A systematic review and meta-analysis of set-shifting ability in eating disorders

@article{Roberts2007ASR,
  title={A systematic review and meta-analysis of set-shifting ability in eating disorders},
  author={Marion E Roberts and Kate Tchanturia and Daniel St{\aa}hl and Laura Southgate and Janet L Treasure},
  journal={Psychological Medicine},
  year={2007},
  volume={37},
  pages={1075 - 1084}
}
ABSTRACT Background The aim was to critically appraise and synthesize the literature relating to set-shifting ability in eating disorders. PsycINFO, Medline, and Web of Science databases were searched to December 2005. Hand searching of eating-disorder journals and relevant reference sections was also undertaken. Method The 15 selected studies contained both eating disorder and healthy control groups, and employed at least one of the following six neuropsychological measures of set-shifting… 
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References

SHOWING 1-10 OF 63 REFERENCES
Attentional biases and frontal functioning in anorexia nervosa.
TLDR
Evidence suggested that in the AN-R subjects the disturbances of body image might be linked to the alterations of abstraction and critical abilities and with an obsessive frontal functioning.
Cognition in eating disorders.
TLDR
The findings support previous reports of attentional difficulties in eating disorders but do not support the hypothesis of differential right-hemisphere dysfunction in Eating disorders.
A meta-analytic review of Wisconsin Card Sorting Test and verbal fluency performance in obsessive-compulsive disorder
  • J. Henry
  • Psychology
    Cognitive neuropsychiatry
  • 2006
TLDR
For patients with OCD, deficits on tests of verbal fluency and the WCST do not appear to reflect executive dysfunction, but are instead consistent with a more generalised cognitive impairment.
A meta-analysis of cognitive deficits in euthymic patients with bipolar disorder.
Selective working memory deficits in anorexia nervosa
Objective The study investigated the effects of anorexia nervosa (AN) on the three components of working memory, and the extent to which these could be attributed to preoccupying cognitions
Is impaired set-shifting an endophenotype of anorexia nervosa?
TLDR
Sisters with and without anorexia nervosa took significantly longer than unrelated healthy women to shift their cognitive set and demonstrated greater perceptual rigidity but did not differ significantly from each other, suggesting set-shifting difficulties are trait characteristics and may inform the search for the endophenotype in anorexic women.
Profile of neurocognitive impairments associated with female in-patients with anorexia nervosa
TLDR
The findings, in relation to a mean BMI of 15·3, are compatible with, in general, subtle impairments in neurocognition in AN, however, in those patients with relatively severe degrees of impairments, these may have adverse effects on complex tasks of social and occupational functioning.
Performance variability as a new theoretical mechanism regarding eating disorders and cognitive processing.
TLDR
It is proposed that there may be considerable variability in performance among bulimics and that by examining performance from this "sub-group" perspective may lead to a more analytic understanding of this eating disorder.
Set shifting deficit in anorexia nervosa
TLDR
Patients with AN have a specific neurocognitive abnormality that may play a role in the development and persistence of this disorder, and this finding suggests that patients with AN are likely to have a problem in set shifting.
Cognitive flexibility in anorexia nervosa and bulimia nervosa
TLDR
It is suggested that differential neuropsychological disturbance in the domain of mental flexibility/rigidity may underlie the spectrum of eating disorders.
...
1
2
3
4
5
...