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Set-Shifting Among Adolescents With Bulimic Spectrum Eating Disorders
Journal article   Open access   Peer reviewed

Set-Shifting Among Adolescents With Bulimic Spectrum Eating Disorders

Alison M. Darcy, Kathleen Kara Fitzpatrick, Danielle Colborn, Stephanie Manasse, Nandini Datta, Vandana Aspen, Colleen Stiles Shields, Daniel Le Grange and James Lock
Psychosomatic medicine, v 74(8), pp 869-872
01 Oct 2012
PMID: 23001391
url
https://doi.org/10.1097/psy.0b013e31826af636View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Life Sciences & Biomedicine Psychiatry Psychology Psychology, Multidisciplinary Science & Technology Social Sciences
Objective: Set-shifting difficulties are observed among adults with bulimia nervosa (BN). This study aimed to assess whether adolescents with BN and BN spectrum eating disorders exhibit set-shifting problems relative to healthy controls. Methods: Neurocognitive data from 23 adolescents with BN were compared with those from 31 adolescents with BN-type eating disorder not otherwise specified and 22 healthy controls on various measures of set-shifting (Trail Making Task [shift task], Color-Word Interference, Wisconsin Card Sorting Test, and Brixton Spatial Anticipation Task). Results: No significant differences in set-shilling tasks were found among groups (p >.35), and effect sizes were small (Cohen f < 0.17). Conclusions: Cognitive inflexibility may develop over time because of the eating disorder, although it is possible that there is a subset of individuals in whom early neurocognitive difficulty may result in a longer illness trajectory. Future research should investigate the existence of neurocognitive taxons in larger samples and use longitudinal designs to fully explore biomarkers and illness effects. Trial Registration: clinicaltrials.gov NCT00879151.

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#5 Gender Equality
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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
Psychology
Psychology, Multidisciplinary
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