Poor cognitive flexibility in eating disorders: examining the evidence using the Wisconsin Card Sorting Task

People with eating disorders (ED) frequently present with inflexible behaviours, including eating related issues which contribute to the maintenance of the illness. Small scale studies point to difficulties with cognitive set-shifting as a basis. Using larger scale studies will lend robustness to th...

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Veröffentlicht in:PloS one 2012-01, Vol.7 (1), p.e28331-e28331
Hauptverfasser: Tchanturia, Kate, Davies, Helen, Roberts, Marion, Harrison, Amy, Nakazato, Michiko, Schmidt, Ulrike, Treasure, Janet, Morris, Robin
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creator Tchanturia, Kate
Davies, Helen
Roberts, Marion
Harrison, Amy
Nakazato, Michiko
Schmidt, Ulrike
Treasure, Janet
Morris, Robin
description People with eating disorders (ED) frequently present with inflexible behaviours, including eating related issues which contribute to the maintenance of the illness. Small scale studies point to difficulties with cognitive set-shifting as a basis. Using larger scale studies will lend robustness to these data. 542 participants were included in the dataset as follows: Anorexia Nervosa (AN) n = 171; Bulimia Nervosa (BN) n = 82; Recovered AN n = 90; Healthy controls (HC): n = 199. All completed the Wisconsin Card Sorting Task (WCST), an assessment that integrates multiple measurement of several executive processes concerned with problem solving and cognitive flexibility. The AN and BN groups performed poorly in most domains of the WCST. Recovered AN participants showed a better performance than currently ill participants; however, the number of preservative errors was higher than for HC participants. There is a growing interest in the diagnostic and treatment implications of cognitive flexibility in eating disorders. This large dataset supports previous smaller scale studies and a systematic review which indicate poor cognitive flexibility in people with ED.
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Small scale studies point to difficulties with cognitive set-shifting as a basis. Using larger scale studies will lend robustness to these data. 542 participants were included in the dataset as follows: Anorexia Nervosa (AN) n = 171; Bulimia Nervosa (BN) n = 82; Recovered AN n = 90; Healthy controls (HC): n = 199. All completed the Wisconsin Card Sorting Task (WCST), an assessment that integrates multiple measurement of several executive processes concerned with problem solving and cognitive flexibility. The AN and BN groups performed poorly in most domains of the WCST. Recovered AN participants showed a better performance than currently ill participants; however, the number of preservative errors was higher than for HC participants. There is a growing interest in the diagnostic and treatment implications of cognitive flexibility in eating disorders. 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subjects Adolescent
Adult
Anorexia
Anorexia nervosa
Anorexia Nervosa - psychology
Biology
Body mass index
Bulimia
Bulimia nervosa
Bulimia Nervosa - psychology
Case-Control Studies
Cognition
Cognitive ability
Community
Decision making
Demography
Diagnostic systems
Disorders
Eating
Eating disorders
Feeding and Eating Disorders - psychology
Female
Flexibility
Humans
Medical research
Medicine
Middle Aged
Neurobiology
Neuropsychological Tests
Neuroses
Obsessive compulsive disorder
Problem solving
Psychiatry
Schizophrenia
Social and Behavioral Sciences
Studies
Systematic review
Young Adult
title Poor cognitive flexibility in eating disorders: examining the evidence using the Wisconsin Card Sorting Task
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