TY - JOUR
T1 - Enduring Changes in Decision Making in Patients with Full Remission from Anorexia Nervosa
AU - Steward, Trevor
AU - Mestre-Bach, Gemma
AU - Agüera, Zaida
AU - Granero, Roser
AU - Martín-Romera, Virginia
AU - Sánchez, Isabel
AU - Riesco, Nadine
AU - Tolosa-Sola, Iris
AU - Fernández-Formoso, Jose A.
AU - Fernández-García, Jose C.
AU - Tinahones, Francisco J.
AU - Casanueva, Felipe F.
AU - Baños, Rosa M.
AU - Botella, Cristina
AU - Crujeiras, Ana B.
AU - de la Torre, Rafael
AU - Fernández-Real, Jose M.
AU - Frühbeck, Gema
AU - Ortega, Francisco J.
AU - Rodríguez, Amaia
AU - Jiménez-Murcia, Susana
AU - Menchón, Jose M.
AU - Fernández-Aranda, Fernando
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association. 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.
AB - Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association. 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.
KW - choice behaviour
KW - cognitive behavioural therapy
KW - cognitive impairments
KW - eating and feeding disorders
KW - longitudinal studies
KW - neuropsychology
UR - https://www.scopus.com/pages/publications/84992195795
U2 - 10.1002/erv.2472
DO - 10.1002/erv.2472
M3 - Article
SN - 1072-4133
VL - 24
SP - 523
EP - 527
JO - European Eating Disorders Review
JF - European Eating Disorders Review
IS - 6
ER -