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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Cognitive rigidity and heightened attention to detail occur transdiagnostically in adolescents with eating disorders
EATING DISORDERS, v 29(4), pp 408-420
04 Jul 2021
PMID: 31675280
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Cognitive inflexibility and attention to detail bias represent a promising target in eating disorder (ED) treatment. While prior research has found that adults with eating disorders exhibit significant cognitive inflexibility and heightened attention to detail, less is known about these cognitive impairments among adolescents, and across EDs transdiagnostically. To address this gap, adolescent females (N = 143) from a residential ED program with anorexia nervosa, bulimia nervosa, or other specified feeding or eating disorder completed the Detail and Flexibility Questionnaire (DFlex) and measures of ED and general psychopathology. Transdiagnostically, adolescents with EDs scored higher than an archival sample of healthy control adolescents on both cognitive rigidity (p < .001; Cohen's d = 1.92) and attention to detail (p < .001; Cohen's d = 1.16). These cognitive impairments were significantly associated with severity of eating pathology, and these relationships existed independent of age, duration of illness, or body mass index (BMI). Our findings suggest cognitive inflexibility and heightened attention to detail occur transdiagnostically in adolescents with eating disorders and are unlikely to be a scar of the disorder. Future prospective research is needed to determine whether these cognitive styles represent an endophenotype of eating disorders.
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Details
- Title
- Cognitive rigidity and heightened attention to detail occur transdiagnostically in adolescents with eating disorders
- Publication Details
- EATING DISORDERS, v 29(4), pp 408-420
- Publisher
- ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD; ABINGDON
- Number of pages
- 12
- Grant note
- The data collected in this paper was supported by the Hilda and Preston Davis Foundation; Shirley B. Wang is supported by the National Science Foundation Graduate Research Fellowship under Grant No. [DGE-1745303]; Kathryn Coniglio is supported by the National Science Foundation Graduate Research Fellowship under Grant No. [DGE143318]; Dr. Kendra R. Becker is supported by the National Institute of Mental Health of the National Institutes of Health under [F32MH111127]; The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Science Foundation or the National Institutes of Health.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000493620700001
- Scopus ID
- 2-s2.0-85074796205
- Other Identifier
- 991021860662704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry
- Psychology
- Psychology, Clinical