Evidence map›Paper›PMID 37463996›Full record

ArticleEating and weight disorders : EWD2023

Measuring cognitive flexibility in anorexia nervosa: Wisconsin Card Sorting Test versus cued task-switching.

Kelly M Dann, Aaron Veldre, Stephanie Miles, Philip Sumner, Phillipa Hay, Stephen Touyz

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Eating and weight disorders : EWD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
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  4. Article
  5. The Influence of Negative Affect and Food Stimuli on Cognitive Flexibility in Adolescents With Anorexia Nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
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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

6 authors at 4 institutions in 1 country.

Kelly M DannSchool of Psychology, The University of Sydney, Brennan MacCallum Building (A18), Sydney, NSW, 2006, Australia. kelly.dann@sydney.edu.au.ORCID http://orcid.org/0000-0003-4936-1686
Aaron VeldreSchool of Psychology, The University of Sydney, Brennan MacCallum Building (A18), Sydney, NSW, 2006, Australia.
Stephanie MilesCentre for Mental Health, Swinburne University of Technology, Melbourne, Australia.
Philip SumnerCentre for Mental Health, Swinburne University of Technology, Melbourne, Australia.
Phillipa HayTranslational Health Research Institute, School of Medicine, Western Sydney University and Mental Health Services SWSLHD, Campbelltown, Australia.
Stephen TouyzFaculty of Medicine and Health, InsideOut Institute for Eating Disorders, The University of Sydney and Sydney Local Area Health District, Sydney, Australia.
The University of Sydney · AUSouth Western Sydney Local Health District · AUSwinburne University of Technology · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Wisconsin Card Sorting Test (WCST) is the most common measure of cognitive flexibility in anorexia nervosa (AN), but task-switching paradigms are beginning to be utilized. The current study directly compared performance on a cued task-switching measure and the WCST to evaluate their association in participants with a lifetime diagnosis of AN, and to assess which measure is more strongly associated with clinical symptoms.

methodsForty-five women with a lifetime diagnosis of AN completed the WCST, cued color-shape task-switching paradigm, Anti-saccade Keyboard Task, Running Memory Span, Eating Disorder Examination Questionnaire, Depression Anxiety Stress Scales short form and Eating Disorder Flexibility Index.

resultsThere was no evidence of a significant association between WCST perseverative errors and cued task-switching switch costs. Results suggest lower working memory capacity is a determinant of higher perseverative error rate. When controlling for mood variables, neither cognitive flexibility measure was a significant independent predictor of symptom severity.

conclusionsResults provide support for previous suggestions that WCST perseverative errors could occur due to difficulties with working memory, sensitivity to feedback, and issues with concept formation. Cued task-switching paradigms may provide a useful measure of cognitive flexibility for future eating disorders research by reducing task-specific confounds. LEVEL OF EVIDENCE: Level III Case-control analytic study.

Indexed as

Anorexia NervosaWisconsin Card Sorting TestCognitionFemaleHumansMemory, Short-TermNeuropsychological TestsAnorexia nervosaCognitionCognitive flexibilityEating disordersTask-switching

Identifiers

PMID37463996
PMCPMC10354129
OpenAlexW4384662732

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.