Delay Discounting of Reward and Impulsivity in Eating Disorders

Evidence points to eating disorder patients displaying altered rates of delay discounting (one's degree of preference for immediate rewards over larger delayed rewards). Anorexia nervosa (AN) patients are believed to have an increased capacity to delay reward, which reflects their ability to ov...

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Detalhes bibliográficos
Autores: Steward, Trevor|||0000-0003-3116-8175, Mestre-Bach, Gemma|||0000-0001-5345-0484, Vintró Alcaraz, Cristina|||0000-0001-9453-8810, Agüera, Zaida|||0000-0003-4453-4939, Jiménez Murcia, Susana|||0000-0002-3596-8033, Granero, Roser|||0000-0001-6308-3198, Fernández Aranda, Fernando|||0000-0002-2968-9898
Formato: artículo
Fecha de publicación:2017
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:319787
Acesso em linha:https://ddd.uab.cat/record/319787
https://dx.doi.org/urn:doi:10.1002/erv.2543
Access Level:acceso abierto
Palavra-chave:Anorexia nervosa
Binge eating disorder
Delay discounting
Eating disorders
Impulsivity
Descrição
Resumo:Evidence points to eating disorder patients displaying altered rates of delay discounting (one's degree of preference for immediate rewards over larger delayed rewards). Anorexia nervosa (AN) patients are believed to have an increased capacity to delay reward, which reflects their ability to override the drive to eat. Contrarily, binge eating disorder (BED) patients are associated with a reduced predisposition to delay gratification. Here, we investigated monetary delay discounting and impulsivity in 80 adult women with EDs (56 AN and 24 BED), diagnosed according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria, and 80 healthy controls. AN-restrictive (AN-R) subtype patients showed less steep discounting rates than BED and AN-bingeing/purging subtype patients. Compared with healthy controls and AN-R patients, BED and AN-bingeing/purging patients presented higher delay discounting and positive and negative urgency levels. Our findings suggest that restriction in AN-R patients is associated with disproportionate self-control, whereas bingeing behaviours could be more driven by emotional states and impulsivity traits.