Decision-Making, Impulsiveness and Temperamental Traits in Eating Disorders.
decision-making
eating disorders
eating-disorders spectrum
frontal lobe functioning
impulsiveness
temperament
Journal
Clinical neuropsychiatry
ISSN: 2385-0787
Titre abrégé: Clin Neuropsychiatry
Pays: Italy
ID NLM: 101237961
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
entrez:
15
12
2021
pubmed:
1
8
2020
medline:
1
8
2020
Statut:
ppublish
Résumé
To explore decision-making, impulsiveness and temperamental traits in patients suffering from eating disorders (EDs), as compared with healthy controls (HC). Fifty-one patients affected by ED (fourteen with anorexia restricting subtype, AN-R; fourteen with bulimia, BN; thirteen with anorexia bingeing/purging subtype, AN-BP; ten with binge-eating disorder, BED) and twenty-eight HC. The patients, recruited at the Section of Psychiatry of the University of Pisa (Italy, were evaluated with a battery of neuropsychological questionnaires, including the IOWA Gambling Task (IGT), the Barratt Impulsiveness Scale (BIS-11), the Temperament and Character Inventory (TCI), the Frontal Assessment Battery (FAB) and the Hamilton Depression Rating Scale (HAM-D). The results indicated that AN-R, AN-BP and BN patients showed poorer IGT performances than HC (p < .05), while BED performances were similar to those of HC. IGT scores suggested the existence of similarities in decision-making performances of AN-BP and BN patients, as they performed differently from HC starting from block 3 (F(16.2)=1.7). In addition, differences between AN-BP/BN and AN-R patients were detected, given that they performed differently starting from block 4. As far as BIS-11 is concerned, AN-BP and BN patients reached the highest BIS total scores, when compared with the other groups. Further, they shared similar temperamental and impulsiveness profiles, as demonstrated by their BIS-11 'motor impulsiveness' scores, and by their TCI 'novelty seeking', 'reward dependence' and 'persistence' dimensions. The post-hoc analyses revealed that both AN groups (namely, AN-R and AN-BP) scored significantly lower than HC on the FAB. No patients fulfilled the criteria for the diagnosis of a current major depression. Decision-making deficits are common in EDs. In AN-R these seem related to cognitive styles, while in AN-BP and BN patients with temperament features and impulsiveness traits.
Identifiants
pubmed: 34908995
doi: 10.36131/cnfioritieditore20200401
pmc: PMC8629064
doi:
Types de publication
Journal Article
Langues
eng
Pagination
199-208Informations de copyright
© 2020 Giovanni Fioriti Editore s.r.l.
Déclaration de conflit d'intérêts
Competing interests: None.
Références
J Int Neuropsychol Soc. 2010 Jul;16(4):711-5
pubmed: 20406532
Neuropsychopharmacology. 2011 Jan;36(1):114-32
pubmed: 20881944
Psychiatry Res. 2004 Jul 15;127(3):259-66
pubmed: 15296825
Neuropsychologia. 2001;39(4):376-89
pubmed: 11164876
Psychiatry Res. 2016 May 30;239:39-46
pubmed: 27137960
J Neurol Neurosurg Psychiatry. 1960 Feb;23:56-62
pubmed: 14399272
Cognition. 1994 Apr-Jun;50(1-3):7-15
pubmed: 8039375
Psychol Med. 2015 Dec;45(16):3377-91
pubmed: 26497047
Appetite. 2010 Feb;54(1):208-13
pubmed: 19896515
Int J Eat Disord. 2007 Nov;40(7):613-21
pubmed: 17607697
Psychiatr Danub. 2011 Mar;23(1):27-33
pubmed: 21448094
Eur Eat Disord Rev. 2009 Nov;17(6):408-25
pubmed: 19548249
Neurol Sci. 2005 Jun;26(2):108-16
pubmed: 15995827
J Addict Dis. 2007;26 Suppl 1:25-39
pubmed: 19283972
Appetite. 2010 Feb;54(1):84-92
pubmed: 19782708
Neurology. 2000 Dec 12;55(11):1621-6
pubmed: 11113214
Int J Eat Disord. 2012 Jul;45(5):685-94
pubmed: 22331528
Neuron. 2011 Feb 24;69(4):680-94
pubmed: 21338879
Obes Rev. 2013 Jun;14(6):477-95
pubmed: 23331770
Int J Obes (Lond). 2015 Feb;39(2):353-60
pubmed: 24909828
BMC Psychiatry. 2011 Oct 07;11:162
pubmed: 21982555
Cereb Cortex. 2000 Mar;10(3):295-307
pubmed: 10731224
J Clin Exp Neuropsychol. 2009 May;31(4):455-61
pubmed: 18720180
Psychiatry Clin Neurosci. 2009 Feb;63(1):82-7
pubmed: 19154214
J Int Neuropsychol Soc. 2006 Sep;12(5):741-5
pubmed: 16961954
J Clin Psychol. 2001 Jun;57(6):815-28
pubmed: 11344467
Neuropsychology. 2007 Nov;21(6):742-50
pubmed: 17983288
Eur Eat Disord Rev. 2012 Jan;20(1):e56-62
pubmed: 21308871
Nat Rev Neurosci. 2009 Aug;10(8):573-84
pubmed: 19603056
J Eat Disord. 2015 Apr 02;3:14
pubmed: 25838916
Psychopharmacology (Berl). 1999 Oct;146(4):348-61
pubmed: 10550486
J Nerv Ment Dis. 2005 Oct;193(10):647-50
pubmed: 16208159
Int J Eat Disord. 2012 Nov;45(7):866-75
pubmed: 22552824
Neuropsychology. 2010 Nov;24(6):808-12
pubmed: 20853958
Neuropsychiatr Dis Treat. 2013;9:415-30
pubmed: 23580091
Dialogues Clin Neurosci. 2003 Sep;5(3):259-71
pubmed: 22033547