Memory performance in acute and weight-restored anorexia nervosa patients

Anorexia nervosa (AN), at the stage of starvation and emaciation, is characterized by abnormalities in cognitive function, including memory performance. It is unclear whether memory impairment persists or is reversible following weight restoration, and whether memory function differs between AN subt...

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Veröffentlicht in:Psychological medicine 2011-04, Vol.41 (4), p.829-838
Hauptverfasser: Nikendei, C., Funiok, C., Pfüller, U., Zastrow, A., Aschenbrenner, S., Weisbrod, M., Herzog, W., Friederich, H.-C.
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container_end_page 838
container_issue 4
container_start_page 829
container_title Psychological medicine
container_volume 41
creator Nikendei, C.
Funiok, C.
Pfüller, U.
Zastrow, A.
Aschenbrenner, S.
Weisbrod, M.
Herzog, W.
Friederich, H.-C.
description Anorexia nervosa (AN), at the stage of starvation and emaciation, is characterized by abnormalities in cognitive function, including memory performance. It is unclear whether memory impairment persists or is reversible following weight restoration, and whether memory function differs between AN subtypes. The aim of the present study was to investigate general memory performance in currently ill and fully weight-restored patients of different AN subtypes. Memory performance was assessed using the Wechsler Memory Scale-Revised (WMS-R) in a total of 99 participants, including 34 restricting-type AN patients (AN-RESTR), 19 binge-eating/purging-type AN patients (AN-PURGE), 16 weight-restored AN patients (AN-W-R) and 30 healthy controls (CONTROL). Cognitive evaluation included a battery of standardized neuropsychological tasks for validating the findings on memory function. Deficits were found with respect to immediate and delayed story recall in currently ill AN patients irrespective of AN subtype. These deficits persisted in weight-restored AN patients. Currently ill and weight-restored AN patients did not differ significantly from healthy controls with respect to working memory or other measures of neuropsychological functioning. The findings suggest that impaired memory performance is either a stable trait characteristic or a scar effect of chronic starvation that may play a role in the development and/or persistence of the disorder.
doi_str_mv 10.1017/S0033291710001121
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It is unclear whether memory impairment persists or is reversible following weight restoration, and whether memory function differs between AN subtypes. The aim of the present study was to investigate general memory performance in currently ill and fully weight-restored patients of different AN subtypes. Memory performance was assessed using the Wechsler Memory Scale-Revised (WMS-R) in a total of 99 participants, including 34 restricting-type AN patients (AN-RESTR), 19 binge-eating/purging-type AN patients (AN-PURGE), 16 weight-restored AN patients (AN-W-R) and 30 healthy controls (CONTROL). Cognitive evaluation included a battery of standardized neuropsychological tasks for validating the findings on memory function. Deficits were found with respect to immediate and delayed story recall in currently ill AN patients irrespective of AN subtype. These deficits persisted in weight-restored AN patients. Currently ill and weight-restored AN patients did not differ significantly from healthy controls with respect to working memory or other measures of neuropsychological functioning. 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subjects Adolescent
Adult
Adult and adolescent clinical studies
Anorexia
Anorexia nervosa
Anorexia Nervosa - psychology
Anorexia Nervosa - therapy
Attention
Biological and medical sciences
Body Weight
Cognition Disorders - psychology
Cognition Disorders - therapy
Eating behavior disorders
Female
Humans
Medical sciences
Memory
Mental Recall
Neuropsychological functioning
Neuropsychological Tests - statistics & numerical data
Psychological tests
Psychology. Psychoanalysis. Psychiatry
Psychometrics - statistics & numerical data
Psychopathology. Psychiatry
Reference Values
Scars
Starvation
Subtypes
Wechsler Scales - statistics & numerical data
Young Adult
title Memory performance in acute and weight-restored anorexia nervosa patients
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