Journal
ACTA PSYCHIATRICA SCANDINAVICA
Volume 124, Issue 2, Pages 120-140Publisher
WILEY
DOI: 10.1111/j.1600-0447.2011.01701.x
Keywords
neuropsychology; bulimia nervosa; binge-eating disorder; cognition; review
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Funding
- l'Institut Servier, France
- Department of Health National Institute for Health Research (NIHR) [RP-PG-0606-1043]
- Biomedical Research Centre (BRC) for Mental Health, South London
- Maudsley NHS Foundation Trust
- Institute of Psychiatry, King's College London
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Objective: The aim of this study was to review the literature on neurocognition comparing people with a bulimic eating disorder in the acute phase of the illness with healthy controls (HC). Method: The review follows the PRISMA (preferred reporting items for systematic reviews and meta-analysis) statement guidelines. Three databases (Medline, Web of Science, and Scopus) were searched combining the search terms 'bulimic disorder', 'bulimia nervosa (BN)', 'binge-eating disorder (BED)' with terms referring to cognitive domains (e. g. 'executive functions'). Results: Thirty-seven studies on people with BN and four on people with BED were selected for review. Overall, sample sizes were relatively small [bulimic disorders: median and range 22 (12-83); HC: 27 (13-172)]. The diversity in methodology precluded a meta-analytical approach. People with a bulimic disorder did not present with a clear neurocognitive profile. Inclusion of salient, disorder-related stimuli (e. g. body weight/shape words) in the neurocognitive paradigms tended to generate differences between people with a bulimic disorder and HC. Conclusion: Neurocognition in bulimic eating disorders is under researched, and the available evidence is inconclusive. This review outlines strategies for further research in this area.
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