Verbal memory following weight gain in adult patients with anorexia nervosa: A longitudinal study.


Journal

European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977

Informations de publication

Date de publication:
03 2023
Historique:
revised: 19 10 2022
received: 11 07 2022
accepted: 27 10 2022
pubmed: 19 11 2022
medline: 4 2 2023
entrez: 18 11 2022
Statut: ppublish

Résumé

Patients with Anorexia Nervosa (AN) show a moderate deficit in overall neuropsychological functioning. Since previous studies on memory performance mainly employed cross-sectional designs, the present study aims to investigate changes in verbal memory following weight-gain. Verbal memory was assessed with the Wechsler Memory Scale-Revised (WMS-R; 'logical memory'-story-recall-subtest) and the California Verbal Learning Test-II (CVLT-II; 'verbal learning'). Included were 31 female patients with AN (18 restricting-, 13 purging-subtype; average disease duration: 5.1 years; average baseline BMI: 14.4 kg/m At baseline, patients with AN as compared to healthy women displayed deficits in logical memory. In the follow-up assessment, patients with AN improved their logical memory significantly compared to healthy controls (p < 0.006). Furthermore, groups did not differ in verbal learning neither before nor after inpatient treatment. Enhanced logical memory in patients with AN following weight-gain is probably due to the impaired memory as compared to healthy controls at T0. A survivorship bias could explain the improved memory performance in longitudinal data in contrast to cross-sectional studies. Patients with AN with poorer memory performance before inpatient treatment are at higher risk to drop out and need support.

Sections du résumé

BACKGROUND
Patients with Anorexia Nervosa (AN) show a moderate deficit in overall neuropsychological functioning. Since previous studies on memory performance mainly employed cross-sectional designs, the present study aims to investigate changes in verbal memory following weight-gain.
METHODS
Verbal memory was assessed with the Wechsler Memory Scale-Revised (WMS-R; 'logical memory'-story-recall-subtest) and the California Verbal Learning Test-II (CVLT-II; 'verbal learning'). Included were 31 female patients with AN (18 restricting-, 13 purging-subtype; average disease duration: 5.1 years; average baseline BMI: 14.4 kg/m
RESULTS
At baseline, patients with AN as compared to healthy women displayed deficits in logical memory. In the follow-up assessment, patients with AN improved their logical memory significantly compared to healthy controls (p < 0.006). Furthermore, groups did not differ in verbal learning neither before nor after inpatient treatment.
CONCLUSIONS
Enhanced logical memory in patients with AN following weight-gain is probably due to the impaired memory as compared to healthy controls at T0. A survivorship bias could explain the improved memory performance in longitudinal data in contrast to cross-sectional studies. Patients with AN with poorer memory performance before inpatient treatment are at higher risk to drop out and need support.

Identifiants

pubmed: 36397677
doi: 10.1002/erv.2956
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

271-284

Informations de copyright

© 2022 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.

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Auteurs

Valentin Terhoeven (V)

Department for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.

Sandra Faschingbauer (S)

Department for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.

Julia Huber (J)

Institute of Medical Psychology, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany.

Wolfgang Herzog (W)

Department for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.

Hans-Christoph Friederich (HC)

Department for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.

Joe J Simon (JJ)

Department for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.

Christoph Nikendei (C)

Department for General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.

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