避免/限制性食物摄入障碍在延迟折扣方面与神经性厌食症不同
Casey M Stern1, Iman McPherson2, Melissa J Dreier1,3
1Eating Disorders Clinical and Research Program, Massachusetts General Hospital, 2 Longfellow Place, Suite 200, Boston, MA, 02114, USA.
Journal of eating disorders
|January 30, 2024
概括
患有回避性/限制性食物摄入障碍 (ARFID) 的人比患有神经性厌食症 (AN) 的人显示出更的延迟折扣,这表明限制性饮食障碍的认知特征不同.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 行为经济学是一种行为经济学.
背景情况:
- 避免性/限制性食物摄入障碍 (ARFID) 和神经性厌食症 (AN) 是主要的限制性饮食障碍,其动机不同,但行为重叠.
- 认知变化是AN的关键,但ARFID的认知概况,特别是延迟折扣,是未知的.
- 了解ARFID与AN中的延迟折扣对于跨诊断或疾病特定的治疗策略至关重要.
研究的目的:
- 调查和比较ARFID和AN患者的延迟忽略认知特征.
- 为了确定ARFID是否具有AN的减少延迟折扣特征,或表现出不同的模式.
主要方法:
- 对104名参与者进行了计算机化延迟折扣任务.
- 参与者包括ARFID (n=57),AN (n=28) 和健康对照组 (HC,n=19) 的个人.
- 组使用延迟贴现参数 (ln) k.k. 进行了比较.
主要成果:
- 与AN (p=0.026) 患者相比,ARFID患者的延迟折扣显著增加 (p=0.026).
- 这表明,与AN不同,ARFID与更倾向于立即奖励而不是延迟奖励相关,而不是AN.
- 在ARFID和健康对照之间没有发现延迟折扣的显著差异 (p=0.514).
结论:
- 研究结果表明,ARFID和AN具有不同的认知特征,特别是延迟折扣.
- 这项研究提供了限制性饮食障碍中疾病特异性认知机制的初步证据.
- 需要对更大,更多样化的样本进行进一步的研究,以完善对ARFID和AN的理解和优化定制治疗.
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