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神经性厌食症的完全康复中的决策与计划。

Decision-making and planning in full recovery of anorexia nervosa.

机构信息

Department of Psychiatry, University of Munich (LMU), Munich, Germany.

出版信息

Int J Eat Disord. 2012 Nov;45(7):866-75. doi: 10.1002/eat.22025. Epub 2012 May 3.

DOI:10.1002/eat.22025
PMID:22552824
Abstract

OBJECTIVE

Based on findings of persisting neuropsychological impairments in women recovered from anorexia nervosa (rec AN), this study examined decision-making and planning, for achieving a desired goal, as central executive functions in a large sample of rec AN. The definition of recovery included physiological, behavioral, and psychological variables.

METHOD

A total of 100 rec AN women were compared to 100 healthy women, 1:1 matched for age and educational level. Decision-making was assessed with the Iowa Gambling Task and planning with the Tower of London. Expert interviews and self-ratings were used for assessing the inclusion/exclusion criteria and control variables.

RESULTS

Compared to healthy controls, rec AN women were better in decision-making and worse in planning even after considering control variables.

DISCUSSION

This study does not support results from other studies showing that rec AN participants perform better in decision-making. Results from this study show that planning is impaired even after full recovery from AN.

摘要

目的

基于神经性厌食症(神经性厌食症)康复女性持续存在神经心理损伤的发现,本研究在大量神经性厌食症康复女性中检查了实现期望目标的决策和计划,作为中央执行功能。恢复的定义包括生理、行为和心理变量。

方法

共有 100 名神经性厌食症康复女性与 100 名年龄和教育程度相匹配的健康女性进行了比较。决策能力通过爱荷华赌博任务进行评估,而计划能力通过伦敦塔进行评估。专家访谈和自我评估用于评估纳入/排除标准和控制变量。

结果

与健康对照组相比,即使考虑了控制变量,神经性厌食症康复女性在决策方面表现更好,而在计划方面表现更差。

讨论

本研究不支持其他研究表明神经性厌食症参与者在决策方面表现更好的结果。本研究的结果表明,即使在从 AN 完全康复后,计划能力仍受损。

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