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Decision‐making and planning in full recovery of anorexia nervosa
Author(s) -
Lindner Susanne E.,
Fichter Manfred M.,
Quadflieg Norbert
Publication year - 2012
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22025
Subject(s) - psychology , anorexia nervosa , neuropsychology , iowa gambling task , inclusion (mineral) , control (management) , developmental psychology , executive functions , clinical psychology , cognition , psychiatry , eating disorders , social psychology , economics , management
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. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2011;45:866–875)