Structural brain differences in recovering and weight-recovered adult outpatient women with anorexia nervosa

Plain English summary Anorexia nervosa is a life-threatening mental illness defined in part by an inability to maintain a body weight in the normal range. Malnutrition and low weight are factors typically present in the anorexia nervosa and can affect brain structure. We conducted a detailed analysi...

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Main Authors: Brooks B. Brodrick, Adrienne L. Adler-Neal, Jayme M. Palka, Virendra Mishra, Sina Aslan, Carrie J. McAdams
Format: Article
Language:English
Published: BMC 2021-09-01
Series:Journal of Eating Disorders
Subjects:
Online Access:https://doi.org/10.1186/s40337-021-00466-w
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author Brooks B. Brodrick
Adrienne L. Adler-Neal
Jayme M. Palka
Virendra Mishra
Sina Aslan
Carrie J. McAdams
author_facet Brooks B. Brodrick
Adrienne L. Adler-Neal
Jayme M. Palka
Virendra Mishra
Sina Aslan
Carrie J. McAdams
author_sort Brooks B. Brodrick
collection DOAJ
description Plain English summary Anorexia nervosa is a life-threatening mental illness defined in part by an inability to maintain a body weight in the normal range. Malnutrition and low weight are factors typically present in the anorexia nervosa and can affect brain structure. We conducted a detailed analysis of brain structure using Freesurfer, focusing on regional cortical thicknesses, areas, and volumes, in adult outpatient women with anorexia nervosa. The study included both a partially weight-restored cohort with anorexia nervosa, a cohort sustaining a healthy body weight with history of anorexia nervosa, and a healthy comparison cohort. Reduced cortical thicknesses were observed in eight regions, primarily in the frontal lobe and cingulate for the cohort recently with anorexia nervosa but only one frontal region in the weight-maintained cohort. These data emphasize the importance of sustained weight-restoration for adult women with anorexia nervosa. Further, the impacted neural regions have been associated with impulsivity, attention, self-regulation, and social interactions in other clinical cohorts, suggesting that these neuropsychological processes may warrant study in patients recovering from anorexia nervosa. Future work should consider whether these factors have clinical relevance in the outpatient treatment of adults with anorexia nervosa.
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spelling doaj.art-c1293e4c08d34fa7afdab3bfbfac98212023-09-02T22:04:53ZengBMCJournal of Eating Disorders2050-29742021-09-019111210.1186/s40337-021-00466-wStructural brain differences in recovering and weight-recovered adult outpatient women with anorexia nervosaBrooks B. Brodrick0Adrienne L. Adler-Neal1Jayme M. Palka2Virendra Mishra3Sina Aslan4Carrie J. McAdams5Department of Psychiatry, University of Texas Southwestern Medical CenterDepartment of Psychiatry, University of Texas Southwestern Medical CenterDepartment of Psychiatry, University of Texas Southwestern Medical CenterAdvance MRI LLCDepartment of Psychiatry, University of Texas Southwestern Medical CenterDepartment of Psychiatry, University of Texas Southwestern Medical CenterPlain English summary Anorexia nervosa is a life-threatening mental illness defined in part by an inability to maintain a body weight in the normal range. Malnutrition and low weight are factors typically present in the anorexia nervosa and can affect brain structure. We conducted a detailed analysis of brain structure using Freesurfer, focusing on regional cortical thicknesses, areas, and volumes, in adult outpatient women with anorexia nervosa. The study included both a partially weight-restored cohort with anorexia nervosa, a cohort sustaining a healthy body weight with history of anorexia nervosa, and a healthy comparison cohort. Reduced cortical thicknesses were observed in eight regions, primarily in the frontal lobe and cingulate for the cohort recently with anorexia nervosa but only one frontal region in the weight-maintained cohort. These data emphasize the importance of sustained weight-restoration for adult women with anorexia nervosa. Further, the impacted neural regions have been associated with impulsivity, attention, self-regulation, and social interactions in other clinical cohorts, suggesting that these neuropsychological processes may warrant study in patients recovering from anorexia nervosa. Future work should consider whether these factors have clinical relevance in the outpatient treatment of adults with anorexia nervosa.https://doi.org/10.1186/s40337-021-00466-wEating disordersSocial cognitionAnorexia nervosaAutismDepressionAnxiety
spellingShingle Brooks B. Brodrick
Adrienne L. Adler-Neal
Jayme M. Palka
Virendra Mishra
Sina Aslan
Carrie J. McAdams
Structural brain differences in recovering and weight-recovered adult outpatient women with anorexia nervosa
Journal of Eating Disorders
Eating disorders
Social cognition
Anorexia nervosa
Autism
Depression
Anxiety
title Structural brain differences in recovering and weight-recovered adult outpatient women with anorexia nervosa
title_full Structural brain differences in recovering and weight-recovered adult outpatient women with anorexia nervosa
title_fullStr Structural brain differences in recovering and weight-recovered adult outpatient women with anorexia nervosa
title_full_unstemmed Structural brain differences in recovering and weight-recovered adult outpatient women with anorexia nervosa
title_short Structural brain differences in recovering and weight-recovered adult outpatient women with anorexia nervosa
title_sort structural brain differences in recovering and weight recovered adult outpatient women with anorexia nervosa
topic Eating disorders
Social cognition
Anorexia nervosa
Autism
Depression
Anxiety
url https://doi.org/10.1186/s40337-021-00466-w
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