Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Neuropsychological assessments before and after treatment in patients withanorexia nervosa and bulimia nervosa
Autore:
Lauer, CJ; Gorzewski, B; Gerlinghoff, M; Backmund, H; Zihl, J;
Indirizzi:
Max Planck Inst Psychiat, D-80804 Munich, Germany Max Planck Inst Psychiat Munich Germany D-80804 D-80804 Munich, Germany Univ Munich, Inst Psychol, Dept Neuropsychol, D-80802 Munich, Germany UnivMunich Munich Germany D-80802 Neuropsychol, D-80802 Munich, Germany
Titolo Testata:
JOURNAL OF PSYCHIATRIC RESEARCH
fascicolo: 2, volume: 33, anno: 1999,
pagine: 129 - 138
SICI:
0022-3956(199903/04)33:2<129:NABAAT>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
EATING DISORDERS; BRAIN HYPOMETABOLISM; WEIGHT-GAIN; STROOP TEST; GLUCOSE; WORDS; FOOD; TOMOGRAPHY; VIGILANCE; BEHAVIOR;
Keywords:
eating disorder; prospective study; neuropsychology; attention;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
52
Recensione:
Indirizzi per estratti:
Indirizzo: Lauer, CJ Klin Angermuhle, Dept Sleep Med, Angermuhle 8A, D-94469 Deggendorf, Germany Klin Angermuhle Angermuhle 8A Deggendorf Germany D-94469 ermany
Citazione:
C.J. Lauer et al., "Neuropsychological assessments before and after treatment in patients withanorexia nervosa and bulimia nervosa", J PSYCH RES, 33(2), 1999, pp. 129-138

Abstract

In psychiatric patients the identification of cognitive deficits which predict a poor clinical outcome is important for the development of specific treatment strategies aimed at the amelioration of these impaired cognitive functions to increase the likelihood of full clinical remission. However, such attempts are absent in bulimia nervosa (BU), are scarce in anorexia nervosa (AN) and, furthermore, provide conflicting results. In the present prospective study we investigated the neuropsychological demands in 12 patientswith AN and in 14 patients with BU before, during, and after a treatment period. At the initial testing session, both patients samples showed similarand impaired performance levels on tasks measuring attentional demands andproblem solving abilities, while their mnemonic functions were preserved. At the final testing session, which look place 7 months thereafter, the impaired cognitive functions had improved to a similar degree in the AN and the BU subgroups. However, although the eating disorder symptomatology had ameliorated in parallel, no direct associations could be established with theinitial neuropsychological demands and their rectification, respectively. On an individual level. 11 patients initially showed obvious cognitive deficits. However, the clinical characteristics of this subgroup differed not from that found in the 15 'good performers'. These findings indicate that the cognitive functions in the acute AN and BU are similarly impaired, but also ameliorate in a similar manner with clinical remission. Because no associations were obvious between cognitive and clinical rectifications, significant contributions of mediating factors (e.g., changes in metabolic brain turnover and in steroid hormones) are suggested. (C) 1999 Elsevier Science Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 21:36:29