Department of Child and Adolescent Psychiatry, Stanford University School of Medicine, Stanford, CA 94305, USA.
Int J Eat Disord. 2012 Nov;45(7):909-12. doi: 10.1002/eat.22027. Epub 2012 Jun 12.
Set-shifting difficulties are documented for adults with anorexia nervosa (AN). However, AN typically onsets in adolescents and it is unclear if set-shifting difficulties are a result of chronic AN or present earlier in its course. This study examined whether adolescents with short duration AN demonstrated set-shifting difficulties compared to healthy controls (HC).
Data on set-shifting collected from the Delis-Kaplan executive functioning system and Wisconsin card sort task (WCST) as well as eating psychopathology were collected from 32 adolescent inpatients with AN and compared with those from 22 HCs.
There were no differences in set-shifting in adolescents with AN compared to HCs on most measures.
The findings suggest that set-shifting difficulties in AN may be a consequence of AN. Future studies should explore set-shifting difficulties in a larger sample of adolescents with the AN to determine if there is sub-set of adolescents with these difficulties and determine any relationship of set-shifting to the development of a chronic from of AN.
有文献记录表明厌食症（AN）患者存在转换困难。然而，AN 通常在青少年中发病，目前尚不清楚转换困难是慢性 AN 的结果还是在其病程早期出现。本研究旨在探讨短期 AN 青少年与健康对照组（HC）相比是否存在转换困难。
从 Delis-Kaplan 执行功能系统和威斯康星卡片分类任务（WCST）中收集了 32 名 AN 住院青少年的转换数据，并与 22 名 HC 的相关数据进行了比较。
与 HC 相比，大多数测量指标中，AN 青少年的转换能力无差异。
这些发现表明，AN 中的转换困难可能是 AN 的结果。未来的研究应在更大的 AN 青少年样本中探讨转换困难，以确定是否存在存在这些困难的亚组，并确定转换与慢性 AN 发展之间的关系。
