The extent to which cognitive factors influence the etiology of the disorder may be addressed by referring to, but not limited to:
- research findings that tend to suggest that an analysis of cognitive factors helps clinicians understand the etiology, symptoms, and personality of individuals with a certain disorder
- criticism that claims that cognitive explanations fail to provide any explanation of why these distortions arise and why some people use them while others do not
- claims that it is difficult to establish cause and effect relationships
- that the onset and development of the disorder is a result of complex interactions between biological, cognitive and/or sociocultural factors. For example, responses may claim that females are more likely to suffer from some eating disorders than males, suggesting that hormonal fluctuations relate to the greater vulnerability of women. Further elaboration may argue that the reasons for the disorder are rooted more in social causes than in cognitive ones.