The Cognitive Profile in Adolescents With Anorexia Nervosa and the Relationship With Autism and ADHD: A Pilot Study.

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2024-12-28 DOI:10.1002/erv.3168

Sandra Rydberg Dobrescu, Karin Dahlin, Louise Karjalainen, Annelie Bördal Montonen, Helena Klint, Ingrid Stenberg, Gunilla Paulson Karlsson, Elisabet Wentz

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引用次数: 0

Abstract

Objective: We aimed to examine the cognitive profile in adolescents with anorexia nervosa (AN) and its association with traits of autism spectrum disorder (ASD) and ADHD. In addition, resemblance in the cognitive profile between youths with AN and their parents was explored.

Methods: Adolescent females with acute AN (n = 20) and a healthy comparison group (n = 28) completed neuropsychological tasks of set-shifting (Trail making test, Wisconsin Card Sorting Test) and central coherence (Rey Complex Figures Task, Group Embedded Figures Test, object assembly subtest). In the AN group, mothers and fathers (n = 31) also completed the neuropsychological tasks. Traits of ASD and ADHD were assessed. The AN group was reassessed after weight gain.

Results: Weight-restored AN adolescents scored higher on the Group Embedded Figures Test than a comparison group (p < 0.001). No other set-shifting and central coherence differences were found across groups. A father-child correlation emerged in the object assembly subtest (r = 0.53, p = 0.035). ASD and ADHD traits were common in the AN group and not only related to starvation. No associations were found between neuropsychological deficits and traits of ASD and ADHD.

Conclusions: Scant support was found for weaker central coherence in weight-recovered adolescents with AN. Set-shifting impairments could not be observed in young females with acute AN or after weight recovery.

查看原文本刊更多论文

青少年神经性厌食症的认知特征及其与自闭症和ADHD的关系：一项初步研究。

目的：探讨青少年神经性厌食症（AN）的认知特征及其与自闭症谱系障碍（ASD）和ADHD特征的关系。此外，还探讨了AN青少年与其父母在认知特征上的相似性。方法：青少年女性急性AN患者（n = 20）和健康对照组（n = 28）分别完成集移（Trail making test, Wisconsin Card Sorting test）和中央连贯（Rey Complex Figures Task, group Embedded Figures test, object assembly subtest）的神经心理任务。在AN组中，母亲和父亲（n = 31）也完成了神经心理学任务。评估ASD和ADHD的特征。AN组在体重增加后重新评估。结果：体重恢复的AN青少年在群体嵌入图测试中的得分高于对照组(p)。结论：缺乏证据支持体重恢复的AN青少年中枢一致性较弱。在患有急性AN的年轻女性或体重恢复后，没有观察到设置转移损伤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.