Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-17T09:18:58.219Z Has data issue: false hasContentIssue false
  • English
  • Français

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: [email protected] (S. Guillaume).
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abbate-Daga, G, Buzzichelli, S, Amianto, F, Rocca, G, Marzola, E, McClintock, SM, et al.Cognitive flexibility in verbal and nonverbal domains and decision making in anorexia nervosa patients: a pilot study. BMC Psychiatry 2011;11:162[Epub 2011/10/11].CrossRefGoogle ScholarPubMed
Adida, M, Jollant, F, Clark, L, Besnier, N, Guillaume, S, Kaladjian, A, et al.Trait-related decision-making impairment in the three phases of bipolar disorder. Biol Psychiatry 2011;70(4):357–365 [Epub 2011/03/25].CrossRefGoogle ScholarPubMed
Bechara, A, Damasio, AR, Damasio, H, Anderson, SW. Insensitivity to future consequences following damage to human prefrontal cortex. Cognition 1994;50(1–3):7–15.CrossRefGoogle ScholarPubMed
Bechara, A, Tranel, D, Damasio, H. Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions. Brain 2000;123(Pt 11):2189–2202 [Epub 2000/10/26].CrossRefGoogle ScholarPubMed
Beck, AT, Ward, CH, Mendelson, M, Mock, J, Erbaugh, J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–571.CrossRefGoogle ScholarPubMed
Bosanac, P, Kurlender, S, Stojanovska, L, Hallam, K, Norman, T, McGrath, C, et al.Neuropsychological study of underweight and “weight-recovered” anorexia nervosa compared with bulimia nervosa and normal controls. Int J Eat Disord 2007;40(7):613–621.CrossRefGoogle ScholarPubMed
Brand, M, Franke-Sievert, C, Jacoby, GE, Markowitsch, HJ, Tuschen-Caffier, B. Neuropsychological correlates of decision making in patients with bulimia nervosa. Neuropsychology 2007;21(6):742–750[Epub 2007/11/07].CrossRefGoogle ScholarPubMed
Brogan, A, Hevey, D, Pignatti, R. Anorexia, bulimia, and obesity: shared decision making deficits on the Iowa Gambling Task (IGT). J Int Neuropsychol Soc 16(4):711–5.CrossRefGoogle Scholar
Burgess, PW, Shallice, TThe hayling and brixton tests. UK: Thames Valley Test Compagny; 1997.Google Scholar
Cavedini, P, Bassi, T, Ubbiali, A, Casolari, A, Giordani, S, Zorzi, C, et al.Neuropsychological investigation of decision-making in anorexia nervosa. Psychiatry Res 2004;127(3):259–266 [Epub 2004/08/07].CrossRefGoogle ScholarPubMed
Cavedini, P, Zorzi, C, Bassi, T, Gorini, A, Baraldi, C, Ubbiali, A, et al.Decision-making functioning as a predictor of treatment outcome in anorexia nervosa. Psychiatry Res 2006;145(2–3):179–187 [Epub 2006/11/01].CrossRefGoogle ScholarPubMed
Chan, TW, Ahn, WY, Bates, JE, Busemeyer, JR, Guillaume, S, Redgrave, GW, et al.Differential impairments underlying decision making in anorexia nervosa and bulimia nervosa: a cognitive modeling analysis. Int J Eat Disord 2013 [Epub 2013/11/19]Google ScholarPubMed
Danner, UN, Sanders, N, Smeets, PA, van Meer, F, Adan, RA, Hoek, HW, et al.Neuropsychological weaknesses in anorexia nervosa: set-shifting, central coherence, and decision making in currently ill and recovered women. Int J Eat Disord 2012;45(5):685–694 [Epub 2012/02/15].CrossRefGoogle ScholarPubMed
Dombrovski, AY, Clark, L, Siegle, GJ, Butters, MA, Ichikawa, N, Sahakian, BJ, et al.Reward/Punishment reversal learning in older suicide attempters. Am J Psychiatry 2010;167(6):699–707 [Epub 2010/03/17].CrossRefGoogle ScholarPubMed
Fagundo, AB, de la Torre, R, Jimenez-Murcia, S, Aguera, Z, Granero, R, Tarrega, S, et al.Executive functions profile in extreme eating/weight conditions: from anorexia nervosa to obesity. PloS One 2012;7(8):e43382 [Epub 2012/08/29]CrossRefGoogle ScholarPubMed
Fairburn, CG, Harrison, PJ. Eating disorders. Lancet 2003;361(9355):407–416 [Epub 2003/02/08].CrossRefGoogle ScholarPubMed
Galimberti, E, Fadda, E, Cavallini, MC, Martoni, RM, Erzegovesi, S, Bellodi, L. Executive functioning in anorexia nervosa patients and their unaffected relatives. Psychiatry Res 2013;208(3):238–244 [Epub 2012/11/06].CrossRefGoogle ScholarPubMed
Gardner, LEDI-2: Professional Manual: Odessa; 1991.Google Scholar
Garon, N, Moore, CNegative affectivity predicts individual differences in decision making for preschoolers. J Gen Psychol 2006;167(4):443–462 [Epub 2007/07/25].CrossRefGoogle ScholarPubMed
Garrido, I, Subira, SDecision-making and impulsivity in eating disorder patients. Psychiatry Res 2013;207(1–2):107–112 [Epub 2012/11/06].CrossRefGoogle ScholarPubMed
Giel, KE, Wittorf, A, Wolkenstein, L, Klingberg, S, Drimmer, E, Schonenberg, M, et al.Is impaired set-shifting a feature of “pure” anorexia nervosa? Investigating the role of depression in set-shifting ability in anorexia nervosa and unipolar depression. Psychiatry Res 2012;200(2–3):538–543 [Epub 2012/07/04].CrossRefGoogle ScholarPubMed
Guillaume, S, Jollant, F, Jaussent, I, Lawrence, N, Malafosse, A, Courtet, PSomatic markers and explicit knowledge are both involved in decision-making. Neuropsychologia 2009;47(10):2120–2124.CrossRefGoogle ScholarPubMed
Guillaume, S, Sang, CN, Jaussent, I, Raingeard, I, Bringer, J, Jollant, F, et al.Is decision making really impaired in eating disorders?. Neuropsychology 2010;24(6):808–812 [Epub 2010/09/22].CrossRefGoogle ScholarPubMed
Harrison, A, O’Brien, N, Lopez, C, Treasure, JSensitivity to reward and punishment in eating disorders. Psychiatry Res 2010;177(1–2):1–11 [Epub 2010/04/13].CrossRefGoogle ScholarPubMed
Jollant, F, Guillaume, S, Jaussent, I, Bellivier, F, Leboyer, M, Castelnau, D, et al.Psychiatric diagnoses and personality traits associated with disadvantageous decision-making. Eur Psychiatry 2007;22(7):455–461 [Epub 2007/09/04].CrossRefGoogle ScholarPubMed
Kaye, WH, Fudge, JL, Paulus, MNew insights into symptoms and neurocircuit function of anorexia nervosa. Nat Rev Neurosci 2009;10(8):573–584 [Epub 2009/07/16].CrossRefGoogle ScholarPubMed
Kaye, WH, Wierenga, CE, Bailer, UF, Simmons, AN, Bischoff-Grethe, ANothing tastes as good as skinny feels: the neurobiology of anorexia nervosa. Trends Neurosci 2013;36(2):110–120 [Epub 2013/01/22].CrossRefGoogle ScholarPubMed
Lejuez, CW, Read, JP, Kahler, CW, Richards, JB, Ramsey, SE, Stuart, GL, et al.Evaluation of a behavioral measure of risk taking: the Balloon Analogue Risk Task (BART). J Exp Psychol Appl 2002;8(2):75–84 [Epub 2002/06/22].CrossRefGoogle Scholar
Liao, PC, Uher, R, Lawrence, N, Treasure, J, Schmidt, U, Campbell, IC, et al.An examination of decision making in bulimia nervosa. J Clin Exp Neuropsychol 2009;31(4):455–461 [Epub 2008/08/23].CrossRefGoogle ScholarPubMed
Lindner, SE, Fichter, MM, Quadflieg, NDecision-making and planning in full recovery of anorexia nervosa. Int J Eat Disord 2012;45(7):866–875 [Epub 2012/05/04].CrossRefGoogle ScholarPubMed
Lopez, C, Tchanturia, K, Stahl, D, Treasure, JWeak central coherence in eating disorders: a step towards looking for an endophenotype of eating disorders. J Clin Exp Neuropsychol 2009;31(1):117–125 [Epub 2008/07/09].CrossRefGoogle ScholarPubMed
Mackinnon, A, Ritchie, K, Mulligan, RThe measurement properties of a French language adaptation of the National Adult Reading Test. Int J Methods Psychiatr Res 1999;8(1):27–38.CrossRefGoogle Scholar
Maia, TV, McClelland, JLA reexamination of the evidence for the somatic marker hypothesis: what participants really know in the Iowa gambling task. Proc Natl Acad Sci U S A 2004;101(45):16075–16080.CrossRefGoogle ScholarPubMed
Manes, F, Sahakian, B, Clark, L, Rogers, R, Antoun, N, Aitken, M, et al.Decision-making processes following damage to the prefrontal cortex. Brain 2002;125(Pt 3):624–639.CrossRefGoogle ScholarPubMed
McDowell, BD, Moser, DJ, Ferneyhough, K, Bowers, WA, Andersen, AE, Paulsen, JSCognitive impairment in anorexia nervosa is not due to depressed mood. Int J Eat Disord 2003;33(3):351–355 [Epub 2003/03/26].CrossRefGoogle Scholar
Must, A, Horvath, S, Nemeth, VL, Janka, ZThe Iowa Gambling Task in depression – what have we learned about sub-optimal decision-making strategies?. Frontiers Psychol 2013;4:732 [Epub 2013/10/18]CrossRefGoogle ScholarPubMed
Oldershaw, A, Hambrook, D, Stahl, D, Tchanturia, K, Treasure, J, Schmidt, UThe socio-emotional processing stream in Anorexia Nervosa. Neurosci Biobehav Rev 2011;35(3):970–988 [Epub 2010/11/13].CrossRefGoogle ScholarPubMed
Papadopoulos, FC, Ekbom, A, Brandt, L, Ekselius, LExcess mortality, causes of death and prognostic factors in anorexia nervosa. Br J Psychiatry 2009;194(1):10–17 [Epub 2009/01/02].CrossRefGoogle ScholarPubMed
Roberts, ME, Tchanturia, K, Stahl, D, Southgate, L, Treasure, JA systematic review and meta-analysis of set-shifting ability in eating disorders. Psychol Med 2007;37(8):1075–1084 [Epub 2007/01/31].CrossRefGoogle ScholarPubMed
Rogers, RDThe roles of dopamine and serotonin in decision making: evidence from pharmacological experiments in humans. Neuropsychopharmacology 2011;36(1):114–132 [Epub 2010/10/01].CrossRefGoogle ScholarPubMed
Rose, M, Frampton, I, Lask, BA case series investigating distinct neuropsychological profiles in children and adolescents with anorexia nervosa. Eur Eat Disord Rev 20(1):32–8.CrossRefGoogle Scholar
Smink, FR, van Hoeken, D, Hoek, HWEpidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatr Rep 2012;14(4):406–414 [Epub 2012/05/31].CrossRefGoogle ScholarPubMed
Steinglass, JE, Figner, B, Berkowitz, S, Simpson, HB, Weber, EU, Walsh, BTIncreased capacity to delay reward in anorexia nervosa. J Int Neuropsychol Soc 2012;18(4):773–780 [Epub 2012/05/18].CrossRefGoogle ScholarPubMed
Tchanturia, K, Liao, PC, Uher, R, Lawrence, N, Treasure, J, Campbell, ICAn investigation of decision making in anorexia nervosa using the Iowa Gambling Task and skin conductance measurements. J Int Neuropsychol Soc 2007;13(4):635–641 [Epub 2007/05/25].CrossRefGoogle ScholarPubMed
Toplak, ME, Sorge, GB, Benoit, A, West, RF, Stanovich, KEDecision-making and cognitive abilities: a review of associations between Iowa Gambling Task performance, executive functions, and intelligence. Clin Psychol Rev 2010;30(5):562–581 [Epub 2010/05/12].CrossRefGoogle ScholarPubMed
Upton, DJ, Bishara, AJ, Ahn, WY, Stout, JCPropensity for risk taking and trait impulsivity in the Iowa Gambling Task. Personality Individual Differences 2011;50(4):492–495 [Epub 2011/03/02].CrossRefGoogle ScholarPubMed
Wildes, JE, Forbes, EE, Marcus, MDAdvancing research on cognitive flexibility in eating disorders: the importance of distinguishing attentional set-shifting and reversal learning. Int J Eat Disord 2014 [Epub 2014/01/11].CrossRefGoogle ScholarPubMed
Zink, CF, Weinberger, DRCracking the moody brain: the rewards of self-starvation. Nat Med 2010;16(12):1382–1383 [Epub 2010/12/08].CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.