Anorexia, bulimia, and obesity: Shared decision making deficits on the Iowa Gambling Task (IGT)

被引:113
作者
Brogan, Amy [1 ]
Hevey, David [1 ]
Pignatti, Riccardo [2 ]
机构
[1] Trinity Coll Dublin, Sch Psychol, Dublin 2, Ireland
[2] Ist Auxol Italiano, Neuropsychol Unit, Oggebbio, VB, Italy
关键词
Neuropsychology; Prefrontal cortex; Cognition. Choice behavior; Reward; Eating disorders; PREFRONTAL CORTEX; FUTURE CONSEQUENCES; NERVOSA; DAMAGE;
D O I
10.1017/S1355617710000354
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The pathological eating behaviors in Anorexia Nervosa (AN), Bulimia Nervosa (BN), and obesity are characterized by a preference for high immediate reward, despite higher future losses in terms of both physical and psychological outcomes. The present study compared the decision making profile of females with a diagnosis of AN (n = 22), BN (n = 17), obesity (n = 18), and a healthy weight comparison group (n = 20) using a standardized neuropsychological test, the Iowa Gambling Task (IGT). The three clinical groups (AN. BN, obesity) were significantly impaired on the IGT compared with the comparison group on both overall task performance and task learning: however, the three clinical groups were not significantly different from each other. Sixty-one percent to 77% of the clinical groups reached the threshold for impairment on the IGT, compared with 15% of the comparison group. The potential basis for this shared decision making profile is discussed. (JINS. 2010, 16.711-715.)
引用
收藏
页码:711 / 715
页数:5
相关论文
共 19 条
[1]  
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[2]   Decision-making and addiction (part I): impaired activation of somatic states in substance dependent individuals when pondering decisions with negative future consequences [J].
Bechara, A ;
Damasio, H .
NEUROPSYCHOLOGIA, 2002, 40 (10) :1675-1689
[3]   Decision-malting deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in alcohol and stimulant abusers [J].
Bechara, A ;
Dolan, S ;
Denburg, N ;
Hindes, A ;
Anderson, SW ;
Nathan, PE .
NEUROPSYCHOLOGIA, 2001, 39 (04) :376-389
[4]   INSENSITIVITY TO FUTURE CONSEQUENCES FOLLOWING DAMAGE TO HUMAN PREFRONTAL CORTEX [J].
BECHARA, A ;
DAMASIO, AR ;
DAMASIO, H ;
ANDERSON, SW .
COGNITION, 1994, 50 (1-3) :7-15
[5]   Failure to respond autonomically to anticipated future outcomes following damage to prefrontal cortex [J].
Bechara, A ;
Tranel, D ;
Damasio, H ;
Damasio, AR .
CEREBRAL CORTEX, 1996, 6 (02) :215-225
[6]   The Iowa gambling task as a measure of decision making in women with bulimia nervosa [J].
Boeka, Abbe Gayle ;
Lokkenz, Kristine Lee .
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2006, 12 (05) :741-745
[7]   Neuropsychological study of underweight and "Weight-recovered" anorexia nervosa compared with bulimia nervosa and normal controls [J].
Bosanac, Peter ;
Kurlender, Simone ;
Stojanovska, Lillian ;
Hallam, Karen ;
Norman, Trevor ;
McGrath, Caroline ;
Burrows, Graham ;
Wesnes, Keith ;
Manktelow, Tamsin ;
Olver, James .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2007, 40 (07) :613-621
[8]   Neuropsychological correlates of decision making in patients with bulimia nervosa [J].
Brand, Matthias ;
Franke-Sievert, Christiane ;
Jacoby, Georg E. ;
Markowitsch, Hans J. ;
Tuschen-Caffier, Brunna .
NEUROPSYCHOLOGY, 2007, 21 (06) :742-750
[9]   Neuropsychological investigation of decision-making in anorexia nervosa [J].
Cavedini, P ;
Bassi, T ;
Ubbiali, A ;
Casolari, A ;
Giordani, S ;
Zorzi, C ;
Bellodi, L .
PSYCHIATRY RESEARCH, 2004, 127 (03) :259-266
[10]   Decision-making functioning as a predictor of treatment outcome in anorexia nervosa [J].
Cavedini, Paolo ;
Zorzi, Claudia ;
Bassi, Tommaso ;
Gorini, Alessandra ;
Baraldi, Clementina ;
Ubbiali, Alessandro ;
Bellodi, Laura .
PSYCHIATRY RESEARCH, 2006, 145 (2-3) :179-187