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Personality, clinical features, and test instructions can affect executive functions in Eating Disorders

机译:个性,临床特征和测试说明会影响进食障碍的执行功能

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摘要

Cognitive deficits in Eating Disorders have been related to the executive function domain. Yet, to date, only few works investigated the relationship between neuropsychological and clinical issues, and these studies were separately conducted either on Anorexia Nervosa (AN) or Bulimia Nervosa (BN).In this study, three groups of AN, BN and matched controls were administered the Trail Making Test, the Wisconsin Card Sorting Test, and the Hayling Sentence Completion Test, in addition to personality and clinical assessments (Temperament and Character Inventory, SCL-90-R, EDI-2).Results from AN indicated a relationship between cognitive rigidity and fixed psychological traits. Conversely, BN showed broader correlations among slowness, inhibition, and psychopathology-state indexes, confirming the clear relation published in the literature.We also hypothesize that task peculiar characteristics can affect high-order attentional activities in Eating Disorders. In fact, these patients do not differ from controls when the examiner provides overt instruction and run-in examples, but they can find serious difficulties when the correct rule is to be derived and modified from feedbacks during the test, as in the Wisconsin Card Sorting Test. Perfectionist stable traits support this hypothesis, especially in AN, as excessive cognitive control can either improve or damage set-shifting and decision-making procedures.
机译:饮食失调的认知缺陷与执行功能领域有关。然而,到目前为止,只有极少的作品研究了神经心理学和临床问题之间的关系,并且这些研究分别针对神经性厌食症(AN)或神经性贪食症(BN)进行。在这项研究中,三组AN,BN和相配的对照组除性格和临床评估(气质和性格量表,SCL-90-R,EDI-2)外,还进行了追踪制作测试,威斯康星卡片分类测试和海灵句子完成测试。在认知僵化和固定的心理特征之间。相反,BN在慢度,抑制和心理病理状态指标之间显示出更广泛的相关性,这证实了文献中的明确关系。我们还假设任务特有的特征会影响进食障碍中的高阶注意力活动。实际上,当检查员提供明显的指导和磨合示例时,这些患者与对照组没有区别,但是当要在测试过程中从反馈中得出正确的规则并对其进行修改时,他们会发现严重的困难,例如在威斯康星卡片分类中测试。完美主义者的稳定特征支持这一假设,尤其是在AN中,因为过度的认知控制可以改善或破坏设定转移和决策程序。

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