Executive function in eating disorders: The role of state anxiety

被引:30
作者
Billingsley-Marshall, Rebecca L. [1 ]
Basso, Michael R. [2 ]
Lund, Brian C. [3 ]
Hernandez, Elsa R. [4 ]
Johnson, Craig L. [5 ]
Drevets, Wayne C. [1 ,6 ]
McKee, Patrick A. [7 ]
Yates, William R. [1 ]
机构
[1] Laureate Inst Brain Res, Tulsa, OK 74136 USA
[2] Univ Tulsa, Dept Psychol, Tulsa, OK 74104 USA
[3] Univ Iowa, Coll Publ Hlth, Dept Epidemiol, Iowa City, IA USA
[4] Laureate Psychiat Clin & Hosp, Tulsa, OK USA
[5] Eating Recovery Ctr, Denver, CO USA
[6] Univ Oklahoma, Coll Med, Dept Psychiat, Tulsa, OK USA
[7] Univ Oklahoma, Hlth Sci Ctr, Dept Med, Oklahoma City, OK USA
关键词
eating disorders; executive function; anxiety; anorexia;
D O I
10.1002/eat.22086
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: We examined the influence of depression and anxiety on executive function in individuals with a DSM-IV diagnosis of anorexia nervosa-restricting type, anorexia nervosa-binge-eating/purging type, bulimia nervosa, or eating disorder not otherwise specified. Method: We assessed 106 women after their inpatient treatment in an eating disorders program. All participants were nutritionally stable at the time of testing. Results: Thirty percent of the total sample showed impaired performance on one or more tests of executive function. No differences in executive function were observed among diagnostic groups. Anxiety scores accounted for significant variance in performance for all groups. Discussion: Executive function deficits were found in a minority of our sample, with significant variance in performance accounted for by self-reported anxiety. State anxiety appears to contribute to diminished executive function in women with eating disorders. (c) 2013 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)
引用
收藏
页码:316 / 321
页数:6
相关论文
共 40 条
[1]  
Lauer C.J., Gorzewski B., Gerlinghoff M., Backmund H., Zihl J., Neuropsychological assessments before and after treatment in patients with anorexia nervosa and bulimia nervosa, J Psychiatr Res, 33, pp. 129-138, (1999)
[2]  
Southgate L., Tchanturia K., Treasure J., Neuropsychology in eating disorders, The Neuropsychology of Mental Illness, pp. 316-325, (2009)
[3]  
Bayless J.D., Kanz J.E., Moser D.J., McDowell B.D., Bowers W.A., Andersen A.E., Et al., Neuropsychological characteristics of patients in a hospital-based eating disorder program, Ann Clin Psychiatry, 14, pp. 203-207, (2002)
[4]  
Van Den Eynde F., Samarawickrema N., Kenyon M., Dejong H., Lavender A., Startup H., Et al., A study of neurocognition in bulimia nervosa and eating disorder not otherwise specified-bulimia type, J Clin Exp Neuropsychol, 34, pp. 67-77, (2012)
[5]  
Mobbs O., Van Der Linden M., D'Acremont M., Perroud A., Cognitive deficits and biases for food and body in bulimia: Investigation using an affective shifting task, Eat Behav, 9, pp. 455-461, (2008)
[6]  
Brand M., Franke-Sievert C., Jacoby G.E., Markowitsch H.J., Tuschen-Caffier B., Neuropsychological correlates of decision making in patients with bulimia nervosa, Neuropsychology, 21, pp. 742-750, (2007)
[7]  
Tchanturia K., Anderluh M.B., Morris R.G., Rabe-Hesketh S., Collier D.A., Sanchez P., Et al., Cognitive flexibility in anorexia nervosa and bulimia nervosa, J Int Neuropsychol Soc, 10, pp. 513-520, (2004)
[8]  
Tchanturia K., Morris R.G., Anderluh M.B., Collier D.A., Nikolaou V., Treasure J., Set shifting in anorexia nervosa: An examination before and after weight gain, in full recovery and relationship to childhood and adult OCPD traits, J Psychiatr Res, 38, pp. 545-552, (2004)
[9]  
Roberts M.E., Tchanturia K., Treasure J.L., Exploring the neurocognitive signature of poor set-shifting in anorexia and bulimia nervosa, J Psychiatr Res, 44, pp. 964-970, (2010)
[10]  
Blinder B.J., Cumella E.J., Sanathara V.A., Psychiatric comorbidities of female inpatients with eating disorders, Psychosom Med, 68, pp. 454-462, (2006)