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A further assessment of decision-making in anorexia nervosa

Published online by Cambridge University Press:  15 April 2020

C. Adoue ,
I. Jaussent ,
E. Olié ,
S. Beziat ,
F. Van den Eynde ,
P. Courtet  and
S. Guillaume
C. Adoue
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France Department of Psychiatry, Nimes University Hospital, Nimes, France
I. Jaussent
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France
E. Olié
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France CHU Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France
S. Beziat
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France
F. Van den Eynde
Affiliation:
Eating Disorders Program, Douglas University Institute, Psychiatry Department, McGill University, Montreal, 6875, boulevard Lasalle, Verdun, H4H 1R3, Quebec, Canada
P. Courtet
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France CHU Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France
S. Guillaume*
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France CHU Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France
*
*Corresponding author. Psychiatric Emergency and Post Emergency Department, Hôpital Lapeyronie, avenue Gaston-Giraud, 34295 Montpellier cedex 5, France. Tel.: +33 4 67 33 85 81; fax: +33 4 67 33 89 88. E-mail address: s-guillaume@chu-montpellier.fr (S. Guillaume).
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Abstract

Objective:

Anorexia nervosa (AN) may be associated with impaired decision-making. Cognitive processes underlying this impairment remain unclear, mainly because previous assessments of this complex cognitive function were completed with a single test. Furthermore, clinical features such as mood status may impact this association. We aim to further explore the hypothesis of altered decision-making in AN.

Method:

Sixty-three adult women with AN and 49 female controls completed a clinical assessment and were assessed by three tasks related to decision-making [Iowa Gambling Task (IGT), Balloon Analogue Risk Task (BART), Probabilistic Reversal Learning Task (PRLT)].

Results:

People with AN had poorer performance on the IGT and made less risky choices on the BART, whereas performances were not different on PRLT. Notably, AN patients with a current major depressive disorder showed similar performance to those with no current major depressive disorder.

Conclusion:

These results tend to confirm an impaired decision making-process in people with AN and suggest that various cognitive processes such as inhibition to risk-taking or intolerance of uncertainty may underlie this condition Furthermore, these impairments seem unrelated to the potential co-occurent major depressive disorders.

Keywords

Decision makingNeurocognitionNeuropsychologyEating disordersAnorexia nervosa
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 1 , January 2015 , pp. 121 - 127
Copyright
Copyright © European Psychiatric Association 2020

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