Neuropsychological weaknesses in anorexia nervosa: Set-shifting, central coherence, and decision making in currently ill and recovered women

被引:121
作者
Danner, Unna N. [1 ,7 ]
Sanders, Nicole [1 ,2 ,7 ]
Smeets, Paul A. M. [3 ,7 ]
van Meer, Floor [1 ,7 ]
Adan, Roger A. H. [1 ,2 ,7 ]
Hoek, Hans W. [1 ,4 ,5 ,6 ,7 ]
van Elburg, Annemarie A. [1 ,7 ]
机构
[1] Altrecht Eating Disorders Rintveld, Altrecht Mental Hlth Inst, NL-3705 BK Zeist, Netherlands
[2] Univ Med Ctr Utrecht, Rudolf Magnus Inst, Utrecht, Netherlands
[3] Univ Med Ctr Utrecht, Image Sci Inst, Utrecht, Netherlands
[4] Parnassia Bavo Psychiat Inst, The Hague, Netherlands
[5] Univ Groningen, Univ Med Ctr Groningen, Dept Psychiat, Groningen, Netherlands
[6] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA
[7] Utrecht Res Grp Eating Disorders, Utrecht, Netherlands
关键词
set-shifting; central coherence; decision making; anorexia nervosa; recovered; neuropsychology; COGNITIVE-BEHAVIORAL FLEXIBILITY; EATING-DISORDERS; ANXIETY DISORDERS; PSYCHOPATHOLOGY; PERFORMANCE; CHILDHOOD; INTERVIEW; DEFICIT; MODEL; TASK;
D O I
10.1002/eat.22007
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: The purpose of this study is to examine set-shifting, central coherence, and decision making in women currently ill with anorexia nervosa (AN), women recovered from AN, and healthy control women. We aim to test whether these neuropsychological weaknesses persist after recovery, and explore relations between the impairments Results: Compared to control women, ill and recovered women showed poor set-shifting and decision making. There were strong correlations between set-shifting and central coherence in the ill and recovered women. Decision making did not correlate with the other measures. Discussion: The present findings suggest that impaired set-shifting and decision making are stable traits in women with AN. Because individual differences within these groups were large, a rigid thinking style is only present in a (sub)population of ill and recovered women. Decision-making performance is not related to a rigid thinking style, but further research in this area is warranted. (c) 2012 by Wiley Periodicals, Inc.
引用
收藏
页码:685 / 694
页数:10
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