Evidence map›Paper›PMID 33865441›Full record

ArticleJournal of eating disorders2021

Changes in brain and behavior during food-based decision-making following treatment of anorexia nervosa.

Karin Foerde, B Timothy Walsh, Maya Dalack, Nathaniel Daw, Daphna Shohamy, Joanna E Steinglass

Abstract read
In one paragraph

Article in Journal of eating disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Optimizing relapse prevention and changing habits (REACH+) in anorexia nervosa.The International journal of eating disorders · 2022
    Trial
  3. Different brain regions support deliberation during food choice in disordered and healthy eating.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. 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
  9. Article
  10. Article
  11. Altered learning from positive feedback in adolescents with anorexia nervosa.Journal of the International Neuropsychological Society : JINS · 2024
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Anhedonia in Eating Disorders.Current topics in behavioral neurosciences · 2022
    Article
  18. Article
  19. Associations between mealtime anxiety and food intake in anorexia nervosa.The International journal of eating disorders · 2021
    Article
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

6 authors.

Karin FoerdeNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 98, New York, NY, 10032, USA.
B Timothy WalshNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 98, New York, NY, 10032, USA.
Maya DalackNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 98, New York, NY, 10032, USA.
Nathaniel DawPrinceton Neuroscience Institute, Department of Psychology, Princeton University, Princeton, NJ, 08540, USA.
Daphna ShohamyPsychology Department and Zuckerman Mind Brain and Behavior Institute, Columbia University, 3227 Broadway, New York, NY, 10027, USA.
Joanna E SteinglassNew York State Psychiatric Institute, 1051 Riverside Drive, Unit 98, New York, NY, 10032, USA. js1124@cumc.columbia.edu.ORCID http://orcid.org/0000-0001-8434-8212

Funding

Neural Mechanisms of Food Choice in Anorexia NervosaR01MH105452 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI SHOHAMY, DAPHNA, STEINGLASS, JOANNA E · 2015 to 2018
$2.3M
Training and Mentoring in Neurocognitive Mechanisms of Eating DisordersK24MH113737 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI STEINGLASS, JOANNA E · 2018 to 2022
$614k
NIMH NIH HHS K24 MH113737NIMH NIH HHS R01 MH105452
6 · The paper itself

Abstract

backgroundAnorexia nervosa is a severe illness with a high mortality rate, driven in large part by severe and persistent restriction of food intake. A critical challenge is to identify brain mechanisms associated with maladaptive eating behavior and whether they change with treatment. This study tested whether food choice-related caudate activation in anorexia nervosa changes with treatment.

methodsHealthy women (n = 29) and women hospitalized with anorexia nervosa (n = 24), ages 18 to 40 years, completed a Food Choice Task during fMRI scanning at two timepoints. Among patients, procedures occurred upon hospital admission (Time 1) and again after patients had gained to normal weight (Time 2). Healthy controls were tested twice at an interval group-matched to patients. Choice-related caudate activation was assessed at each timepoint, using parametric analyses in an a priori region of interest.

resultsAmong patients, the proportion of high-fat foods selected did not change over time (p's > 0.47), but decreased neural activity in the caudate after treatment was associated with increased selection of high-fat foods (r

conclusionsCaudate activity was more strongly associated with decisions about food among individuals with anorexia nervosa relative to healthy comparison individuals prior to treatment, and decreases in caudate engagement among individuals with anorexia nervosa undergoing treatment were associated with increases in high-fat food choices. The findings underscore the need for treatment development that more successfully alters both eating behavior and the neural mechanisms that guide it.

Indexed as

Anorexia nervosaEating behaviorfMRILongitudinalNeuroscienceTreatment

Identifiers

PMID33865441
PMCPMC8052661

What OpenQuestion holds

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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.