Comparison in decision-making between bulimia nervosa, anorexia nervosa, and healthy women: influence of mood status and pathological eating concerns

Journal of Eating Disorders

Michiko Nakazato¹  Eiji Shimizu²  Masaomi Iyo³  Koutaro Yokote⁶  Shunichi Murano⁵  Daisuke Matzuzawa²  Noriko Numata²  Yoshiyuki Hirano⁴  Junko Matsumoto⁵ 

[1] Department of Child Psychiatry, Graduate School of Medicine, Chiba University, Chiba, Japan;Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, Chiba, Japan;Center for Forensic Mental Health, Chiba University, Chiba, Japan;Research Center for Child Mental Development, Graduate School of Medicine, Chiba University, Chiba, Japan;Tochigi Shimotsuga General Hospital, Tochigi Medical Center, Tochigi, Japan;Department of Clinical Cell Biology and Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan

关键词: Depressive mood;    Anxiety;    Weight-concern;    Iowa Gambling Task;    Decision-making;    Bulimia nervosa;    Anorexia nervosa;   

Others  :  1149600
DOI  :  10.1186/s40337-015-0050-6

 received in 2014-11-14, accepted in 2015-03-08,  发布年份 2015

【 摘 要 】

Background

Decision-making is reported to be impaired in anorexia nervosa (AN) and bulimia nervosa (BN), but the influence of mood status, pathophysiological eating, and weight concerns on the performance of decision-making ability between AN and BN is still unclear. The aims of this study were to investigate differential impairments in the decision-making process between AN, BN, and healthy controls (HC), and secondly, to explore the role of mood status, such as anxiety, depression, pathological eating, and weight concerns, in decision-making ability.

Methods

Patients suffering from AN (n = 22), BN (n = 36) and age-matched HC (n = 51) were assessed for their decision-making abilities using the Iowa Gambling Task (IGT). Self-reported questionnaires including the Eating Disorder Examination Questionnaire (EDE-Q), the Bulimia Investigatory Test, Edinburgh (BITE), the Eating Disorders Inventory, the Maudsley Obsessive-Compulsive Inventory measuring obsessive-compulsive traits, the Hospital Anxiety and Depression Scale, and the Toronto Alexithymia Scale were used to assess pathological eating concerns and attitude to feelings.

Results

Significant differences in IGT performance were observed between BN and HC. Significant negative correlation was found between IGT performance and the BITE symptom subscale in AN. In BN, there was a negative correlation between the EDE-Q weight concerns subscale and IGT performance. It was also found that increased anxiety, depression, and eating/weight concerns predicted poorer decision-making.

Conclusion

Different patterns of association between pathological eating concerns/behaviors and performances in decision-making ability were found between AN, BN, and HC. Anxiety, depressive mood status, and eating/weight concerns were related to decision-making ability.

【 授权许可】

   
2015 Matsumoto et al.; licensee BioMed Central.

【 图 表 】

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