Evidence map›Paper›PMID 35168670›Full record

ArticleJournal of eating disorders2022

Cognitive flexibility, central coherence, and quality of life in anorexia nervosa.

Timo Brockmeyer, Hagen Febry, Anna Leiteritz-Rausch, Wally Wünsch-Leiteritz, Andreas Leiteritz, Hans-Christoph Friederich

Abstract read
In one paragraph

Article in Journal of eating disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

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  5. Neurobiology and Cognition in Girls at High-Risk of Eating Disorders: Exploring Imaging-Derived Trait Markers.European eating disorders review : the journal of the Eating Disorders Association · 2025
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  17. Effect of solution focused group therapy on depressive symptoms and cognitive flexibility of depressive disorder patient.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences
    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.

Timo BrockmeyerDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology, University of Goettingen, Gosslerstrasse 14, 37073, Goettingen, Germany. timo.brockmeyer@uni-goettingen.de.ORCID http://orcid.org/0000-0003-2544-7610
Hagen FebryKlinik Lueneburger Heide, Am Klaubusch 21, 29549, Bad Bevensen, Germany.
Anna Leiteritz-RauschKlinik Lueneburger Heide, Am Klaubusch 21, 29549, Bad Bevensen, Germany.
Wally Wünsch-LeiteritzKlinik Lueneburger Heide, Am Klaubusch 21, 29549, Bad Bevensen, Germany.
Andreas LeiteritzKlinik Lueneburger Heide, Am Klaubusch 21, 29549, Bad Bevensen, Germany.
Hans-Christoph FriederichDepartment of General Internal Medicine and Psychosomatics, Center for Psychosocial Medicine, University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnorexia nervosa (AN) has consistently been found to be associated with poor cognitive flexibility and central coherence. These two cognitive functions have been considered important maintenance factors in AN and are addressed by specific treatment approaches such as cognitive remediation therapy. While there is clear empirical evidence that difficulties in such cognitive functions are related to impaired daily functioning in schizophrenia and bipolar disorder, this potential association has received only little attention in AN research so far. Therefore, the aim of this study was to examine potential relationships between weak cognitive flexibility, central coherence, and poor quality of life (QoL) in AN.

methodsCognitive flexibility and central coherence were measured by both neuropsychological (i.e., performance based) and self-report measures alongside with self-reported QoL in a sample of 138 adult patients with AN.

resultsSelf-report but not performance based measures of cognitive flexibility and central coherence were associated with QoL. Weaker cognitive flexibility and central coherence were correlated with poorer QoL. These associations were independent of comorbid depression. The link between weak central coherence and poor QoL was particularly strong in patients with the restricting subtype of AN. The link between cognitive flexibility and QoL, however, was independent of AN subtype.

conclusionsWeak cognitive flexibility and central coherence are associated with low QoL in AN, especially in patients with the restrictive subtype. However, this relationship is dependent on the method of measurement, where self-report measures seem to be more relevant than performance based measures.

Indexed as

Cognitive controlCognitive functionsDaily functioningEating disordersGlobal/local processingNeuropsychological functionsSet-shifting

Identifiers

PMID35168670
PMCPMC8845392

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Registered trials

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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.