Are poor set-shifting abilities associated with a higher frequency of body checking in anorexia nervosa?

Journal of Eating Disorders

Bryan Lask²  Nils Inge Landrø¹  Cathrine Brunborg⁴  Hilde Kapstad³  Maria Øverås³ 

[1] Department of Psychology, Clinical Neuroscience Research Group, Blindern, Oslo, 0317, Norway;Great Ormond Street Hospital for Children, London WC1 N 3JH, UK;Regional Department for Eating Disorders (RASP), Division of Mental Health and Addiction, Oslo University Hospital, Ullevål, Pb 4950 Nydalen, Oslo, 0424, Norway;Unit of Biostatistics and Epidemiology, Oslo University Hospital, Ullevål, Pb 4950 Nydalen, Oslo, 0424, Norway

关键词: Cognitive flexibility;    Set-shifting;    Body checking;    Eating disorders;    Anorexia nervosa;   

Others  :  1181908
DOI  :  10.1186/s40337-015-0053-3

 received in 2014-10-27, accepted in 2015-03-19,  发布年份 2015

【 摘 要 】

Background

The rigid and obsessional features of anorexia nervosa (AN) have led researchers to explore possible underlying neuropsychological difficulties. Numerous studies have demonstrated poorer set-shifting in patients with AN. However, due to a paucity of research on the connection between neuropsychological difficulties and the clinical features of AN, the link remains hypothetical. The main objective of this study was to explore the association between set-shifting and body checking.

Methods

The sample consisted of 30 females diagnosed with AN and 45 healthy females. Set-shifting was assessed using the Wisconsin Card Sorting Test (WCST) and frequency of body checking was assessed using the Body Checking Questionnaire (BCQ).

Results

The analysis showed no significant correlations between any of the WCST scores and the BCQ.

Conclusion

The results suggest that there is no association between set-shifting difficulties and frequency of body checking among patients with AN. An alternative explanation could be that the neuropsychological measure included in this study is not sensitive to the set-shifting difficulties observed in clinical settings. We recommend that future studies include more ecologically valid measures of set-shifting in addition to standard neuropsychological tests.

【 授权许可】

   
2015 Øverås et al.; licensee BioMed Central.

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