Enduring Changes in Decision Making in Patients with Full Remission from Anorexia Nervosa
Steward, Trevor (Hospital Universitari de Bellvitge)
Mestre-Bach, Gemma (Hospital Universitari de Bellvitge)
Agüera, Zaida (Hospital Universitari de Bellvitge)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Martín-Romera, Virginia (Hospital Universitari de Bellvitge)
Sánchez, Isabel (Hospital Universitari de Bellvitge)
Riesco, Nadine (Hospital Universitari de Bellvitge)
Tolosa-Sola, Iris (Hospital Universitari de Bellvitge)
Fernández-Formoso, Jose A. (Instituto Salud Carlos III)
Fernández-García, Jose C. (Hospital Clinico Universitario Virgen de la Victoria (Màlaga))
Tinahones, Francisco J. (Hospital Clinico Universitario Virgen de la Victoria (Màlaga))
Casanueva, Felipe F. (Complejo Hospitalario Universitario de Santiago de Compostela)
Baños, Rosa M. (Instituto Salud Carlos III)
Botella, Cristina (Instituto Salud Carlos III)
Crujeiras, Ana B. (Instituto Salud Carlos III)
De La Torre, Rafael (Institut Hospital del Mar d'Investigacions Mèdiques)
Fernández-Real, Jose M. (Hospital Universitari de Girona Doctor Josep Trueta)
Frühbeck, Gema (Instituto Salud Carlos III)
Ortega, Francisco (Hospital Universitari de Girona Doctor Josep Trueta)
Rodríguez, Amaia (Instituto Salud Carlos III)
Jiménez-Murcia, Susana (Hospital Universitari de Bellvitge)
Menchón Magriñá, José Manuel (Hospital Universitari de Bellvitge)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)

Date:	2016
Abstract:	Background: Deficits in neuropsychological functioning have consistently been identified in patients with anorexia nervosa (AN). However, little is known on how decision making in AN patients evolves in response to treatment or whether impairments are reversible. Method: AN patients (n = 42) completed the Iowa Gambling Task (IGT) upon admission to a 3-month day-hospital treatment programme and at a 1-year follow-up. Patient IGT performance was compared to age-matched controls (n = 46). Results: AN patients displayed poorer performance on the IGT at admission compared to controls (p <. 001). Patients with full remission (n = 31; 73. 9%) at the 1-year follow-up improved IGT performance (p = 0. 007), and scores were similar compared to controls (p = 0. 557). AN patients with partial/no remission at follow-up (n = 11; 26. 1%) did not improve IGT scores (p = 0. 867). Conclusions: These findings uphold that enduring remission from AN can reverse decision-making impairments, and they might be most likely explained by clinical state rather than a trait vulnerability.
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Language:	Anglès
Document:	Article ; recerca ; Versió acceptada per publicar
Subject:	Choice behaviour ; Cognitive behavioural therapy ; Cognitive impairments ; Eating and feeding disorders ; Longitudinal studies ; Neuropsychology
Published in:	European eating disorders review, Vol. 24 Núm. 6 (November 2016) , p. 523-527, ISSN 1099-0968

DOI: 10.1002/erv.2472

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