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Executive functioning among female pathological gambling and bulimia nervosa patients: Preliminary findings

Published online by Cambridge University Press:  01 March 2009

E.M. ÁLVAREZ-MOYA ,
S. JIMÉNEZ-MURCIA ,
L. MORAGAS ,
M. GÓMEZ-PEÑA ,
M.N. AYMAMÍ ,
C. OCHOA ,
I. SÁNCHEZ-DÍAZ ,
J.M. MENCHÓN  and
F. FERNÁNDEZ-ARANDA
E.M. ÁLVAREZ-MOYA
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain Ciber Fisiopatologia Obesidad y Nutricion (CIBERObn), Instituto Salud Carlos III, Spain
S. JIMÉNEZ-MURCIA
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain Ciber Fisiopatologia Obesidad y Nutricion (CIBERObn), Instituto Salud Carlos III, Spain
L. MORAGAS
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain
M. GÓMEZ-PEÑA
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain
M.N. AYMAMÍ
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain
C. OCHOA
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain Department of Psychiatry and Clinical, University of Barcelona, Spain
I. SÁNCHEZ-DÍAZ
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain
J.M. MENCHÓN
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain Ciber Fisiopatologia Obesidad y Nutricion (CIBERObn), Instituto Salud Carlos III, Spain
F. FERNÁNDEZ-ARANDA*
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain Ciber Fisiopatologia Obesidad y Nutricion (CIBERObn), Instituto Salud Carlos III, Spain
*
*Correspondence and reprint requests to: Fernando Fernández-Aranda, Department of Psychiatry, University Hospital of Bellvitge, c/Feixa Llarga s/n, 08907-Barcelona, Spain. E-mail: ffernandez@csub.scs.es
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Abstract

Shared vulnerabilities have been described across disorders of impulse control, including pathological gambling (PG) and bulimia nervosa (BN). Our aim was to compare the executive functioning of PG and BN females in order to confirm their similarity at a neurocognitive level. A total of 15 BN females, 15 PG females, and 15 healthy control (HC) females were administered the Wisconsin Card Sorting Test (WCST) and the Stroop Color and Word Test. Analysis of covariance adjusted for age and education was conducted to compare groups. PG showed the greatest impairment, that is, the highest percentage of WCST perseverative errors (p = .023), the lowest percentage of conceptual-level responses (p = .034), and the highest number of total trials administered (p = .021), while BN showed the highest percentage of WCST nonperseverative errors (p = .003). Both BN and PG females demonstrated executive dysfunction relative to HCs but different specific correlates (i.e., greater vulnerability to distraction in BN, but more cognitive inflexibility in PG). (JINS, 2009, 15, 302–306.)

Keywords

Impulse control disordersAttentionCognitive flexibilityBulimia nervosaPathological gamblingEndophenotype
Type
Brief Communications
Information
Journal of the International Neuropsychological Society , Volume 15 , Issue 2 , March 2009 , pp. 302 - 306
Copyright
Copyright © INS 2009

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References

REFERENCES

Álvarez-Moya, E.M., Jimenez-Murcia, S., Granero, R., Vallejo, J., Krug, I., Bulik, C.M., & Fernandez-Aranda, F. (2007). Comparison of personality risk factors in bulimia nervosa and pathological gambling. Comprehensive Psychiatry, 48(5), 452–457.CrossRefGoogle ScholarPubMed
Barceló, F. & Knight, R.T. (2002). Both random and perseverative errors underlie WCST deficits in prefrontal patients. Neuropsychologia, 40(3), 349–356.CrossRefGoogle ScholarPubMed
Brand, M., Kalbe, E., Labudda, K., Fujiwara, E., Kessler, J., & Markowitsch, H.J. (2005). Decision-making impairments in patients with pathological gambling. Psychiatry Research, 133(1), 91–99.CrossRefGoogle ScholarPubMed
Brewer, J.A. & Potenza, M.N. (2008). The neurobiology and genetics of impulse control disorders: Relationships to drug addictions. Biochemical Pharmacology, 75, 63–75.CrossRefGoogle ScholarPubMed
Dawe, S., Gullo, M.J., & Loxton, N.J. (2004). Reward drive and rash impulsiveness as dimensions of impulsivity: Implications for substance misuse. Addictive Behaviors, 29, 1389–1405.CrossRefGoogle ScholarPubMed
Derogatis, L.R. (1977). SCL-90: Administration, Scoring and Procedures Manual-I for the Revised Version. Baltimore, MD: John Hopkins University Press.Google Scholar
Duchesne, M., Mattos, P., Fontenelle, L.F., Veiga, H., Rizo, L., & Appolinario, J.C. (2004). Neuropsychology of eating disorders: A systematic review of the literature. Revista Brasileira de Psiquiatria, 26(2), 107–117.CrossRefGoogle ScholarPubMed
Fernández-Aranda, F., Aitken, A., Badía, A., Giménez, L., Solano, R., Collier, D., Treasure, J., & Vallejo, J. (2004). Personality and psychopathological traits of males with an eating disorder. European Eating Disorders Review, 12, 367–374.CrossRefGoogle Scholar
Fernández-Aranda, F., Jiménez-Murcia, S., Álvarez-Moya, E.M., Granero, R., Vallejo, J., & Bulik, C.M. (2006). Impulse control disorders in eating disorders: clinical and therapeutic implications. Comprehensive Psychiatry, 47, 482–488.CrossRefGoogle ScholarPubMed
Ferraro, F.R., Wonderlich, S., & Jocic, Z. (1997). Performance variability as a new theoretical mechanism regarding eating disorders and cognitive processing. Journal of Clinical Psychology, 53, 117–121.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
Garner, D.M. (1991). Eating Disorder Inventory-2. Odessa, FL: Psychological Assessment Resources.Google Scholar
Goldberg, D.P. (1981). Manual of the General Health Questionnaire (GHQ-28). Toronto, Ontario: NFER Nelson Publishing.Google Scholar
Golden, C.J. (1978). Stroop Color and Word Test: Manual for Clinical and Experimental Uses. Chicago, IL: Stoeling.Google Scholar
Goodman, A. (2008). Neurobiology of addiction: An integrative review. Biochemical Pharmacology, 75(1), 266–322.CrossRefGoogle ScholarPubMed
Gottesman, I.I. & Gould, T.D. (2003). The endophenotype concept in psychiatry: Etymology and strategic intentions. American Journal of Psychiatry, 160(4), 636–645.CrossRefGoogle ScholarPubMed
Granero, R., Penelo, E., Martínez-Giménez, R., Álvarez-Moya, E.M., Gómez-Peña, M., Aymamí, M.N., Bueno, B., Fernández-Aranda, F., & Jiménez-Murcia, S. (2009). Sex differences among treatment-seeking adult pathologic gamblers. Comprehensive Psychiatry, doi:101016/j.comppsych.2008.07.005.CrossRefGoogle ScholarPubMed
Heaton, R.K. (1981). Wisconsin Card Sorting Test Manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
Hudson, J.I., Hiripi, E., Pope, H.G. Jr, & Kessler, R.C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 61(3), 348–358.CrossRefGoogle ScholarPubMed
Kertzman, S., Lowengrub, K., Aizer, A., Nahum, Z.B., Kotler, M., & Dannon, P.N. (2006). Stroop performance in pathological gamblers. Psychiatry Research, 142, 1–10.CrossRefGoogle ScholarPubMed
Koob, G.F. & Le Moal, M. (2008). Addiction and the brain antireward system. Annual Review of Psychology, 59, 29–53.CrossRefGoogle ScholarPubMed
Lesieur, H.R. & Blume, S.B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144(9), 1184–1188.Google ScholarPubMed
Lie, C.-H., Specht, K., Marshall, J.C., & Fink, G.R. (2006). Using fMRI to decompose the neural processes underlying the Wisconsin Card Sorting Test. NeuroImage, 30, 1038–1049.CrossRefGoogle ScholarPubMed
Marazziti, D., Catena Dell’osso, M., Conversano, C., Consoli, G., Vivarelli, L., Mungai, F., Di Nasso, E., & Golia, F. (2008). Executive function abnormalities in pathological gamblers. Clinical Practice and Epidemiology in Mental Health, 4, 7.CrossRefGoogle ScholarPubMed
Nagahama, Y., Okina, T., Suzuki, N., Nabatame, H., & Matsuda, M. (2005). The cerebral correlates of different types of perseveration in the Wisconsin Card Sorting Test. Journal of Neurology, Neurosurgery, and Psychiatry, 76, 169–175.CrossRefGoogle ScholarPubMed
Patton, J.H., Stanford, M.S., & Barratt, E.S. (1995). Factor structure of the Barratt Impulsiveness Scale. Journal of Clinical Psychology, 51, 768–774.3.0.CO;2-1>CrossRefGoogle ScholarPubMed
Peláez-Fernández, M.A., Labrador, F.J., & Raich, R.M. (2007). Prevalence of eating disorders among adolescent and young adult scholastic population in the region of Madrid (Spain). Journal of Psychosomatic Research, 62, 681–690.CrossRefGoogle Scholar
Petry, N.C., Stinson, F.S., & Grant, B.F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 66, 564–574.CrossRefGoogle ScholarPubMed
Roberts, M.E., Tchanturia, K., Stahl, D., Southgate, L., & Treasure, J. (2007). A systematic review and meta-analysis of set-shifting ability in eating disorders. Psychological Medicine, 37, 1075–1084.CrossRefGoogle ScholarPubMed
Tchanturia, K., Davies, H., & Campbell, I.C. (2007). Cognitive remediation therapy for patients with anorexia nervosa: Preliminary findings. Annals of General Psychiatry, 6, 14.CrossRefGoogle ScholarPubMed
Whiteside, S.P. & Lynam, D.R. (2001). The Five Factor Model and impulsivity: Using a structural model of personality to understand impulsivity. Personality and Individual Differences, 30, 669–689.CrossRefGoogle Scholar
Zuckerman, M., Eysenck, H.J., & Eysenck, S.B.G. (1978). Sensation seeking in England and America: Cross-cultural, age and sex comparisons. Journal of Consulting and Clinical Psychology, 65, 757–768.Google Scholar