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Related Experiment Videos

Set shifting deficit in anorexia nervosa.

Joanna E Steinglass1, B Timothy Walsh, Yaakov Stern

  • 1Department of Psychiatry, College of Physicians & Surgeons of Columbia University, and The New York State Psychiatric Institute, New York, New York, USA. js1124@columbia.edu

Journal of the International Neuropsychological Society : JINS
|August 15, 2006
PubMed
Summary

Patients with anorexia nervosa (AN) show impaired cognitive flexibility, specifically in set shifting. This difficulty, measured by the Wisconsin Card Sort Test, suggests a neurocognitive abnormality contributing to AN persistence.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Cognitive Psychology

Background:

  • Anorexia nervosa (AN) is a severe mental illness characterized by cognitive rigidity.
  • Cognitive rigidity may perpetuate AN symptoms and indicate underlying brain abnormalities.
  • Previous research indicates cognitive dysfunction in AN, but cognitive flexibility is understudied.

Purpose of the Study:

  • To assess cognitive flexibility, specifically set shifting ability, in individuals with anorexia nervosa.
  • To investigate potential neurocognitive abnormalities associated with AN.

Main Methods:

  • A neuropsychological assessment was conducted comparing 15 patients with AN to 11 healthy controls.
  • The Wisconsin Card Sort Test (WCST) was used to measure set shifting ability.

Related Experiment Videos

  • Participants completed a battery of 5 neuropsychological function measures.
  • Main Results:

    • Patients with AN did not differ from controls on 5 measures of general neuropsychological function.
    • Individuals with AN made significantly more perseverative errors on the WCST.
    • This indicates a specific deficit in set shifting ability among AN patients.

    Conclusions:

    • Patients with anorexia nervosa exhibit a specific neurocognitive abnormality in cognitive flexibility.
    • Impaired set shifting may play a role in the development and maintenance of AN.
    • Findings suggest a target for therapeutic interventions aimed at improving cognitive flexibility in AN.