Decision-making and planning in full recovery of anorexia nervosa

Int J Eat Disord. 2012 Nov;45(7):866-75. doi: 10.1002/eat.22025. Epub 2012 May 3.

Abstract

Objective: Based on findings of persisting neuropsychological impairments in women recovered from anorexia nervosa (rec AN), this study examined decision-making and planning, for achieving a desired goal, as central executive functions in a large sample of rec AN. The definition of recovery included physiological, behavioral, and psychological variables.

Method: A total of 100 rec AN women were compared to 100 healthy women, 1:1 matched for age and educational level. Decision-making was assessed with the Iowa Gambling Task and planning with the Tower of London. Expert interviews and self-ratings were used for assessing the inclusion/exclusion criteria and control variables.

Results: Compared to healthy controls, rec AN women were better in decision-making and worse in planning even after considering control variables.

Discussion: This study does not support results from other studies showing that rec AN participants perform better in decision-making. Results from this study show that planning is impaired even after full recovery from AN.

MeSH terms

  • Adult
  • Anorexia Nervosa / psychology*
  • Attention
  • Case-Control Studies
  • Cross-Sectional Studies
  • Decision Making*
  • Educational Status
  • Executive Function*
  • Female
  • Humans
  • Middle Aged
  • Neuropsychological Tests