Exploring neuropsychological and socio‐emotional task performance in anorexia nervosa: A cluster analytic approach.
Objective: The aim of this study was to characterise heterogeneity in neuropsychological and socio‐emotional task performance in young women with anorexia nervosa (AN) using hierarchical cluster analysis. Further, we aimed to test whether cognitive profiles were associated with differences in clinic...
| Publicado en: | European Eating Disorders Review Vol. 29; no. 5; pp. 802 - 811 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151754537&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151754537 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10724133 BVM jtl: European Eating Disorders Review issn: 10724133 maglogo: Y pubinfo: dt: Sep2021 vid: 29 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 151754537 151325589 151754537 151754537 10.1002/erv.2851 151754537 ppf: 802 ppct: 9 formats: tig: atl: Exploring neuropsychological and socio‐emotional task performance in anorexia nervosa: A cluster analytic approach. aug: au: Kerr‐Gaffney, Jess Halls, Daniel Leppanen, Jenni Tchanturia, Kate affil: Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK sug: subj: Task Performance and Analysis Neuropsychology Anorexia Nervosa Psychosocial Factors Women's Health Cognition Evaluation Psychopathology Functional Status Human Female Cluster Analysis Body Mass Index Disease Duration Eating Disorders Autism Spectrum Disorder Anxiety Depression Analysis of Variance Neuropsychological Tests Theory of Mind Emotions Anorexia Nervosa Drug Therapy Comorbidity Female ab: Objective: The aim of this study was to characterise heterogeneity in neuropsychological and socio‐emotional task performance in young women with anorexia nervosa (AN) using hierarchical cluster analysis. Further, we aimed to test whether cognitive profiles were associated with differences in clinical variables (body mass index, illness duration and age at diagnosis), psychopathology (eating disorder, autistic symptoms, anxiety and depression) and functional impairment. Method: Set‐shifting, central coherence and theory of mind abilities were measured in 118 women with acute or remitted AN. A hierarchical cluster analysis using Ward's method with a Euclidean distance measure was performed with the neuropsychological and socio‐emotional variables. Differences between clusters were assessed using ANOVAs. Results: Four clusters emerged, with significant differences in neuropsychological and socio‐emotional task performance. There were no significant differences between clusters in clinical variables, psychopathology or functional impairment, however, these analyses lacked power due to small cluster sizes. Conclusions: Our results demonstrate significant heterogeneity in cognitive profiles in AN, supporting a more personalised approach to treatment. Studies in larger samples are required to establish whether these variables map onto clinically significant differences in aetiology, clinical presentation, comorbidity patterns and/or treatment responses. Key points: Four clusters of participants emerged, with significant differences in neuropsychological (set‐shifting, central coherence) and socio‐emotional (theory of mind) task performance. The largest cluster showed average to above‐average performance across domains.Clusters did not differ on clinical variables, eating disorder and comorbid psychopathology scores or functional impairment.The findings suggest significant heterogeneity in neuropsychological and socio‐emotional performance in anorexia nervosa, supporting a more personalised approach to treatment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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