An exploratory examination of executive functioning as an outcome, moderator, and predictor in outpatient treatment for adults with anorexia nervosa
Plain English Summary People with anorexia nervosa often have difficulty thinking flexibly and in terms of the big picture. We investigated whether these thinking styles (1) change over treatment, (2) influence response to treatment, or (3) predict whether people gain weight or overcome the eating d...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-06-01
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| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40337-022-00602-0 |
| _version_ | 1797935786063036416 |
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| author | Ella Keegan Susan Byrne Phillipa Hay Stephen Touyz Janet Treasure Ulrike Schmidt Virginia V. W. McIntosh Tracey D. Wade |
| author_facet | Ella Keegan Susan Byrne Phillipa Hay Stephen Touyz Janet Treasure Ulrike Schmidt Virginia V. W. McIntosh Tracey D. Wade |
| author_sort | Ella Keegan |
| collection | DOAJ |
| description | Plain English Summary People with anorexia nervosa often have difficulty thinking flexibly and in terms of the big picture. We investigated whether these thinking styles (1) change over treatment, (2) influence response to treatment, or (3) predict whether people gain weight or overcome the eating disorder. We found that people were able to think more flexibly after treatment. We also found that people who had more difficulty seeing the big picture prior to treatment had a more rapid decrease in eating disorder symptoms and clinical impairment in treatment. Thinking styles did not predict whether people gained weight early in treatment or overcame the eating disorder. Our findings suggest that the detail-focused thinking style commonly observed among people with anorexia nervosa can be both a vulnerability and a strength. |
| first_indexed | 2024-04-10T18:20:41Z |
| format | Article |
| id | doaj.art-de04b2e561e64c06bc3a857b3f2d6154 |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-04-10T18:20:41Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-de04b2e561e64c06bc3a857b3f2d61542023-02-02T07:23:26ZengBMCJournal of Eating Disorders2050-29742022-06-011011910.1186/s40337-022-00602-0An exploratory examination of executive functioning as an outcome, moderator, and predictor in outpatient treatment for adults with anorexia nervosaElla Keegan0Susan Byrne1Phillipa Hay2Stephen Touyz3Janet Treasure4Ulrike Schmidt5Virginia V. W. McIntosh6Tracey D. Wade7Discipline of Psychology, Blackbird Initiative, Órama Research Institute, Flinders UniversitySWAN Centre, Perth and School of Psychology, University of Western AustraliaTranslational Health Research Institute, School of Medicine, Western Sydney UniversityInsideOut Institute, Sydney UniversityDepartment of Psychological Medicine, Kings College LondonDepartment of Psychological Medicine, Kings College LondonSchool of Psychology, Speech and Hearing, University of Canterbury ChristchurchDiscipline of Psychology, Blackbird Initiative, Órama Research Institute, Flinders UniversityPlain English Summary People with anorexia nervosa often have difficulty thinking flexibly and in terms of the big picture. We investigated whether these thinking styles (1) change over treatment, (2) influence response to treatment, or (3) predict whether people gain weight or overcome the eating disorder. We found that people were able to think more flexibly after treatment. We also found that people who had more difficulty seeing the big picture prior to treatment had a more rapid decrease in eating disorder symptoms and clinical impairment in treatment. Thinking styles did not predict whether people gained weight early in treatment or overcame the eating disorder. Our findings suggest that the detail-focused thinking style commonly observed among people with anorexia nervosa can be both a vulnerability and a strength.https://doi.org/10.1186/s40337-022-00602-0Anorexia nervosaExecutive functioningCentral coherenceSet shiftingConceptualisationModeration |
| spellingShingle | Ella Keegan Susan Byrne Phillipa Hay Stephen Touyz Janet Treasure Ulrike Schmidt Virginia V. W. McIntosh Tracey D. Wade An exploratory examination of executive functioning as an outcome, moderator, and predictor in outpatient treatment for adults with anorexia nervosa Journal of Eating Disorders Anorexia nervosa Executive functioning Central coherence Set shifting Conceptualisation Moderation |
| title | An exploratory examination of executive functioning as an outcome, moderator, and predictor in outpatient treatment for adults with anorexia nervosa |
| title_full | An exploratory examination of executive functioning as an outcome, moderator, and predictor in outpatient treatment for adults with anorexia nervosa |
| title_fullStr | An exploratory examination of executive functioning as an outcome, moderator, and predictor in outpatient treatment for adults with anorexia nervosa |
| title_full_unstemmed | An exploratory examination of executive functioning as an outcome, moderator, and predictor in outpatient treatment for adults with anorexia nervosa |
| title_short | An exploratory examination of executive functioning as an outcome, moderator, and predictor in outpatient treatment for adults with anorexia nervosa |
| title_sort | exploratory examination of executive functioning as an outcome moderator and predictor in outpatient treatment for adults with anorexia nervosa |
| topic | Anorexia nervosa Executive functioning Central coherence Set shifting Conceptualisation Moderation |
| url | https://doi.org/10.1186/s40337-022-00602-0 |
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