Executive functions in binge spectrum eating disorders with comorbid compulsive buying

Autor: María Lozano-Madrid, Susana Jiménez-Murcia, Fernando Fernández-Aranda, Lucero Munguía, Isabel Sánchez, Roser Granero, Giulia Testa, José M. Menchón, Romina Miranda-Olivos, Ignacio Lucas, Bernat Mora-Maltas, Robert Turton
Rok vydání: 2021
Předmět:
Zdroj: Dipòsit Digital de la UB
Universidad de Barcelona
ISSN: 1099-0968
1072-4133
DOI: 10.1002/erv.2855
Popis: Objective: The aims were to explore if bulimic spectrum disorders (BSD) patients, who also present comorbid compulsive buying (CB), could represent a specific subtype considering its neuropsychological performance; to present a descriptive analysis of different clinical features; and to explore how these variables could influence treatment outcome. It was hypothesised that the comorbid group will present worse neuropsychological performance that will lead to a worse treatment outcome. Method: The study has a longitudinal design. Women (N = 75) diagnosed with BSD, BSD + CB and Healthy Controls (HC); completed an evaluation of: cognitive flexibility, decision making, eating disorder (ED) symptomatology, psychopathological state and personality traits. Results: BSD + CB was the group with the most severe clinical profile, worst treatment outcome and higher neuropsychological impairment, than other groups. Path-analysis evidenced that deficits in decision making were associated with bad treatment outcome, while deficits in flexibility with the presence of the comorbidity. Self-directedness and novelty seeking were associated with the neuropsychological performance and the comorbidity. Conclusion: BSD + CB exhibit a worse clinical and neuropsychological profile that seems to be related with the treatment outcome, which should be taken into account for the establishment of specific treatment approaches.
Databáze: OpenAIRE
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