Psychopathological and personality traits underlie decision making in recent onset medication naïve anorexia nervosa: a pilot study
Autor: | Gioia A. L. Negri, Laura Perini, Laura Faleschini, Silvana Cremaschi, Giorgia Gregoraci, Franco Fabbro, Francesca Canalaz, Gianluca Rambaldelli, Matteo Balestrieri, Livia Fornasari, Paolo Brambilla, Miriam Isola |
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Rok vydání: | 2012 |
Předmět: |
Male
medicine.medical_specialty Anorexia Nervosa endocrine system diseases Adolescent thought problems Decision Making neuropsychology Pilot Projects Anxiety Neuropsychological Tests Cognition adolescence anorexia nervosa anxiety executive functions self-transcendence medicine Psychogenic disease Humans Psychiatry Biological Psychiatry Psychopathology Neuropsychology nutritional and metabolic diseases Executive functions medicine.disease Iowa gambling task Psychiatry and Mental health Eating disorders Anorexia nervosa (differential diagnoses) Case-Control Studies Female medicine.symptom Psychology Personality |
Zdroj: | Psychiatry research. 216(1) |
ISSN: | 1872-7123 |
Popis: | The Iowa Gambling Task (IGT) analyzes the ability of participants to sacrifice immediate rewards in view of a long term gain. Anorexia Nervosa (AN) in addition to weight loss and body image disturbances is also characterized by the tendency to make decisions that may result in long-term negative outcomes. Studies that analyzed IGT performance in patients with AN were not consistent with each other. Fifteen adolescents with AN and 15 matched controls carried out IGT after being clinically and neuropsychologically evaluated. An interesting generalized estimating equation approach showed that four independent clinical variables, and not the group, explained IGT performances, such as blocks repetition, anxiety, psychogenic eating disorders and self transcendence. The impairment of decision making is not related to the diagnosis of AN, but it is driven by high levels of anxiety and self transcendence. Instead, some psychogenic eating disorders traits, related to illness severity, positively affected IGT performance in the whole sample. IGT impairment in AN found by prior studies could be related to these clinical features which are not always taken into account. |
Databáze: | OpenAIRE |
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