Title :

Increased cognitive flexibility mediates the improvement of eating disorders symptoms, depressive symptoms and level of daily life functioning in patients with anorexia nervosa treated in specialised centres.

Author(s) :

Duriez, Philibert [Auteur]
Centre Hospitalier Sainte Anne [Paris]
Kaya Lefèvre, Héline [Auteur]
Centre Hospitalier Sainte Anne [Paris]
Di Lodovico, Laura [Auteur]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm]
Viltart, Odile [Auteur]
Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193 [SCALab]
Institut de psychiatrie et neurosciences de Paris [IPNP - U1266 Inserm - Paris Descartes]
Gorwood, Philip [Auteur]
Centre Hospitalier Sainte Anne [Paris]

Journal title :

European Eating Disorders Review

Abbreviated title :

Eur Eat Disord Rev

Volume number :

29

Pages :

600-610

Publication date :

2021-07

ISSN :

1099-0968

English keyword(s) :

Anorexia Nervosa
Anxiety
Cognition
Depression
Feeding and Eating Disorders
Female
Humans
anorexia nervosa
cognitive flexibility
depressive symptoms
eating disorders
treatment efficacy

HAL domain(s) :

Sciences cognitives

English abstract : [en]

Poor cognitive flexibility has been highlighted in patients with anorexia nervosa (AN), contributing to the development and maintenance of symptoms. The aim of the present study is to investigate how enhanced cognitive ...
Show more >Poor cognitive flexibility has been highlighted in patients with anorexia nervosa (AN), contributing to the development and maintenance of symptoms. The aim of the present study is to investigate how enhanced cognitive flexibility is involved in treatment outcomes in patients with AN. One hundred thirty female out-patients treated for AN have been assessed at baseline and after 4 months of treatment. Path analyses were used to investigate the mediating role of cognitive flexibility, measured through the Brixton test, on a wide range of outcomes: body mass index, eating disorder symptoms, daily life functioning, anxiety, depression, emotions, self-rated silhouette. Cognitive flexibility was improved during treatment, and enhanced cognitive flexibility explains a significant part of level of the improvement in daily life functioning (26%), reduction of eating disorder symptoms (18%) and reduction of depressive symptoms (17%). Others outcomes were also improved, but these improvements were not mediated by cognitive flexibility. Results suggest that enhancing cognitive flexibility could help reduce rigid cognitive and behavioural patterns involved in AN, thus improving everyday functioning and clinical severity. Further studies combining different types of cognitive flexibility evaluation as well as neuroimaging may be necessary to better establish which of its aspects are involved in patients' improvement.Show less >

Language :

Anglais

Peer reviewed article :

Oui

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CNRS
CHU Lille

Collections :

• Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193

Submission date :

2022-05-04T12:35:49Z
2022-05-11T09:19:35Z