Poor Cognitive Flexibility in Eating Disorders Examining the Evidence using the Wisconsin Card Sorting Task 英文参考文献.docVIP
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Poor Cognitive Flexibility in Eating Disorders Examining the Evidence using the Wisconsin Card Sorting Task 英文参考文献
PoorCognitiveFlexibilityinEatingDisorders:Examining
theEvidenceusingtheWisconsinCardSortingTask
KateTchanturia1*,HelenDavies1,MarionRoberts1,AmyHarrison1,MichikoNakazato1,UlrikeSchmidt1,
JanetTreasure1,RobinMorris2
1DivisionofPsychologicalMedicine,InstituteofPsychiatry,King’sCollegeLondon(KCL),London,UnitedKingdom,2DepartmentofPsychology,InstituteofPsychiatry
King’sCollegeLondon(KCL),London,UnitedKingdom
Abstract
Background:Peoplewitheatingdisorders(ED)frequentlypresentwithinflexiblebehaviours,includingeatingrelatedissues
whichcontributetothemaintenanceoftheillness.Smallscalestudiespointtodifficultieswithcognitiveset-shiftingasa
basis.Usinglargerscalestudieswilllendrobustnesstothesedata.
Methodology/PrincipalFindings:542participantswereincludedinthedatasetasfollows:AnorexiaNervosa(AN)n=171;
BulimiaNervosa(BN)n=82;RecoveredANn=90;Healthycontrols(HC):n=199.AllcompletedtheWisconsinCardSorting
Task(WCST),anassessmentthatintegratesmultiplemeasurementofseveralexecutiveprocessesconcernedwithproblem
solving and cognitive flexibility. The AN and BN groups performed poorly in most domains of the WCST. Recovered AN
participantsshowedabetterperformancethancurrentlyillparticipants;however,thenumberofpreservativeerrorswas
higherthanforHCparticipants.
Conclusions/Significance:Thereisagrowinginterestinthediagnosticandtreatmentimplicationsofcognitiveflexibilityin
eating disorders. This large dataset supports previous smaller scale studies and a systematic review which indicate poor
cognitiveflexibilityinpeoplewithED.
Citation:TchanturiaK,DaviesH,RobertsM,HarrisonA,NakazatoM,etal.(2012)PoorCognitiveFlexibilityinEatingDisorders:ExaminingtheEvidenceusingthe
WisconsinCardSortingTask.PLoSONE7(1):e28331.doi:10.1371/journal.pone.0028331
Editor:AntonioVerdejoGarc?′a,UniversityofGranada,Spain
ReceivedSeptember6,2011;AcceptedNovember6,2011;PublishedJanuary12,2012
Copyright: ?2012 Tchanturia et al. This is an open-access article distributed under the terms of the Creative Commons Attribution
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