Neuropsychological and Cognitive Correlates of Recovery in Anorexia Nervosa

被引:25
作者
Harper, Jessica A. [1 ]
Brodrick, Brooks [2 ]
Van Enkevort, Erin [1 ]
McAdams, Carrie J. [1 ,3 ,4 ]
机构
[1] Univ Texas Southwestern Med Ctr Dallas, Dept Psychiat, Dallas, TX 75390 USA
[2] Univ Texas Southwestern Med Ctr Dallas, Dept Internal Med, Dallas, TX 75390 USA
[3] Childrens Med Ctr, Dept Psychiat, Dallas, TX 75235 USA
[4] Texas Hlth Presbyterian Hosp Dallas, Dept Psychiat, Dallas, TX USA
关键词
anorexia nervosa; self-perception; cognitive rigidity; attribution bias; REPORT QIDS-SR; EATING-DISORDER; FOLLOW-UP; DEPRESSIVE SYMPTOMATOLOGY; QUICK INVENTORY; SELF-COMPETENCE; WEIGHT-GAIN; PREDICTORS; WOMEN; VALIDATION;
D O I
10.1002/erv.2539
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
ObjectiveTo identify clinical or cognitive measures either predictive of illness trajectory or altered with sustained weight recovery in adult women with anorexia nervosa. MethodsParticipants were recruited from prior studies of women with anorexia nervosa (AN-C) and in weight-recovery following anorexia nervosa (AN-WR). Participants completed a neuropsychological battery at baseline and clinical assessments at both baseline and follow-up. Groups based on clinical outcome (continued eating disorder, AN-CC; newly in recovery, AN-CR; sustained weight-recovery, AN-WR) were compared by using one-way ANOVAs with Bonferroni-corrected post hoc comparisons. ResultsWomen with continued eating disorder had poorer neuropsychological function and self-competence at baseline than AN-CR. AN-CR showed changes in depression and externalizing bias, a measure of self-related attributions. AN-WR differed from both AN-CC and AN-CR at baseline in externalizing bias, but only from AN-CC at outcome. DiscussionNeuropsychological function when recently ill may be a prognostic factor, while externalizing bias may provide a clinical target for recovery. Copyright (c) 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
引用
收藏
页码:491 / 500
页数:10
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