ArticleJournal of the American Academy of Child and Adolescent Psychiatry2016
Altered Neural Efficiency of Decision Making During Temporal Reward Discounting in Anorexia Nervosa.
Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Altered value-based decision-making in anorexia nervosa: A systematic review.Neuroscience and biobehavioral reviews · 2024Pooled it
- Moving towards specificity: A systematic review of cue features associated with reward and punishment in anorexia nervosa.Clinical psychology review · 2020Pooled it
- Delay Discounting as a Transdiagnostic Process in Psychiatric Disorders: A Meta-analysis.JAMA psychiatry · 2019Pooled it
- Intact delay discounting but more optimal reward-based decisions in anorexia nervosa during an experiential task.Psychiatry and clinical neurosciences · 2026Article
- Longer duration of amenorrhea is associated with lower delay discounting and less hedonic eating in girls and young women with low-weight eating disorders.Scientific reports · 2026Article
- Annual Research Review: Neural mechanisms of eating disorders in youth - from current theory and findings to future directions.Journal of child psychology and psychiatry, and allied disciplines · 2026Review
- Modulating the Interplay Between Impulsivity and Interoception Through HD-tDCS to the Right Insula and Anterior Cingulate Cortex.Biomedicines · 2026Article
- Psychological distance affects real movements in virtual reality: distance to food in anorexia nervosa.Journal of eating disorders · 2025Article
- Exploring Habits in Anorexia Nervosa: Promise, Pitfalls, and Progress.Current psychiatry reports · 2025Review
- Computational Perspectives on Cognition in Anorexia Nervosa: A Systematic Review.Computational psychiatry (Cambridge, Mass.) · 2025Review
- Increasing Response Vigour Under Time Pressure as a Transdiagnostic Marker of Eating Disorders.Computational psychiatry (Cambridge, Mass.) · 2025Review
- Body appearance values modulate risk aversion in eating restriction.Journal of experimental psychology. General · 2023Article
- Habits and Persistent Food Restriction in Patients with Anorexia Nervosa: A Scoping Review.Behavioral sciences (Basel, Switzerland) · 2023Article
- Learned industriousness as a translational mechanism in anorexia nervosa.Nature reviews psychology · 2023Article
- "Your mind doesn't have room for anything else": a qualitative study of perceptions of cognitive functioning during and after recovery from anorexia nervosa.Journal of eating disorders · 2022Article
- Increased Habit Frequency in the Daily Lives of Patients with Acute Anorexia Nervosa.Nutrients · 2022Article
- Real-life self-control conflicts in anorexia nervosa: An ecological momentary assessment investigation.European psychiatry : the journal of the Association of European Psychiatrists · 2022Article
- Functional Abnormality of the Executive Control Network in Individuals With Obesity During Delay Discounting.Cerebral cortex (New York, N.Y. : 1991) · 2022Article
- Exploring Neural Mechanisms Related to Cognitive Control, Reward, and Affect in Eating Disorders: A Narrative Review of FMRI Studies.Neuropsychiatric disease and treatment · 2021Review
- Study protocol of comprehensive risk evaluation for anorexia nervosa in twins (CREAT): a study of discordant monozygotic twins with anorexia nervosa.BMC psychiatry · 2020Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe ability of individuals with anorexia nervosa (AN) to resist hunger and restrict caloric intake is often believed to reflect an unusual amount of self-control. However, the underlying neural substrate is poorly understood, especially in adolescent patients.
methodFunctional magnetic resonance imaging was used during an intertemporal choice task to probe the hemodynamic correlates of a common measurement of self-control-delayed (monetary) reward discounting-in a sample of acutely ill, predominately adolescent female patients with AN (n = 31) and age-matched healthy controls (n = 31).
resultsDelayed discounting rates did not differ between the groups, but decision making was consistently faster in the AN group. Although no group differences in the neural correlates of reward valuation were evident, activation associated with decision making was decreased in the AN group, most notably in the lateral prefrontal and posterior parietal regions implicated in executive control. Follow-up analysis of difficult decisions showed decreased activation in the AN group in a region of the dorsal anterior cingulate cortex.
conclusionDecreased activation in frontoparietal regions involved in decision making, but faster and more consistent choice behavior, suggests that the altered efficiency of neural resource allocation might underlie an increased level of self-control in AN. This pattern of neural activation and behavior might reflect an ingrained "habit" to sustain high-level proactive (anticipatory) cognitive control in AN, which in turn might compromise reactive control mechanisms needed to adapt to changing cognitive demands, such as when difficult decisions must be made.
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