Evidence map›Paper›PMID 29579064›Full record

ArticlePloS one2018

Neural processing of food and emotional stimuli in adolescent and adult anorexia nervosa patients.

Stefanie Horndasch, Julie Roesch, Clemens Forster, Arnd Dörfler, Silja Lindsiepe, Hartmut Heinrich, Holmer Graap, Gunther H Moll, Oliver Kratz

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 6 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 6 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Altered anticipatory brain responses in eating disorders: A neuroimaging meta-analysis.European eating disorders review : the journal of the Eating Disorders Association · 2023
    Pooled it
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  3. A meta-analytic investigation of grey matter differences in anorexia nervosa and autism spectrum disorder.European eating disorders review : the journal of the Eating Disorders Association · 2022
    Pooled it
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  12. Food choice and neural reward systems in adolescents with anorexia nervosa and atypical anorexia nervosa.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Article
  13. Article
  14. Anorexia Nervosa Across the Lifespan: A Review of Recent Literature.Focus (American Psychiatric Publishing) · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Stefanie HorndaschDepartment of Child and Adolescent Mental Health, University of Erlangen-Nuremberg, Erlangen, Germany.ORCID 0000-0002-7512-3262
Julie RoeschDepartment of Neuroradiology, University of Erlangen-Nuremberg, Erlangen, Germany.
Clemens ForsterInstitute for Physiology and Pathophysiology, University of Erlangen-Nuremberg, Erlangen, Germany.
Arnd DörflerDepartment of Neuroradiology, University of Erlangen-Nuremberg, Erlangen, Germany.
Silja LindsiepeDepartment of Child and Adolescent Mental Health, University of Erlangen-Nuremberg, Erlangen, Germany.
Hartmut HeinrichDepartment of Child and Adolescent Mental Health, University of Erlangen-Nuremberg, Erlangen, Germany.
Holmer GraapDepartment of Psychosomatic Medicine and Psychotherapy, University of Erlangen-Nuremberg, Erlangen, Germany.
Gunther H MollDepartment of Child and Adolescent Mental Health, University of Erlangen-Nuremberg, Erlangen, Germany.
Oliver KratzDepartment of Child and Adolescent Mental Health, University of Erlangen-Nuremberg, Erlangen, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA constant preoccupation with food and restrictive eating are main symptoms of anorexia nervosa (AN). Imaging studies revealed aberrant neural activation patterns in brain regions processing hedonic and reward reactions as well as-potentially aversive-emotions. An imbalance between so called "bottom-up" and "top-down" control areas is discussed. The present study is focusing on neural processing of disease-specific food stimuli and emotional stimuli and its developmental course in adolescent and adult AN patients and could offer new insight into differential mechanisms underlying shorter or more chronic disease.

methods33 adolescents aged 12-18 years (15 AN patients, 18 control participants) and 32 adult women (16 AN patients, 16 control participants) underwent functional magnetic resonance imaging (fMRI, 3T high-field scanner) while watching pictures of high and low-calorie food and affective stimuli. Afterwards, they rated subjective valence of each picture. FMRI data analysis was performed using a region of interest based approach.

resultsPictures of high-calorie food items were rated more negatively by AN patients. Differences in activation between patients and controls were found in "bottom up" and "top down" control areas for food stimuli and in several emotion processing regions for affective stimuli which were more pronounced in adolescents than in adults.

conclusionA differential pattern was seen for food stimuli compared to generally emotion eliciting stimuli. Adolescents with AN show reduced processing of affective stimuli and enhanced activation of regions involved in "bottom up" reward processing and "top down" control as well as the insula with regard to food stimuli with a focus on brain regions which underlie changes during adolescent development. In adults less clear and less specific activation differences were present, pointing towards a high impact that regions undergoing maturation might have on AN symptoms.

Indexed as

FoodAdolescentAdultAnorexia NervosaBrainBrain MappingChildEmotionsFemaleHumansMagnetic Resonance ImagingNeuropsychological TestsPhotic StimulationVisual PerceptionYoung Adult

Identifiers

PMID29579064
PMCPMC5868769
OpenAlexW2792008371

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.