European eating disorders review : the journal of the Eating Disorders Association · 2016
Enduring Changes in Decision Making in Patients with Full Remission from Anorexia Nervosa.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Steward Trevor, Mestre-Bach Gemma, Agüera Zaida, Granero Roser, Martín-Romera Virginia, Sánchez Isabel, Riesco Nadine, Tolosa-Sola Iris, Fernández-Formoso Jose A, Fernández-García Jose C, Tinahones Francisco J, Casanueva Felipe F, Baños Rosa M, Botella Cristina, Crujeiras Ana B, de la Torre Rafael, Fernández-Real Jose M, Frühbeck Gema, Ortega Francisco J, Rodríguez Amaia, Jiménez-Murcia Susana, Menchón Jose M, Fernández-Aranda Fernando
Аннотация
BACKGROUND: Deficits in neuropsychological functioning have consistently been identified in patients with anorexia nervosa (AN). However, little is known on how decision making in AN patients evolves in response to treatment or whether impairments are reversible.
METHOD: AN patients (n = 42) completed the Iowa Gambling Task (IGT) upon admission to a 3-month day-hospital treatment programme and at a 1-year follow-up. Patient IGT performance was compared to age-matched controls (n = 46).
RESULTS: AN patients displayed poorer performance on the IGT at admission compared to controls (p < .001). Patients with full remission (n = 31; 73.9%) at the 1-year follow-up improved IGT performance (p = 0.007), and scores were similar compared to controls (p = 0.557). AN patients with partial/no remission at follow-up (n = 11; 26.1%) did not improve IGT scores (p = 0.867).
CONCLUSIONS: These findings uphold that enduring remission from AN can reverse decision-making impairments, and they might be most likely explained by clinical state rather than a trait vulnerability. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.
METHOD: AN patients (n = 42) completed the Iowa Gambling Task (IGT) upon admission to a 3-month day-hospital treatment programme and at a 1-year follow-up. Patient IGT performance was compared to age-matched controls (n = 46).
RESULTS: AN patients displayed poorer performance on the IGT at admission compared to controls (p < .001). Patients with full remission (n = 31; 73.9%) at the 1-year follow-up improved IGT performance (p = 0.007), and scores were similar compared to controls (p = 0.557). AN patients with partial/no remission at follow-up (n = 11; 26.1%) did not improve IGT scores (p = 0.867).
CONCLUSIONS: These findings uphold that enduring remission from AN can reverse decision-making impairments, and they might be most likely explained by clinical state rather than a trait vulnerability. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.