Set-shifting, central coherence and decision-making in individuals recovered from anorexia nervosa: a systematic review

Abstract Background The aim of this study was to review the existing literature and evaluate whether deficits in set-shifting, central coherence and decision-making persist in individuals recovered from anorexia nervosa (AN-REC). Method A systematic review approach was used. Literature was identifie...

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Main Author: Tone Seim Fuglset
Format: Article
Language:English
Published: BMC 2019-06-01
Series:Journal of Eating Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40337-019-0251-5
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author Tone Seim Fuglset
author_facet Tone Seim Fuglset
author_sort Tone Seim Fuglset
collection DOAJ
description Abstract Background The aim of this study was to review the existing literature and evaluate whether deficits in set-shifting, central coherence and decision-making persist in individuals recovered from anorexia nervosa (AN-REC). Method A systematic review approach was used. Literature was identified via searches in PubMed, PsychInfo and Embase database. The main search resulted in 158 articles. After exclusion of 135 articles, 23 articles were included in the review. Results The majority of studies on set-shifting showed that set-shifting difficulties persist after recovery. Central coherence might also be trait related, however findings are inconsistent. Few studies have investigated decision-making in AN-REC, however those studies that do exist suggest that decision-making is not impaired in AN-REC. Conclusions Novel treatment strategies based on neuroscience research are emerging, focusing on targeting the underlying mechanisms of the illness, including neuropsychological functioning. Whether these functions are trait or state related could have implications for how they are targeted in treatment.
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spelling doaj.art-b8158078c43b4508a7b8d2a1ec2ee5132023-09-02T23:27:35ZengBMCJournal of Eating Disorders2050-29742019-06-017111410.1186/s40337-019-0251-5Set-shifting, central coherence and decision-making in individuals recovered from anorexia nervosa: a systematic reviewTone Seim Fuglset0Division of Mental Health and Addiction, Møre and Romsdal Hospital TrustAbstract Background The aim of this study was to review the existing literature and evaluate whether deficits in set-shifting, central coherence and decision-making persist in individuals recovered from anorexia nervosa (AN-REC). Method A systematic review approach was used. Literature was identified via searches in PubMed, PsychInfo and Embase database. The main search resulted in 158 articles. After exclusion of 135 articles, 23 articles were included in the review. Results The majority of studies on set-shifting showed that set-shifting difficulties persist after recovery. Central coherence might also be trait related, however findings are inconsistent. Few studies have investigated decision-making in AN-REC, however those studies that do exist suggest that decision-making is not impaired in AN-REC. Conclusions Novel treatment strategies based on neuroscience research are emerging, focusing on targeting the underlying mechanisms of the illness, including neuropsychological functioning. Whether these functions are trait or state related could have implications for how they are targeted in treatment.http://link.springer.com/article/10.1186/s40337-019-0251-5Anorexia nervosaRecoveredExecutive functionsSystematic review
spellingShingle Tone Seim Fuglset
Set-shifting, central coherence and decision-making in individuals recovered from anorexia nervosa: a systematic review
Journal of Eating Disorders
Anorexia nervosa
Recovered
Executive functions
Systematic review
title Set-shifting, central coherence and decision-making in individuals recovered from anorexia nervosa: a systematic review
title_full Set-shifting, central coherence and decision-making in individuals recovered from anorexia nervosa: a systematic review
title_fullStr Set-shifting, central coherence and decision-making in individuals recovered from anorexia nervosa: a systematic review
title_full_unstemmed Set-shifting, central coherence and decision-making in individuals recovered from anorexia nervosa: a systematic review
title_short Set-shifting, central coherence and decision-making in individuals recovered from anorexia nervosa: a systematic review
title_sort set shifting central coherence and decision making in individuals recovered from anorexia nervosa a systematic review
topic Anorexia nervosa
Recovered
Executive functions
Systematic review
url http://link.springer.com/article/10.1186/s40337-019-0251-5
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