Executive dysfunction in eating disorders: Relationship with clinical features

Abstract Eating disorders (ED) are severe mental disorders that may result in significant functional impairment and disability. Neuropsychological studies have consistently found impaired executive function (EF) among ED patients. EF is particularly involved in fundamental skills of daily living and...

Descripción completa

Detalles Bibliográficos
Autores: Díaz Marsa, Marina Francisca, Pemau Gurumeta, Andrés, De La-Torre Luque, Alejandro Francisco, Vaz Leal, Francisco, Rojo Moreno, Luis, Beato Fernández, Luis, Graell, Montserrat, Carrasco Díaz, Álvaro, Carrasco Perera, José Luis
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/131244
Acceso en línea:https://hdl.handle.net/20.500.14352/131244
Access Level:acceso abierto
Palabra clave:616.89-008.441.42
Eating disorders
Executive function
Neuropsychological impairment
Stroop
Trail making test
Ciencias Biomédicas
32 Ciencias Médicas
id ES_26e2ea4d9cba347da8740d6b7920bbd1
oai_identifier_str oai:docta.ucm.es:20.500.14352/131244
network_acronym_str ES
network_name_str España
repository_id_str
spelling Executive dysfunction in eating disorders: Relationship with clinical featuresDíaz Marsa, Marina FranciscaPemau Gurumeta, AndrésDe La-Torre Luque, Alejandro FranciscoVaz Leal, FranciscoRojo Moreno, LuisBeato Fernández, LuisGraell, MontserratCarrasco Díaz, ÁlvaroCarrasco Perera, José Luis616.89-008.441.42Eating disordersExecutive functionNeuropsychological impairmentStroopTrail making testCiencias Biomédicas32 Ciencias MédicasAbstract Eating disorders (ED) are severe mental disorders that may result in significant functional impairment and disability. Neuropsychological studies have consistently found impaired executive function (EF) among ED patients. EF is particularly involved in fundamental skills of daily living and in behavioral and emotional regulation. In this study, impairment of executive functioning is investigated in patients with eating disorders and the associations with clinical features and clinical subtypes are analyzed. Method 75 female patients (m = 22.01 years, sd = 9.15) with eating disorder (43 restrictive anorexia, 30 binge-eating anorexia and 13 bulimia nervosa) and 37 healthy controls (m = 18.54 years, sd = 4.21) were included in the study. An extensive assessment of executive function domains (verbal fluency, set shifting, attention span, selective attention, working memory, inhibitory control and processing speed) was carried out in both groups. Clinical scales for food intake restriction, binge-eating/purging, depression, anxiety and impulsivity were also administered and correlated with scores on executive function tests. Results Patients with an ED had significantly lower scores than healthy controls in performance of several executive function tests, particularly in set shifting, interference control and processing speed (p < .01, in all three domains). Executive function impairment was related to anxious, depressive and eating disorder symptoms (p < .05), regardless of clinical subtype. Conclusions Executive function impairment in eating disorders is associated with greater ED symptomatic severity and might involve a negative treatment outcome. Therefore, cognitive remediation techniques should probably be considered in a number of severe patients with ED.ElsevierUniversidad Complutense de Madrid20232023-01-1020232023-01-10journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/131244reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1312442026-06-02T12:44:21Z
dc.title.none.fl_str_mv Executive dysfunction in eating disorders: Relationship with clinical features
title Executive dysfunction in eating disorders: Relationship with clinical features
spellingShingle Executive dysfunction in eating disorders: Relationship with clinical features
Díaz Marsa, Marina Francisca
616.89-008.441.42
Eating disorders
Executive function
Neuropsychological impairment
Stroop
Trail making test
Ciencias Biomédicas
32 Ciencias Médicas
title_short Executive dysfunction in eating disorders: Relationship with clinical features
title_full Executive dysfunction in eating disorders: Relationship with clinical features
title_fullStr Executive dysfunction in eating disorders: Relationship with clinical features
title_full_unstemmed Executive dysfunction in eating disorders: Relationship with clinical features
title_sort Executive dysfunction in eating disorders: Relationship with clinical features
dc.creator.none.fl_str_mv Díaz Marsa, Marina Francisca
Pemau Gurumeta, Andrés
De La-Torre Luque, Alejandro Francisco
Vaz Leal, Francisco
Rojo Moreno, Luis
Beato Fernández, Luis
Graell, Montserrat
Carrasco Díaz, Álvaro
Carrasco Perera, José Luis
author Díaz Marsa, Marina Francisca
author_facet Díaz Marsa, Marina Francisca
Pemau Gurumeta, Andrés
De La-Torre Luque, Alejandro Francisco
Vaz Leal, Francisco
Rojo Moreno, Luis
Beato Fernández, Luis
Graell, Montserrat
Carrasco Díaz, Álvaro
Carrasco Perera, José Luis
author_role author
author2 Pemau Gurumeta, Andrés
De La-Torre Luque, Alejandro Francisco
Vaz Leal, Francisco
Rojo Moreno, Luis
Beato Fernández, Luis
Graell, Montserrat
Carrasco Díaz, Álvaro
Carrasco Perera, José Luis
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616.89-008.441.42
Eating disorders
Executive function
Neuropsychological impairment
Stroop
Trail making test
Ciencias Biomédicas
32 Ciencias Médicas
topic 616.89-008.441.42
Eating disorders
Executive function
Neuropsychological impairment
Stroop
Trail making test
Ciencias Biomédicas
32 Ciencias Médicas
description Abstract Eating disorders (ED) are severe mental disorders that may result in significant functional impairment and disability. Neuropsychological studies have consistently found impaired executive function (EF) among ED patients. EF is particularly involved in fundamental skills of daily living and in behavioral and emotional regulation. In this study, impairment of executive functioning is investigated in patients with eating disorders and the associations with clinical features and clinical subtypes are analyzed. Method 75 female patients (m = 22.01 years, sd = 9.15) with eating disorder (43 restrictive anorexia, 30 binge-eating anorexia and 13 bulimia nervosa) and 37 healthy controls (m = 18.54 years, sd = 4.21) were included in the study. An extensive assessment of executive function domains (verbal fluency, set shifting, attention span, selective attention, working memory, inhibitory control and processing speed) was carried out in both groups. Clinical scales for food intake restriction, binge-eating/purging, depression, anxiety and impulsivity were also administered and correlated with scores on executive function tests. Results Patients with an ED had significantly lower scores than healthy controls in performance of several executive function tests, particularly in set shifting, interference control and processing speed (p < .01, in all three domains). Executive function impairment was related to anxious, depressive and eating disorder symptoms (p < .05), regardless of clinical subtype. Conclusions Executive function impairment in eating disorders is associated with greater ED symptomatic severity and might involve a negative treatment outcome. Therefore, cognitive remediation techniques should probably be considered in a number of severe patients with ED.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-01-10
2023
2023-01-10
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/131244
url https://hdl.handle.net/20.500.14352/131244
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869404853123416064
score 15,81155

Similares en LA Referencia