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Contribution of executive functions to eating behaviours in obesity and eating disorders

Published online by Cambridge University Press:  24 April 2020

Mara Segura-Serralta ,
Sonia Ciscar ,
Lorena Blasco ,
Javier Oltra-Cucarella ,
María Roncero ,
Raúl Espert ,
Vicente Elvira ,
Rosa Pinedo-Esteban  and
Conxa Perpiñá
Mara Segura-Serralta
Affiliation:
University of Valencia, Valencia, Spain
Sonia Ciscar
Affiliation:
Hospital de la Ribera, Alzira, Valencia, Spain
Lorena Blasco
Affiliation:
Hospital de la Ribera, Alzira, Valencia, Spain
Javier Oltra-Cucarella
Affiliation:
University of Valencia, Valencia, Spain
María Roncero*
Affiliation:
University of Valencia, Valencia, Spain
Raúl Espert
Affiliation:
University of Valencia, Valencia, Spain
Vicente Elvira
Affiliation:
Hospital Universitario de Sant Joan D’Alacant, Alacant, Spain
Rosa Pinedo-Esteban
Affiliation:
Hospital Universitario de Sant Joan D’Alacant, Alacant, Spain
Conxa Perpiñá
Affiliation:
University of Valencia, Valencia, Spain CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto Salud Carlos III, Madrid, Spain
*
*Corresponding author. Email: maria.roncero@uv.es
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Abstract

Background:

Patients with eating disorders (ED) or obesity show difficulties in tasks assessing decision-making, set-shifting abilities and central coherence.

Aims:

The aim of this study was to explore executive functions in eating and weight-related problems, ranging from restricting types of ED to obesity.

Method:

Two hundred and eighty-eight female participants (75 with obesity; 149 with ED: 76 with restrictive eating, 73 with bingeing-purging symptoms; and 64 healthy controls) were administered the Wisconsin Card Sorting Test, the Iowa Gambling Task, and the Group Embedded Figures Test to assess set-shifting, decision-making and central coherence, respectively.

Results:

Participants with either obesity or ED performed poorly on tests measuring executive functioning compared with healthy controls, even after controlling for age and intelligence. Both participants with obesity and participants with ED showed a preference for global information processing.

Conclusions:

The findings suggest that treatments for obesity and ED would benefit from addressing difficulties in cognitive functioning, in addition to the more evident clinical symptoms related to eating, body weight and shape.

Keywords

central coherencedecision-makingeating disordersexecutive functionsobesityset-shifting
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 48 , Issue 6 , November 2020 , pp. 725 - 733
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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References

Aloi, M., Rania, M., Caroleo, M., Bruni, A., Palmieri, A., Cauteuccio, M., De Fazio, P., & Segura, C. (2015). Decision making, central coherence and set-shifting: a comparison between binge eating disorder, anorexia nervosa and healthy controls. BMC Psychiatry, 15, 6. doi: 10.1186/s12888-015-0395-zCrossRefGoogle ScholarPubMed
Allom, V., Mullan, B., Smith, E., Hay, P., & Raman, J. (2018). Breaking bad habits by improving executive function in individuals with obesity. BMC Public Health, 18, 1–8. doi: 10.1186/s12889-018-5392-yCrossRefGoogle ScholarPubMed
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th edn). Washington, DC, USA: American Psychiatric Publishing.Google Scholar
Arffa, S., Lovell, M., Podell, K., & Goldberg, E. (1998). Wisconsin Card Sorting Test performance in above average and superior school children: relationship to intelligence and age. Archives of Clinical Neuropsychology, 13, 713–720.Google ScholarPubMed
Bechara, A., Damasio, A. R., Damasio, H., & Anderson, S. W. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50, 7–15.10.1016/0010-0277(94)90018-3CrossRefGoogle ScholarPubMed
Berg, E., & Grant, D. (1948). A behavioural analysis of degree of reinforcement and ease of shifting to new responses in a Weigl-type card sorting problem. Journal of Experimental Psychology, 38, 404–411.Google Scholar
Brogan, A., Hevey, D., & Pignatti, R. (2010). Anorexia, bulimia, and obesity: shared decision making deficits on the Iowa Gambling Task (IGT). Journal of the International Neuropsychological Society, 16, 711–715. doi: 10.1017/S1355617710000354CrossRefGoogle Scholar
Chan, T., Ahn, W., Bates, J., Busemeyer, J., Guillaume, S., Redgrave, G.et al. (2014). Differential impairments underlying decision making in anorexia nervosa and bulimia nervosa: a cognitive modeling analysis. International Journal of Eating Disorders, 47, 157–167. doi: 10.1002/eat.22223CrossRefGoogle ScholarPubMed
Darcy, A., Fitzpatrick, K., Manasse, S., Datta, N., Klabunde, M., Colborn, D., Aspen, V., Stiles-Shields, C., Labuschagne, Z., Le Grange, D., & Lock, J. (2015). Central coherence in adolescents with bulimia nervosa spectrum eating disorders. International Journal of Eating Disorders, 48, 487–493. doi: 10.1002/eat.22340CrossRefGoogle ScholarPubMed
Davis, C., Patte, K., Curtis, C., & Reid, C. (2010). Immediate pleasures and future consequences. A neuropsychological study of binge eating and obesity. Appetite, 54, 208–213. doi: 10.1016/j.appet.2009.11.002CrossRefGoogle ScholarPubMed
Diamond, A. (2014). Executive functions. Annual Review of Psychology, 64, 135–168. doi: 10.1146/annurev-psych-113011-143750CrossRefGoogle Scholar
Eddy, K., Dorer, D., Franko, D., Tahilani, K., Thompson-Brenner, H., & Herzog, D. (2008). Diagnostic crossover in anorexia nervosa and bulimia nervosa: implications for DSM-V. American Journal of Psychiatry, 165, 245–250. doi: 10.1176/appi.ajp.2007.07060951CrossRefGoogle ScholarPubMed
Fagundo, A., de la Torre, R., Jiménez, S., Agüera, Z., Granero, R., Tárrega, S.et al. (2012). Executive functions profile in extreme eating/weight conditions: from anorexia nervosa to obesity. PLOS One, 7, e43382. doi: 10.1371/journal.pone.0043382CrossRefGoogle ScholarPubMed
Fairburn, C. G., & Harrison, P. J. (2003). Eating disorders. The Lancet, 361, 407–416.10.1016/S0140-6736(03)12378-1CrossRefGoogle ScholarPubMed
First, M. B., Williams, J., Karg, R., & Spitzer, R. (2015). Structured Clinical Interview for DSM-5, Research Version (SCID-5-RV). Arlington, VA, USA: American Psychiatric Association.Google Scholar
Galderisi, S., Bucci, P., Mucci, A., Bellodi, L., Cassano, G.B., Santonastaso, P., Erzegovesi, S., Favaro, A., Mauri, M., Monteleone, P., & Maj, M. (2011). Neurocognitive functioning in bulimia nervosa: the role of neuroendocrine, personality and clinical aspects. Psychological Medicine, 41, 839–848. doi: 10.1017/S0033291710001303.CrossRefGoogle ScholarPubMed
Grilo, C. (2006). Eating and Weight Disorders. Hove, UK: Psychology Press.Google Scholar
Haines, J., Kleinman, K., Rifas-Shiman, S., Field, A., & Austin, S. (2010). Examination of shared risk and protective factors for overweight and disordered eating among adolescents. Archives of Pediatrics and Adolescent Medicine, 164, 336–343. doi: 10.1001/archpediatrics.2010.19CrossRefGoogle ScholarPubMed
Kaufman, A., & Kaufman, N. (1990). Kaufman Brief Intelligence Test (K-BIT). Circle Pines: American Guidance Service.Google Scholar
Kemps, E., Tiggemann, M., Wade, T., Ben-Tovim, D., & Breyer, R. (2006). Selective working memory deficits in anorexia nervosa. European Eating Disorders Review, 14, 97–103. doi: 10.1002/erv.685CrossRefGoogle Scholar
Krug, I., Villarejo, C., Jiménez-Murcia, S., Perpiñá, C., Vilarrasa, N., Granero, R.et al. (2013). Eating-related environmental factors in underweight eating disorders and obesity: are there common vulnerabilities during childhood and early adolescence? European Eating Disorders Review, 21, 202–208. doi: 10.1002/erv.2204CrossRefGoogle ScholarPubMed
Lang, K., Roberts, M., Harrison, A., Lopez, C., Goddard, E., Khondoker, M.et al. (2016). Central coherence in eating disorders: a synthesis of studies using the Rey Osterrieth Complex Figure Test. PLOS One, 11, e0165467. doi: 10.1371/journal.pone.0165467CrossRefGoogle ScholarPubMed
Lang, K., Stahl, D., Espie, J., Treasure, J., & Tchanturia, K. (2014). Set shifting in children and adolescents with anorexia nervosa: an exploratory systematic review and meta-analysis. International Journal of Eating Disorders, 47, 394–399. doi: 10.1002/eat.22235CrossRefGoogle ScholarPubMed
Lang, K., & Tchanturia, K. (2014). A systematic review of central coherence in young people with anorexia nervosa. Journal of Child and Adolescent Behavior, 2, 2. doi: 10.4172/2375-4494.1000140Google Scholar
Lopez, C. A., Tchanturia, K., Stahl, D., & Treasure, J. (2008). Central coherence in women with bulimia nervosa. International Journal of Eating Disorders, 41, 340–347. doi: 10.1002/eat.20511CrossRefGoogle ScholarPubMed
Mallorquí-Bagué, N., Fagundo, A., Jimenez-Murcia, S., de la Torre, R., Baños, R., Botella, C.et al. (2016). Decision making impairment: a shared vulnerability in obesity, gambling disorder and substance use disorders? PLOS one, 11, e0163901. doi: 10.1371/journal.pone.0163901CrossRefGoogle ScholarPubMed
Matsumoto, J., Hirano, Y., Numata, N., Matzuzawa, D., Murano, S., Yokote, K.et al. (2015). Comparison in decision-making between bulimia nervosa, anorexia nervosa, and healthy women: influence of mood status and pathological eating concerns. Journal of Eating Disorders, 3, 14. doi: 10.1186/s40337-015-0050-6CrossRefGoogle ScholarPubMed
Mobbs, O., Iglesias, K., Golay, A., & Van der Linden, M. (2011). Cognitive deficits in obese persons with and without binge eating disorder. Investigation using a mental flexibility task. Appetite, 57, 263–271. doi: 10.1016/j.appet.2011.04.023CrossRefGoogle ScholarPubMed
Narum, S. (2006). Beyond Bonferroni: less conservative analyses for conservation genetics. Conservarion Genetics, 7, 783–787. doi: 10.1007/s10592-005-9056-yCrossRefGoogle Scholar
Neumark-Sztainer, D., Wall, M., Eisenberg, M. E., Story, M., & Hannan, P. J. (2006). Overweight status and weight control behaviors in adolescents: longitudinal and secular trends from 1999–2004. Preventive Medicine, 43, 52–59. doi: 10.1016/j.ypmed.2006.03.014CrossRefGoogle Scholar
Oltra-Cucarella, J., Espert, R., Rojo, L., Jacas, C., Guillén, V., & Moreno, S. (2014). Neuropsychological impairments in anorexia nervosa: a Spanish simple pilot study. Applied Neuropsychology: Adult, 21, 161–175. doi: 10.1080/09084282.2013.782030CrossRefGoogle Scholar
Perpiñá, C., Segura, M., & Sánchez, S. (2016). Cognitive flexibility and decision-making in eating disorders and obesity. Eating and Weight Disorders, 22, 435–444. doi: 10.1007/s40519-016-0331-3CrossRefGoogle ScholarPubMed
Raman, J., Hay, P., Tchanturia, K., & Smith, E. (2018). A randomised controlled trial of manualized cognitive remediation therapy in adult obesity. Appetite, 123, 269–279. doi: 10.1016/j.appet.2017.12.023CrossRefGoogle ScholarPubMed
Roberts, M. E., Tchanturia, K., & Treasure, J. L. (2013). Is attention to detail a similarly strong candidate endophenotype for anorexia nervosa and bulimia nervosa? World Journal of Biological Psychiatry, 14, 452–63. doi: 10.3109/15622975.2011.639804CrossRefGoogle ScholarPubMed
Tchanturia, K., Davies, H., Roberts, M., Harrison, A., Nakazato, M., Schmidt, U., Treasure, J., & Morris, R. (2012). Poor cognitive flexibility in eating disorders: examining the evidence using the Wisconsin card sorting task. PLOS one, 7, 328331 doi: https://doi.org/10.1371/journal.pone.0028331CrossRefGoogle ScholarPubMed
Tchanturia, K., Lounes, N., & Holttum, S. (2014). Cognitive remediation in anorexia nervosa and related conditions: a systematic review. European Eating Disorders Review, 22, 454–462. doi: 10.1002/erv.2326CrossRefGoogle ScholarPubMed
Van Autreve, S., De Baene, W., Baeken, C., Heeringen, C., & Vervaet, M. (2013). Do restrictive and bingeing/purging subtypes of anorexia nervosa differ on central coherence and set shifting? European Eating Disorder Review, 21, 308–314. doi: 10.1002/erv.2233CrossRefGoogle ScholarPubMed
Verdejo-Garcia, A., Perez-Exposito, M., Schmidt-Rio-Valle, J., Fernandez-Serrano, M. J., Cruz, F., Perez-Garcia, M., Lopez-Belmonte, G., Martin-Matillas, M., Martin-Lagos, J. A., Marcos, A., & Campo, C. (2010). Selective alterations within executive functions in adolescents with excess weight. Obesity, 18, 1572–1578. doi: 10.1038/oby.2009.475CrossRefGoogle ScholarPubMed
Weider, S., Indredavik, M., Lydersen, S., & Hestad, K. (2016). Central coherence, visuoconstruction and visual memory in patients with eating disorders as measured by different scoring methods of the Rey complex figure test. European Eating Disorders Review, 24, 106–113. doi: 10.1002/erv.2385CrossRefGoogle ScholarPubMed
Westwood, H., Stahl, D., Mandy, W., & Tchanturia, K. (2016). The set-shifting profiles of anorexia nervosa and autism spectrum disorder using the Wisconsin Card Sorting test: a systematic review and meta-analysis. Psychological Medicine, 46, 1809–1827.10.1017/S0033291716000581CrossRefGoogle ScholarPubMed
Witkin, H., Ohman, P., Raskin, E., & Karp, S. (1997). Embedded Figures Test. Palo Alto, CA, USA: Consulting Psychologist.Google Scholar
Wu, M., Brockmeyer, T., Hartmann, M., Skunde, M., Herzog, W., & Friederich, H. C. (2016). Reward-related decision making in eating and weight disorders: a systematic review and meta-analysis of the evidence from neuropsychological studies. Neuroscience and Behavioral Reviews, 61, 177–196. doi: 10.1016/j.neubiorev.2015.11.017CrossRefGoogle ScholarPubMed
Wu, M., Brockmeyer, T., Hartmann, M., Skunde, M., Herzog, W., & Friederich, H. (2014). Set-shifting ability across the spectrum of eating disorders and in overweight and obesity: a systematic review and meta-analysis. Psychological Medicine, 44, 3365–3385. doi: 10.1017/S0033291714000294CrossRefGoogle ScholarPubMed
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