Schmidt M H, Lay B, Blanz B
Klinik für Psychiatrie und Psychotherapie, Kindes- und Jugendalters am Zentralinstitut für Seelische Gesundheit Mannheim.
Z Kinder Jugendpsychiatr Psychother. 1997 Mar;25(1):17-26.
In the present pilot study 52 inpatients with anorexia nervosa were examined with regard to cognitive impairments. A psychological assessment was made on admission (T1) and shortly before discharge (T2), the focus being on fluency aspects of cognitive functioning. The results showed high test scores at T1 on all cognitive measures and improvement in cognitive functioning in the course of inpatient treatment. However, the level of cognitive functioning was not correlated with weight loss or duration of illness. Patients who were discharged with a BMI below 17.5 kg/m2 scored even higher at T1 (reaction time, concentration task) than those with a BMI above 17.5 kg/m2, pointing to a negative association between cognitive performance and outcome (target weight). Psychopathological variables that may play a role and that should therefore be considered in future research are discussed.
在本试点研究中，对52名神经性厌食症住院患者进行了认知障碍检查。在入院时（T1）和出院前不久（T2）进行了心理评估，重点是认知功能的流畅性方面。结果显示，在所有认知测量中，T1时的测试分数较高，且住院治疗过程中认知功能有所改善。然而，认知功能水平与体重减轻或病程无关。出院时BMI低于17.5kg/m²的患者在T1时（反应时间、注意力集中任务）的得分甚至高于BMI高于17.5kg/m²的患者，这表明认知表现与结果（目标体重）之间存在负相关。文中讨论了可能起作用且因此应在未来研究中予以考虑的精神病理变量。
