Enduring Changes in Decision Making in Patients with Full Remission from Anorexia Nervosa

Trevor Steward; Gemma Mestre-Bach; Zaida Agüera; Roser Granero; Virginia Martín-Romera; Isabel Sánchez; Nadine Riesco; Iris Tolosa-Sola; Jose A. Fernández-Formoso; Jose C. Fernández-García; Francisco J. Tinahones; Felipe F. Casanueva; Rosa M. Baños; Cristina Botella; Ana B. Crujeiras; Rafael de la Torre; Jose M. Fernández-Real; Gema Frühbeck; Francisco J. Ortega; Amaia Rodríguez; Susana Jiménez-Murcia; Jose M. Menchón; Fernando Fernández-Aranda

doi:10.1002/erv.2472

Enduring Changes in Decision Making in Patients with Full Remission from Anorexia Nervosa

Trevor Steward, Gemma Mestre-Bach, Zaida Agüera, Roser Granero, Virginia Martín-Romera, Isabel Sánchez, Nadine Riesco, Iris Tolosa-Sola, Jose A. Fernández-Formoso, Jose C. Fernández-García, Francisco J. Tinahones, Felipe F. Casanueva, Rosa M. Baños, Cristina Botella, Ana B. Crujeiras, Rafael de la Torre, Jose M. Fernández-Real, Gema Frühbeck, Francisco J. Ortega, Amaia RodríguezSusana Jiménez-Murcia, Jose M. Menchón, Fernando Fernández-Aranda

Research output: Contribution to journal › Article › Research › peer-review

17 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	523-527
Journal	European Eating Disorders Review
Volume	24
Issue number	6
DOIs	https://doi.org/10.1002/erv.2472
Publication status	Published - 1 Nov 2016

Keywords

choice behaviour
cognitive behavioural therapy
cognitive impairments
eating and feeding disorders
longitudinal studies
neuropsychology

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Steward, T., Mestre-Bach, G., Agüera, Z., Granero, R., Martín-Romera, V., Sánchez, I., Riesco, N., Tolosa-Sola, I., Fernández-Formoso, J. A., Fernández-García, J. C., Tinahones, F. J., Casanueva, F. F., Baños, R. M., Botella, C., Crujeiras, A. B., de la Torre, R., Fernández-Real, J. M., Frühbeck, G., Ortega, F. J., ... Fernández-Aranda, F. (2016). Enduring Changes in Decision Making in Patients with Full Remission from Anorexia Nervosa. European Eating Disorders Review, 24(6), 523-527. https://doi.org/10.1002/erv.2472

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. / Enduring Changes in Decision Making in Patients with Full Remission from Anorexia Nervosa. In: European Eating Disorders Review. 2016 ; Vol. 24, No. 6. pp. 523-527.

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abstract = "Copyright {\textcopyright} 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 {\textcopyright} 2016 John Wiley & Sons, Ltd and Eating Disorders Association.",

keywords = "choice behaviour, cognitive behavioural therapy, cognitive impairments, eating and feeding disorders, longitudinal studies, neuropsychology",

author = "Trevor Steward and Gemma Mestre-Bach and Zaida Ag{\"u}era and Roser Granero and Virginia Mart{\'i}n-Romera and Isabel S{\'a}nchez and Nadine Riesco and Iris Tolosa-Sola and Fern{\'a}ndez-Formoso, {Jose A.} and Fern{\'a}ndez-Garc{\'i}a, {Jose C.} and Tinahones, {Francisco J.} and Casanueva, {Felipe F.} and Ba{\~n}os, {Rosa M.} and Cristina Botella and Crujeiras, {Ana B.} and {de la Torre}, Rafael and Fern{\'a}ndez-Real, {Jose M.} and Gema Fr{\"u}hbeck and Ortega, {Francisco J.} and Amaia Rodr{\'i}guez and Susana Jim{\'e}nez-Murcia and Mench{\'o}n, {Jose M.} and Fernando Fern{\'a}ndez-Aranda",

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Steward, T, Mestre-Bach, G, Agüera, Z, Granero, R, Martín-Romera, V, Sánchez, I, Riesco, N, Tolosa-Sola, I, Fernández-Formoso, JA, Fernández-García, JC, Tinahones, FJ, Casanueva, FF, Baños, RM, Botella, C, Crujeiras, AB, de la Torre, R, Fernández-Real, JM, Frühbeck, G, Ortega, FJ, Rodríguez, A, Jiménez-Murcia, S, Menchón, JM & Fernández-Aranda, F 2016, 'Enduring Changes in Decision Making in Patients with Full Remission from Anorexia Nervosa', European Eating Disorders Review, vol. 24, no. 6, pp. 523-527. https://doi.org/10.1002/erv.2472

Enduring Changes in Decision Making in Patients with Full Remission from Anorexia Nervosa. / 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.

In: European Eating Disorders Review, Vol. 24, No. 6, 01.11.2016, p. 523-527.

Research output: Contribution to journal › Article › Research › peer-review

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

U2 - 10.1002/erv.2472

DO - 10.1002/erv.2472

M3 - Article

VL - 24

SP - 523

EP - 527

JO - European Eating Disorders Review

JF - European Eating Disorders Review

SN - 1072-4133

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