Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-15T15:38:37.859Z Has data issue: false hasContentIssue false

Assessment of Cognitive Flexibility in Anorexia Nervosa – Self-Report or Experimental Measure? A Brief Report

Published online by Cambridge University Press:  13 May 2011

Naima Lounes
Affiliation:
Psychological Medicine, Institute of Psychiatry, King's College London, London, United Kingdom
Gazal Khan
Affiliation:
Psychological Medicine, Institute of Psychiatry, King's College London, London, United Kingdom
Kate Tchanturia*
Affiliation:
Psychological Medicine, Institute of Psychiatry, King's College London, London, United Kingdom
*
Correspondence and reprint requests to: Kate Tchanturia, King's College London, Institute of Psychiatry, Psychological Medicine, PO59 De Crespigny Park, London SE5 8AF UK. E-mail: kate.tchanturia@kcl.ac.uk

Abstract

This study investigated the correspondence between self-report and experimental measures of cognitive flexibility in individuals with anorexia nervosa (AN) and healthy controls (HCs). Ninety-four participants (45 individuals with AN and 49 HCs) completed the self-report Cognitive Flexibility Scale (CFS) and an experimental task, the Brixton Spatial Anticipation Test. The AN group performed poorly on both measures of cognitive flexibility compared with HCs. There was no significant correlation between the CFS scores and the errors on the Brixton Test for both groups. The findings suggest there is poor correspondence between the self-report measure of cognitive flexibility and performance on the flexibility test. These two assessment tools therefore cannot be used interchangeably to assess cognitive flexibility. Flexibility is an important clinical characteristic in AN. The results suggest that self-report and behavioral measures can be complementary, but cannot be used as an alternative to one another. (JINS, 2011, 17, 925–928)

Type
Brief Communications
Copyright
Copyright © The International Neuropsychological Society 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Note: The first two authors contributed equally to all aspects of this study.

References

REFERENCES

Binder, L.M., Storzbach, D., Anger, W.K., Campbell, K.A., Rohlman, D.S., & Other Members of the Portland Environmental Hazards Research Center (1999). Subjective cognitive complaints, affective distress, and objective cognitive performance in Persian Gulf War veterans. Archives of Clinical Neuropsychology, 14, 531536.CrossRefGoogle ScholarPubMed
Burdick, K.E., Endick, C.J., Goldberg, J.F. (2005). Assessing cognitive deficits in bipolar disorder: Are self-reports valid? Psychiatry Research, 136, 4350.CrossRefGoogle ScholarPubMed
Burgess, P.W., Shallice, T. (1997). The Hayling and Brixton Tests. London: Thames Valley Test Company Limited.Google Scholar
Chamelian, L., Feinstein, A. (2006). The effect of major depression on subjective and objective cognitive deficits in mild to moderate traumatic brain injury. The Journal of Neuropsychiatry and Clinical Neurosciences, 18, 3338.CrossRefGoogle ScholarPubMed
Errico, A.L., Nixon, S.J., Parsons, O.A., Tassey, J. (1990). Screening for neuropsychological impairment in alcoholics. Psychological Assessment, 2, 4550.CrossRefGoogle Scholar
Fairburn, C.G., Beglin, S.J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16, 363370.3.0.CO;2-#>CrossRefGoogle ScholarPubMed
Farrin, L., Hull, L., Unwin, C., Wykes, T., David, A. (2003). Effects of depressed mood on objective and subjective measures of attention. The Journal of Neuropsychiatry and Clinical Neurosciences, 15, 98104.CrossRefGoogle ScholarPubMed
Geller, J., Johnston, C., Madsen, K., Goldner, E.M., Remick, R.A., Birmingham, C.L. (1998). Shape- and weight- based self-esteem and the eating disorders. International Journal of Eating Disorders, 24, 285298.3.0.CO;2-I>CrossRefGoogle ScholarPubMed
Holliday, J., Tchanturia, K., Landau, S., Collier, D.A., Treasure, J. (2005). Is impaired set-shifting an endophenotype of anorexia nervosa? American Journal of Psychiatry, 162, 22692275.CrossRefGoogle ScholarPubMed
Horner, M.D., Harvey, R.T., Denier, C.A. (1999). Self-report and objective measures of cognitive deficit in patients entering substance abuse treatment. Psychiatry Research, 86, 155161.CrossRefGoogle ScholarPubMed
Konstantakopoulos, G., Tchanturia, K., Surguladze, S.A., David, A.S. (2011). Insight in eating disorders: Clinical and cognitive correlates. Psychological Medicine, 7, 111.Google Scholar
Lezak, M.D., Howieson, D.B., Loring, D.W. (2004). Neuropsychological assessment. New York: Oxford University Press.Google Scholar
Lopez, C., Tchanturia, K., Stahl, D., Treasure, J. (2008). Central coherence in eating disorders: A systematic review. Psychological Medicine, 38, 13931404.CrossRefGoogle ScholarPubMed
Luce, K.H., Crowther, J.H. (1999). The reliability of the Eating Disorder Examination-Self-Report Questionnaire version (EDE-Q). International Journal of Eating Disorders, 25, 349351.3.0.CO;2-M>CrossRefGoogle ScholarPubMed
Martin, M., Rubin, R.B. (1995). A new measure of cognitive flexibility. Psychological Reports, 76, 623626.CrossRefGoogle Scholar
Martinez-Aran, A., Vieta, E., Colom, F., Torrent, C., Reinares, M., Goikolea, J.M., Sanchez-Moreno, J. (2005). Do cognitive complaints in euthymic bipolar patients reflect objective cognitive impairment? Psychotherapy and Psychosomatics, 74, 295302.CrossRefGoogle ScholarPubMed
Medalia, A., Thysen, J., Freilich, B. (2008). Do people with schizophrenia who have objective cognitive impairment identify cognitive deficits on a self report measure? Schizophrenia Research, 105, 156164.CrossRefGoogle ScholarPubMed
Moritz, S., Ferahli, S., Naber, D. (2004). Memory and attention performance in psychiatric patients: Lack of correspondence between clinician-rated and patient-rated functioning with neuropsychological test results. Journal of International Neuropsychological Society, 10, 623633.CrossRefGoogle ScholarPubMed
Mykletun, A., Stordal, E., Dahl, A. (2001). Hospital Anxiety and Depression (HAD) scale: Factor structure, item analyses and internal consistency in a large population. British Journal of Psychiatry, 179, 540544.CrossRefGoogle ScholarPubMed
Roberts, M.E., Tchanturia, K., Stahl, D., Southgate, L., Treasure, J. (2007). A systematic review and meta-analysis of set-shifting ability in eating disorders. Psychological Medicine, 37, 10751084.CrossRefGoogle ScholarPubMed
Roberts, M.E., Tchanturia, K., Treasure, J.L. (2010). Exploring the neurocognitive signature of poor set-shifting in anorexia and bulimia nervosa. Journal of Psychiatric Research, 44, 964970.CrossRefGoogle ScholarPubMed
Spencer, R.J., Drag, L.L., Walker, S.J., Bieliauskas, L.A. (2010). Self-reported cognitive symptoms following mild traumatic brain injury are poorly associated with neuropsychological performance in OIF/OEF veterans. Journal of Rehabilitation Research and Development, 47, 521530.CrossRefGoogle ScholarPubMed
Tabachnick, B.G., Fidell, L.S. (2007). Using multivariate statistics (5th ed.). Upper Saddle River, NJ: Pearson Education, Inc.Google Scholar
Tchanturia, K., Brecelj, M., Sanchez, P., Morris, R., Rabe-Hesketh, S., Treasure, J. (2004). An examination of cognitive flexibility in eating disorders. Journal of the International Neuropsychological Society, 10, 513520.CrossRefGoogle Scholar
Tchanturia, K., Campbell, I.C., Morris, R., Treasure, J. (2005). Neuropsychological Studies in Anorexia Nervosa. International Journal of Eating Disorders, 37, 572576.CrossRefGoogle ScholarPubMed
Tenconi, E., Santonastaso, P., Degortes, D., Bosello, R., Titton, F., Mapelli, D., Favaro, A. (2010). Set-shifting abilities, central coherence, and handedness in anorexia nervosa patients, their unaffected siblings and healthy controls: Exploring putative endophenotypes. World Journal of Biological Psychiatry, 11, 813823.CrossRefGoogle ScholarPubMed
Zigmond, A.S., Snaith, R.P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361370.CrossRefGoogle ScholarPubMed