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认知神经科学与神经性厌食症的文献综述

Literature Review of Cognitive Neuroscience and Anorexia Nervosa.

作者信息

Reville Marie-Claire, O'Connor Lorna, Frampton Ian

机构信息

Feeding and Eating Disorders Service, Department of Child and Adolescent Mental Health, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1N 3JH, UK.

College of Life and Environmental Sciences, University of Exeter, Exeter, UK.

出版信息

Curr Psychiatry Rep. 2016 Feb;18(2):18. doi: 10.1007/s11920-015-0651-4.

Abstract

Studies published between the beginning of 2013 and May 2015 on the neuropsychological functioning of patients with anorexia nervosa compared with healthy participants framed in the context of the Research Domain Criteria matrix identifies evidence for functional differences in three domains: Negative Valance Systems-negative attentional biases and lack of neural responsivity to hunger; Cognitive Systems-limited congruence between clinical and cognitive performance, poorer non-verbal than verbal performance, altered attentional styles to disorder related stimuli, perceptual processing impairment in discriminating body images, weaknesses in central coherence, set shifting weaknesses at low weight status, decision-making weaknesses, and greater neural resources required for working memory; Systems for Social Processes-patients appear to have a different attentional response to faces, and perception and understanding of self and others. Hence, there is evidence to suggest that patients with anorexia nervosa have a specific neuropsychological performance style across tasks in three domains of functioning. Some current controversies and areas for future development are identified.

摘要

2013年初至2015年5月发表的关于神经性厌食症患者与健康参与者神经心理功能的研究,在研究领域标准矩阵的背景下进行比较,确定了三个领域功能差异的证据:负性价态系统——负性注意偏差以及对饥饿缺乏神经反应性;认知系统——临床与认知表现之间的一致性有限,非言语表现比言语表现差,对与障碍相关刺激的注意方式改变,辨别身体形象时的知觉加工受损,中央连贯性缺陷,低体重状态下的定势转换缺陷,决策缺陷,以及工作记忆需要更多神经资源;社会过程系统——患者对面孔似乎有不同的注意反应,以及对自我和他人的感知与理解。因此,有证据表明神经性厌食症患者在三个功能领域的任务中具有特定的神经心理表现风格。同时也指出了当前的一些争议和未来的发展方向。

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