honeycutt, Nancy L Zucker, Richard S Surwit, Lori Buhi,

<h4>Objective</h4>Withholding insulin for weight control is a dangerous practice among individuals with type 1 diabetes; yet little is known about the factors associated with this behavior. Studies of nondiabetic individuals with weight concerns suggest that eating in a disinhibited manner (e.g., binge eating) predicts the use of maladaptive compensatory strategies ... Read more >>

Appetite (Appetite)
[2014, 81:123-130]

Cited: 12 times

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A Pilot Study of an Acceptance-Based Separated Family Treatment for Adolescent Anorexia Nervosa.

Rhonda M Merwin, Nancy L Zucker, C Alix Timko,

The treatment of adolescent anorexia nervosa (AN) has improved significantly with the increased emphasis on family-based intervention. Yet despite advances, a substantial number of adolescents do not respond optimally to existing treatment models and thus there is a need for treatment alternatives that address barriers to recovery. We developed and ... Read more >>

Cogn Behav Pract (Cognitive and behavioral practice)
[2013, 20(4):485-500]

Cited: 9 times

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