Cognitive flexibility, central coherence and social emotional processing in males with an eating disorder

Goddard, Elizabeth; Carral-Fernández, Laura; Denneny, Emma; Campbell, Iain C.; Treasure, Janet

doi:10.3109/15622975.2012.750014

Cited by 30 publications

(25 citation statements)

References 72 publications

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“…We did not find that individuals with AN had a specific impairment in the recognition of facial expression of emotions, which is in line with some previous research [17, 20, 21, 33]. This research states that following other studies [11, 27] social perception in people with anorexia nervosa is largely preserved.…”

Section: Discussionsupporting

confidence: 91%

Intact social cognitive processes in outpatients with anorexia nervosa: a pilot study

Kucharska

Jeschke

Mafi³

2016

Ann Gen Psychiatry

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ObjectiveThe aim of the study was to assess social cognition in community patients suffering from anorexia nervosa (AN) compared to healthy controls.Methods25 women diagnosed with AN and 25 women matched for education level and age were involved in the study. Both subject groups were assessed using a set of validated experimental tasks, such as the facial expression recognition test, short recognition memory test for faces, ‘Reading the mind in the eyes’ test. Patients were assessed for symptoms of: eating disorder (the eating attitudes test—EAT-26), OCD (the Yale–Brown obsessive compulsive scale—Y-BOCS) and depression (Beck depression inventory—BDI). The research hypothesis indicated that patients suffering from anorexia represent no significant difference in social cognitive functioning in comparison to the healthy controls. These assessment scales were used to identify whether there are any problems according to social cognitive functioning especially emotion recognition and theory of mind (ToM). The primary outcome assessment was to identify social cognitive deficits in anorexic outpatients and secondary outcome was to verify whether these problems in emotional functioning found in women in acute phase of AN are state or trait effects.ResultsAnorexic patients showed significantly higher scores on EAT-26, BDI and Y-BOCS. No significant differences were found in performance of social cognitive tests and facial perception test.DiscussionNo marked alterations were found in social cognitive functioning in community patients with average body mass index (BMI) of 17.6. This may indicate that social cognition is a very complex construct to be reliably measured in anorexia nervosa considering relatively limited psychometric data for many social cognitive tasks. Further longitudinal studies are needed to untangle ongoing controversy whether social cognitive deficits in AN could be state or trait related.

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Section: Discussionsupporting

confidence: 91%

Intact social cognitive processes in outpatients with anorexia nervosa: a pilot study

Kucharska

Jeschke

Mafi³

2016

Ann Gen Psychiatry

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“…The results of this study were consistent with previous research, demonstrating poorer global processing in AN, BN and unaffected AN relatives in comparison to HCs as evidenced by lower scores on central coherence indices [6,10,22,29–31]. However, the findings are discrepant with a number of studies that report recall and copy data from the Rey figure as a measure of central coherence [32].…”

Section: Discussionsupporting

confidence: 81%

Central Coherence in Eating Disorders: A Synthesis of Studies Using the Rey Osterrieth Complex Figure Test

et al. 2016

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BackgroundLarge variability in tests and differences in scoring systems used to study central coherence in eating disorders may lead to different interpretations, inconsistent findings and between study discrepancies. This study aimed to address inconsistencies by collating data from several studies from the same research group that used the Rey Osterrieth Complex Figure Test (Rey Figure) in order to produce norms to provide benchmark data for future studies.MethodData was collated from 984 participants in total. Anorexia Nervosa, Bulimia Nervosa, recovered Anorexia Nervosa, unaffected family members and healthy controls were compared using the Rey Figure.ResultsPoor global processing was observed across all current eating disorder sub-groups and in unaffected relatives. There was no difference in performance between recovered AN and HC groups.ConclusionsThis is the largest dataset reported in the literature and supports previous studies implicating poor global processing across eating disorders using the Rey Figure. It provides robust normative data useful for future studies.

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“…Two functional MRI studies that used a behavioral task in the scanner to assess neural response toToM task were not included as they were not designed to detect subtle deficits in social cognition . Having an unspecified type of EDNOS (1 sample from Medina‐Pradas et al), the inclusion of male patients, being reported as a conference abstract (1 study) and being based on an overlapping sample with an included study were other reasons for exclusion from the meta‐analysis.…”

Section: Methodsmentioning

confidence: 99%

Meta‐analysis of theory of mind in anorexia nervosa and bulimia nervosa: A specific İmpairment of cognitive perspective taking in anorexia nervosa?

Bora

Köse

2016

Intl J Eating Disorders

124

109

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La AN fue relacionada con déficit significativo en ToM (d=0.59) los cuales fueron pronunciados en los pacientes agudos (d=0.67). Se observaron déficits de tamaño pequeño en BN (d=0.34) y AN recuperada (d=0.35). La toma de perspectiva cognitiva (ToM-PT) (d=0.99) y la descodificación de los procesos mentales (descodificación de ToM) (d=0.61) fueron deteriorados en la AN aguda. El deterioro en la descodificación de ToM en BN fue moderado. No se encontró evidencia significativa de déficit en ToM-PT en BN. Algunas variables a nivel estudio incluyendo la larga duración de la enfermedad, índice de masa corporal (IMC) bajo y síntomas depresivos fueron asociados con mayores déficit severos en ToM en AN. DISCUSIÓN: El déficit en ToM, particularmente en ToM-PT puede ser una característica específica en la AN pero no en la BN. El deterioro en la descodificación de ToM puede contribuir a mala percepción, resistencia al tratamiento y deterioro social en AN. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:739-749).

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Cognitive flexibility, central coherence and social emotional processing in males with an eating disorder

Cited by 30 publications

References 72 publications

Intact social cognitive processes in outpatients with anorexia nervosa: a pilot study

Intact social cognitive processes in outpatients with anorexia nervosa: a pilot study

Central Coherence in Eating Disorders: A Synthesis of Studies Using the Rey Osterrieth Complex Figure Test

Meta‐analysis of theory of mind in anorexia nervosa and bulimia nervosa: A specific İmpairment of cognitive perspective taking in anorexia nervosa?

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