Neuropsychological functioning in children and adolescents with restrictive-type anorexia nervosa: An in-depth investigation with NEPSY-II

被引:41
|
作者
Calderoni, Sara [1 ]
Muratori, Filippo [1 ,2 ]
Leggero, Chiara [1 ]
Narzisi, Antonio [1 ]
Apicella, Fabio [1 ]
Balottin, Umberto [3 ,4 ]
Carigi, Tiziana [3 ]
Maestro, Sandra [1 ]
Fabbro, Franco [5 ,6 ]
Urgesi, Cosimo [5 ,6 ]
机构
[1] Fdn Stella Maris, Ist Ricovero & Cura Carattere Sci, Pisa, Italy
[2] Univ Pisa, Dipartimento Med Procreaz & Eta Evolut, Pisa, Italy
[3] Ist Ricovero & Cura Carattere Sci C Mondino, Clin Neuropsichiatria Infantile, Pavia, Italy
[4] Univ Pavia, Dipartimento Sci Neurol, I-27100 Pavia, Italy
[5] Univ Udine, Dept Human Sci, I-33100 Udine, Italy
[6] Ist Ricovero & Cura Carattere Sci IRCCS E Medea P, San Vito Al Tagliamento, Pordenone, Italy
关键词
Anorexia nervosa; Eating disorders; Adolescents; Executive functions; Verbal fluency; SET-SHIFTING ABILITY; EATING-DISORDERS; BULIMIA-NERVOSA; CENTRAL COHERENCE; DECISION-MAKING; WEIGHT-GAIN; COGNITIVE FLEXIBILITY; FEMALE INPATIENTS; EMOTIONAL THEORY; DEPRESSION;
D O I
10.1080/13803395.2012.760536
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Several studies have investigated the neuropsychological functioning of patients with anorexia nervosa restrictive type (AN-r), but results are conflicting. Here we compared the neuropsychological profile of 23 female children and adolescents with AN-r and of 46 typical controls (aged 916 years) using the second edition of the NEPSY (a Developmental Neuropsychology Assessment) neuropsychological battery. AN-r patients presented subtle cognitive flexibility impairments in audiomotor responses (p = .033). Conversely, superior performance in verbal fluency (p = .024) and memory (p = .034) was observed only in AN-r patients with an associated unipolar mood disorder. This profile of marginally impaired and enhanced performance was independent from illness duration and starvation degree, suggesting that it may preexist and represent a vulnerability factor for the disease onset.
引用
收藏
页码:167 / 179
页数:13
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