The Role of Working Memory for Cognitive Control in Anorexia Nervosa versus Substance Use Disorder

Prefrontal cortex executive functions, such as working memory (WM) interact with limbic processes to foster impulse control. Such an interaction is referred to in a growing body of publications by terms such as cognitive control, cognitive inhibition, affect regulation, self-regulation, top-down con...

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Main Authors: Samantha J. Brooks, Sabina G. Funk, Susanne Y. Young, Helgi B. Schiöth
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-09-01
Series:Frontiers in Psychology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01651/full
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author Samantha J. Brooks
Samantha J. Brooks
Sabina G. Funk
Susanne Y. Young
Helgi B. Schiöth
author_facet Samantha J. Brooks
Samantha J. Brooks
Sabina G. Funk
Susanne Y. Young
Helgi B. Schiöth
author_sort Samantha J. Brooks
collection DOAJ
description Prefrontal cortex executive functions, such as working memory (WM) interact with limbic processes to foster impulse control. Such an interaction is referred to in a growing body of publications by terms such as cognitive control, cognitive inhibition, affect regulation, self-regulation, top-down control, and cognitive–emotion interaction. The rising trend of research into cognitive control of impulsivity, using various related terms reflects the importance of research into impulse control, as failure to employ cognitions optimally may eventually result in mental disorder. Against this background, we take a novel approach using an impulse control spectrum model – where anorexia nervosa (AN) and substance use disorder (SUD) are at opposite extremes – to examine the role of WM for cognitive control. With this aim, we first summarize WM processes in the healthy brain in order to frame a systematic review of the neuropsychological, neural and genetic findings of AN and SUD. In our systematic review of WM/cognitive control, we found n = 15 studies of AN with a total of n = 582 AN and n = 365 HC participants; and n = 93 studies of SUD with n = 9106 SUD and n = 3028 HC participants. In particular, we consider how WM load/capacity may support the neural process of excessive epistemic foraging (cognitive sampling of the environment to test predictions about the world) in AN that reduces distraction from salient stimuli. We also consider the link between WM and cognitive control in people with SUD who are prone to ‘jumping to conclusions’ and reduced epistemic foraging. Finally, in light of our review, we consider WM training as a novel research tool and an adjunct to enhance treatment that improves cognitive control of impulsivity.
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spelling doaj.art-05082b45024f44f68a69d4f4d20cbb942022-12-22T03:56:21ZengFrontiers Media S.A.Frontiers in Psychology1664-10782017-09-01810.3389/fpsyg.2017.01651263936The Role of Working Memory for Cognitive Control in Anorexia Nervosa versus Substance Use DisorderSamantha J. Brooks0Samantha J. Brooks1Sabina G. Funk2Susanne Y. Young3Helgi B. Schiöth4Functional Pharmacology, Department of Neuroscience, Uppsala UniversityUppsala, SwedenDepartment of Psychiatry and Mental Health, University of Cape TownCape Town, South AfricaDepartment of Psychiatry and Mental Health, University of Cape TownCape Town, South AfricaDepartment of Psychiatry, Stellenbosch UniversityBellville, South AfricaFunctional Pharmacology, Department of Neuroscience, Uppsala UniversityUppsala, SwedenPrefrontal cortex executive functions, such as working memory (WM) interact with limbic processes to foster impulse control. Such an interaction is referred to in a growing body of publications by terms such as cognitive control, cognitive inhibition, affect regulation, self-regulation, top-down control, and cognitive–emotion interaction. The rising trend of research into cognitive control of impulsivity, using various related terms reflects the importance of research into impulse control, as failure to employ cognitions optimally may eventually result in mental disorder. Against this background, we take a novel approach using an impulse control spectrum model – where anorexia nervosa (AN) and substance use disorder (SUD) are at opposite extremes – to examine the role of WM for cognitive control. With this aim, we first summarize WM processes in the healthy brain in order to frame a systematic review of the neuropsychological, neural and genetic findings of AN and SUD. In our systematic review of WM/cognitive control, we found n = 15 studies of AN with a total of n = 582 AN and n = 365 HC participants; and n = 93 studies of SUD with n = 9106 SUD and n = 3028 HC participants. In particular, we consider how WM load/capacity may support the neural process of excessive epistemic foraging (cognitive sampling of the environment to test predictions about the world) in AN that reduces distraction from salient stimuli. We also consider the link between WM and cognitive control in people with SUD who are prone to ‘jumping to conclusions’ and reduced epistemic foraging. Finally, in light of our review, we consider WM training as a novel research tool and an adjunct to enhance treatment that improves cognitive control of impulsivity.http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01651/fullworking memorycognitive controlanorexia nervosasubstance use disorderneuropsychologyneural
spellingShingle Samantha J. Brooks
Samantha J. Brooks
Sabina G. Funk
Susanne Y. Young
Helgi B. Schiöth
The Role of Working Memory for Cognitive Control in Anorexia Nervosa versus Substance Use Disorder
Frontiers in Psychology
working memory
cognitive control
anorexia nervosa
substance use disorder
neuropsychology
neural
title The Role of Working Memory for Cognitive Control in Anorexia Nervosa versus Substance Use Disorder
title_full The Role of Working Memory for Cognitive Control in Anorexia Nervosa versus Substance Use Disorder
title_fullStr The Role of Working Memory for Cognitive Control in Anorexia Nervosa versus Substance Use Disorder
title_full_unstemmed The Role of Working Memory for Cognitive Control in Anorexia Nervosa versus Substance Use Disorder
title_short The Role of Working Memory for Cognitive Control in Anorexia Nervosa versus Substance Use Disorder
title_sort role of working memory for cognitive control in anorexia nervosa versus substance use disorder
topic working memory
cognitive control
anorexia nervosa
substance use disorder
neuropsychology
neural
url http://journal.frontiersin.org/article/10.3389/fpsyg.2017.01651/full
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