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A further assessment of decision-making in anorexia nervosa

Published online by Cambridge University Press:  15 April 2020

C. Adoue
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France Department of Psychiatry, Nimes University Hospital, Nimes, France
I. Jaussent
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France
E. Olié
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France CHU Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France
S. Beziat
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France
F. Van den Eynde
Affiliation:
Eating Disorders Program, Douglas University Institute, Psychiatry Department, McGill University, Montreal, 6875, boulevard Lasalle, Verdun, H4H 1R3, Quebec, Canada
P. Courtet
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France CHU Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France
S. Guillaume
Affiliation:
Inserm U1061, Montpellier, France University of Montpellier 1, Montpellier, France CHU Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France
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Abstract

Objective:

Anorexia nervosa (AN) may be associated with impaired decision-making. Cognitive processes underlying this impairment remain unclear, mainly because previous assessments of this complex cognitive function were completed with a single test. Furthermore, clinical features such as mood status may impact this association. We aim to further explore the hypothesis of altered decision-making in AN.

Method:

Sixty-three adult women with AN and 49 female controls completed a clinical assessment and were assessed by three tasks related to decision-making [Iowa Gambling Task (IGT), Balloon Analogue Risk Task (BART), Probabilistic Reversal Learning Task (PRLT)].

Results:

People with AN had poorer performance on the IGT and made less risky choices on the BART, whereas performances were not different on PRLT. Notably, AN patients with a current major depressive disorder showed similar performance to those with no current major depressive disorder.

Conclusion:

These results tend to confirm an impaired decision making-process in people with AN and suggest that various cognitive processes such as inhibition to risk-taking or intolerance of uncertainty may underlie this condition Furthermore, these impairments seem unrelated to the potential co-occurent major depressive disorders.

Type
Original article
Copyright
Copyright © European Psychiatric Association 2020

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References

Abbate-Daga, G, Buzzichelli, S, Amianto, F, Rocca, G, Marzola, E, McClintock, SM, et al.Cognitive flexibility in verbal and nonverbal domains and decision making in anorexia nervosa patients: a pilot study. BMC Psychiatry 2011;11:162[Epub 2011/10/11].CrossRefGoogle ScholarPubMed
Adida, M, Jollant, F, Clark, L, Besnier, N, Guillaume, S, Kaladjian, A, et al.Trait-related decision-making impairment in the three phases of bipolar disorder. Biol Psychiatry 2011;70(4):357365 [Epub 2011/03/25].CrossRefGoogle ScholarPubMed
Bechara, A, Damasio, AR, Damasio, H, Anderson, SW. Insensitivity to future consequences following damage to human prefrontal cortex. Cognition 1994;50(1–3):715.CrossRefGoogle ScholarPubMed
Bechara, A, Tranel, D, Damasio, H. Characterization of the decision-making deficit of patients with ventromedial prefrontal cortex lesions. Brain 2000;123(Pt 11):21892202 [Epub 2000/10/26].CrossRefGoogle ScholarPubMed
Beck, AT, Ward, CH, Mendelson, M, Mock, J, Erbaugh, J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561571.CrossRefGoogle ScholarPubMed
Bosanac, P, Kurlender, S, Stojanovska, L, Hallam, K, Norman, T, McGrath, C, et al.Neuropsychological study of underweight and “weight-recovered” anorexia nervosa compared with bulimia nervosa and normal controls. Int J Eat Disord 2007;40(7):613621.CrossRefGoogle ScholarPubMed
Brand, M, Franke-Sievert, C, Jacoby, GE, Markowitsch, HJ, Tuschen-Caffier, B. Neuropsychological correlates of decision making in patients with bulimia nervosa. Neuropsychology 2007;21(6):742750[Epub 2007/11/07].CrossRefGoogle ScholarPubMed
Brogan, A, Hevey, D, Pignatti, R. Anorexia, bulimia, and obesity: shared decision making deficits on the Iowa Gambling Task (IGT). J Int Neuropsychol Soc 16(4):711–5.CrossRefGoogle Scholar
Burgess, PW, Shallice, TThe hayling and brixton tests. UK: Thames Valley Test Compagny; 1997.Google Scholar
Cavedini, P, Bassi, T, Ubbiali, A, Casolari, A, Giordani, S, Zorzi, C, et al.Neuropsychological investigation of decision-making in anorexia nervosa. Psychiatry Res 2004;127(3):259266 [Epub 2004/08/07].CrossRefGoogle ScholarPubMed
Cavedini, P, Zorzi, C, Bassi, T, Gorini, A, Baraldi, C, Ubbiali, A, et al.Decision-making functioning as a predictor of treatment outcome in anorexia nervosa. Psychiatry Res 2006;145(2–3):179187 [Epub 2006/11/01].CrossRefGoogle ScholarPubMed
Chan, TW, Ahn, WY, Bates, JE, Busemeyer, JR, Guillaume, S, Redgrave, GW, et al.Differential impairments underlying decision making in anorexia nervosa and bulimia nervosa: a cognitive modeling analysis. Int J Eat Disord 2013 [Epub 2013/11/19]Google ScholarPubMed
Danner, UN, Sanders, N, Smeets, PA, van Meer, F, Adan, RA, Hoek, HW, et al.Neuropsychological weaknesses in anorexia nervosa: set-shifting, central coherence, and decision making in currently ill and recovered women. Int J Eat Disord 2012;45(5):685694 [Epub 2012/02/15].CrossRefGoogle ScholarPubMed
Dombrovski, AY, Clark, L, Siegle, GJ, Butters, MA, Ichikawa, N, Sahakian, BJ, et al.Reward/Punishment reversal learning in older suicide attempters. Am J Psychiatry 2010;167(6):699707 [Epub 2010/03/17].CrossRefGoogle ScholarPubMed
Fagundo, AB, de la Torre, R, Jimenez-Murcia, S, Aguera, Z, Granero, R, Tarrega, S, et al.Executive functions profile in extreme eating/weight conditions: from anorexia nervosa to obesity. PloS One 2012;7(8):e43382 [Epub 2012/08/29]CrossRefGoogle ScholarPubMed
Fairburn, CG, Harrison, PJ. Eating disorders. Lancet 2003;361(9355):407416 [Epub 2003/02/08].CrossRefGoogle ScholarPubMed
Galimberti, E, Fadda, E, Cavallini, MC, Martoni, RM, Erzegovesi, S, Bellodi, L. Executive functioning in anorexia nervosa patients and their unaffected relatives. Psychiatry Res 2013;208(3):238244 [Epub 2012/11/06].CrossRefGoogle ScholarPubMed
Gardner, LEDI-2: Professional Manual: Odessa; 1991.Google Scholar
Garon, N, Moore, CNegative affectivity predicts individual differences in decision making for preschoolers. J Gen Psychol 2006;167(4):443462 [Epub 2007/07/25].CrossRefGoogle ScholarPubMed
Garrido, I, Subira, SDecision-making and impulsivity in eating disorder patients. Psychiatry Res 2013;207(1–2):107112 [Epub 2012/11/06].CrossRefGoogle ScholarPubMed
Giel, KE, Wittorf, A, Wolkenstein, L, Klingberg, S, Drimmer, E, Schonenberg, M, et al.Is impaired set-shifting a feature of “pure” anorexia nervosa? Investigating the role of depression in set-shifting ability in anorexia nervosa and unipolar depression. Psychiatry Res 2012;200(2–3):538543 [Epub 2012/07/04].CrossRefGoogle ScholarPubMed
Guillaume, S, Jollant, F, Jaussent, I, Lawrence, N, Malafosse, A, Courtet, PSomatic markers and explicit knowledge are both involved in decision-making. Neuropsychologia 2009;47(10):21202124.CrossRefGoogle ScholarPubMed
Guillaume, S, Sang, CN, Jaussent, I, Raingeard, I, Bringer, J, Jollant, F, et al.Is decision making really impaired in eating disorders?. Neuropsychology 2010;24(6):808812 [Epub 2010/09/22].CrossRefGoogle ScholarPubMed
Harrison, A, O’Brien, N, Lopez, C, Treasure, JSensitivity to reward and punishment in eating disorders. Psychiatry Res 2010;177(1–2):111 [Epub 2010/04/13].CrossRefGoogle ScholarPubMed
Jollant, F, Guillaume, S, Jaussent, I, Bellivier, F, Leboyer, M, Castelnau, D, et al.Psychiatric diagnoses and personality traits associated with disadvantageous decision-making. Eur Psychiatry 2007;22(7):455461 [Epub 2007/09/04].CrossRefGoogle ScholarPubMed
Kaye, WH, Fudge, JL, Paulus, MNew insights into symptoms and neurocircuit function of anorexia nervosa. Nat Rev Neurosci 2009;10(8):573584 [Epub 2009/07/16].CrossRefGoogle ScholarPubMed
Kaye, WH, Wierenga, CE, Bailer, UF, Simmons, AN, Bischoff-Grethe, ANothing tastes as good as skinny feels: the neurobiology of anorexia nervosa. Trends Neurosci 2013;36(2):110120 [Epub 2013/01/22].CrossRefGoogle ScholarPubMed
Lejuez, CW, Read, JP, Kahler, CW, Richards, JB, Ramsey, SE, Stuart, GL, et al.Evaluation of a behavioral measure of risk taking: the Balloon Analogue Risk Task (BART). J Exp Psychol Appl 2002;8(2):7584 [Epub 2002/06/22].CrossRefGoogle Scholar
Liao, PC, Uher, R, Lawrence, N, Treasure, J, Schmidt, U, Campbell, IC, et al.An examination of decision making in bulimia nervosa. J Clin Exp Neuropsychol 2009;31(4):455461 [Epub 2008/08/23].CrossRefGoogle ScholarPubMed
Lindner, SE, Fichter, MM, Quadflieg, NDecision-making and planning in full recovery of anorexia nervosa. Int J Eat Disord 2012;45(7):866875 [Epub 2012/05/04].CrossRefGoogle ScholarPubMed
Lopez, C, Tchanturia, K, Stahl, D, Treasure, JWeak central coherence in eating disorders: a step towards looking for an endophenotype of eating disorders. J Clin Exp Neuropsychol 2009;31(1):117125 [Epub 2008/07/09].CrossRefGoogle ScholarPubMed
Mackinnon, A, Ritchie, K, Mulligan, RThe measurement properties of a French language adaptation of the National Adult Reading Test. Int J Methods Psychiatr Res 1999;8(1):2738.CrossRefGoogle Scholar
Maia, TV, McClelland, JLA reexamination of the evidence for the somatic marker hypothesis: what participants really know in the Iowa gambling task. Proc Natl Acad Sci U S A 2004;101(45):1607516080.CrossRefGoogle ScholarPubMed
Manes, F, Sahakian, B, Clark, L, Rogers, R, Antoun, N, Aitken, M, et al.Decision-making processes following damage to the prefrontal cortex. Brain 2002;125(Pt 3):624639.CrossRefGoogle ScholarPubMed
McDowell, BD, Moser, DJ, Ferneyhough, K, Bowers, WA, Andersen, AE, Paulsen, JSCognitive impairment in anorexia nervosa is not due to depressed mood. Int J Eat Disord 2003;33(3):351355 [Epub 2003/03/26].CrossRefGoogle Scholar
Must, A, Horvath, S, Nemeth, VL, Janka, ZThe Iowa Gambling Task in depression – what have we learned about sub-optimal decision-making strategies?. Frontiers Psychol 2013;4:732 [Epub 2013/10/18]CrossRefGoogle ScholarPubMed
Oldershaw, A, Hambrook, D, Stahl, D, Tchanturia, K, Treasure, J, Schmidt, UThe socio-emotional processing stream in Anorexia Nervosa. Neurosci Biobehav Rev 2011;35(3):970988 [Epub 2010/11/13].CrossRefGoogle ScholarPubMed
Papadopoulos, FC, Ekbom, A, Brandt, L, Ekselius, LExcess mortality, causes of death and prognostic factors in anorexia nervosa. Br J Psychiatry 2009;194(1):1017 [Epub 2009/01/02].CrossRefGoogle ScholarPubMed
Roberts, ME, Tchanturia, K, Stahl, D, Southgate, L, Treasure, JA systematic review and meta-analysis of set-shifting ability in eating disorders. Psychol Med 2007;37(8):10751084 [Epub 2007/01/31].CrossRefGoogle ScholarPubMed
Rogers, RDThe roles of dopamine and serotonin in decision making: evidence from pharmacological experiments in humans. Neuropsychopharmacology 2011;36(1):114132 [Epub 2010/10/01].CrossRefGoogle ScholarPubMed
Rose, M, Frampton, I, Lask, BA case series investigating distinct neuropsychological profiles in children and adolescents with anorexia nervosa. Eur Eat Disord Rev 20(1):32–8.CrossRefGoogle Scholar
Smink, FR, van Hoeken, D, Hoek, HWEpidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatr Rep 2012;14(4):406414 [Epub 2012/05/31].CrossRefGoogle ScholarPubMed
Steinglass, JE, Figner, B, Berkowitz, S, Simpson, HB, Weber, EU, Walsh, BTIncreased capacity to delay reward in anorexia nervosa. J Int Neuropsychol Soc 2012;18(4):773780 [Epub 2012/05/18].CrossRefGoogle ScholarPubMed
Tchanturia, K, Liao, PC, Uher, R, Lawrence, N, Treasure, J, Campbell, ICAn investigation of decision making in anorexia nervosa using the Iowa Gambling Task and skin conductance measurements. J Int Neuropsychol Soc 2007;13(4):635641 [Epub 2007/05/25].CrossRefGoogle ScholarPubMed
Toplak, ME, Sorge, GB, Benoit, A, West, RF, Stanovich, KEDecision-making and cognitive abilities: a review of associations between Iowa Gambling Task performance, executive functions, and intelligence. Clin Psychol Rev 2010;30(5):562581 [Epub 2010/05/12].CrossRefGoogle ScholarPubMed
Upton, DJ, Bishara, AJ, Ahn, WY, Stout, JCPropensity for risk taking and trait impulsivity in the Iowa Gambling Task. Personality Individual Differences 2011;50(4):492495 [Epub 2011/03/02].CrossRefGoogle ScholarPubMed
Wildes, JE, Forbes, EE, Marcus, MDAdvancing research on cognitive flexibility in eating disorders: the importance of distinguishing attentional set-shifting and reversal learning. Int J Eat Disord 2014 [Epub 2014/01/11].CrossRefGoogle ScholarPubMed
Zink, CF, Weinberger, DRCracking the moody brain: the rewards of self-starvation. Nat Med 2010;16(12):13821383 [Epub 2010/12/08].CrossRefGoogle ScholarPubMed
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