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- Title
DECISION-MAKING, IMPULSIVENESS AND TEMPERAMENTAL TRAITS IN EATING DISORDERS.
- Authors
Ciberti, Agnese; Cavalletti, Matteo; Palagini, Laura; Mariani, Michela Giorgi; Dell'Osso, Liliana; Mauri, Mauro; Maglio, Alessandra; Mucci, Federico; Marazziti, Donatella; Miniati, Mario
- Abstract
Objective: To explore decision-making, impulsiveness and temperamental traits in patients suffering from eating disorders (EDs), as compared with healthy controls (HC). Methods: Fifty-one patients affected by ED (fourteen with anorexia restricting subtype, AN-R; fourteen with bulimia, BN; thirteen with anorexia bingeing/purging subtype, AN-BP; ten with binge-eating disorder, BED) and twenty-eight HC. The patients, recruited at the Section of Psychiatry of the University of Pisa (Italy, were evaluated with a battery of neuropsychological questionnaires, including the IOWA Gambling Task (IGT), the Barratt Impulsiveness Scale (BIS-11), the Temperament and Character Inventory (TCI), the Frontal Assessment Battery (FAB) and the Hamilton Depression Rating Scale (HAM-D). Results: The results indicated that AN-R, AN-BP and BN patients showed poorer IGT performances than HC (p < .05), while BED performances were similar to those of HC. IGT scores suggested the existence of similarities in decision-making performances of AN-BP and BN patients, as they performed differently from HC starting from block 3 (F(16.2)=1.7). In addition, differences between AN-BP/BN and AN-R patients were detected, given that they performed differently starting from block 4. As far as BIS-11 is concerned, AN-BP and BN patients reached the highest BIS total scores, when compared with the other groups. Further, they shared similar temperamental and impulsiveness profiles, as demonstrated by their BIS-11 'motor impulsiveness' scores, and by their TCI 'novelty seeking', 'reward dependence' and 'persistence' dimensions. The post-hoc analyses revealed that both AN groups (namely, AN-R and AN-BP) scored significantly lower than HC on the FAB. No patients fulfilled the criteria for the diagnosis of a current major depression. Conclusions: Decision-making deficits are common in EDs. In AN-R these seem related to cognitive styles, while in AN-BP and BN patients with temperament features and impulsiveness traits.
- Subjects
IOWA; ITALY; UNIVERSITY of Pisa; EATING disorders; HAMILTON Depression Inventory; BULIMIA; BINGE-eating disorder
- Publication
Clinical Neuropsychiatry, 2020, Vol 17, Issue 4, p199
- ISSN
1724-4935
- Publication type
Article
- DOI
10.36131/cnfioritieditore20200401