Evidence map›Paper›PMID 38183925›Full record

ArticlePsychiatry research2024

Prospective associations between cognitive flexibility and eating disorder symptoms in anorexia nervosa and bulimia nervosa.

Elizabeth N Dougherty, Angeline R Bottera, Glen Forester, Lauren M Schaefer, Erika E Forbes, Jennifer E Wildes

Open access · greenAbstract read
In one paragraph

Article in Psychiatry research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Neurocognitive Profiles and Predictors of Symptom Trajectory During and After Treatment in Adolescent Bulimia Nervosa.European eating disorders review : the journal of the Eating Disorders Association · 2026
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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 5 institutions in 1 country.

Elizabeth N DoughertyDepartment of Psychiatry and Behavioral Neuroscience, University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637, United States.
Angeline R BotteraDepartment of Psychology, University of Kansas, 1415 Jayhawk Blvd., Lawrence, KS 66045, United States.
Glen ForesterCenter for Biobehavioral Research, Sanford Research, 120 8th St. S, Fargo, ND 48103, United States.
Lauren M SchaeferCenter for Biobehavioral Research, Sanford Research, 120 8th St. S, Fargo, ND 48103, United States; Department of Psychiatry, University of North Dakota School of Medicine and Health Sciences, 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202, United States.
Erika E ForbesDepartment of Psychiatry, University of Pittsburgh School of Medicine, 3811 O'Hara Street, Pittsburgh, PA 15213, United States.
Jennifer E WildesDepartment of Psychiatry and Behavioral Neuroscience, University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637, United States; Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O'Hara Street, Pittsburgh, PA 15213, United States. Electronic address: jwildes@uchicago.edu.
University of Pittsburgh · USSanford Research · USUniversity of Chicago · USUniversity of Kansas · USUniversity of North Dakota · US

Funding

The Neurocognitive Reward Learning Mechanisms of Binge EatingP20GM134969 · NIGMS · SANFORD RESEARCH NORTH · PI DODD, DORIAN R · 2021 to 2025
$11.5M
Regional Postdoctoral Training Grant in Eating Disorders ResearchT32MH082761 · NIMH · UNIVERSITY OF MINNESOTA · PI CAROL B. PETERSON · 2009 to 2026
$6.2M
Cognitive Inflexibility and Phenotypic Heterogeneity in Anorexia NervosaR01MH103230 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FORBES, ERIKA E, WILDES, JENNIFER E · 2014 to 2018
$2.4M
NIGMS NIH HHS P20 GM134969NIMH NIH HHS R01 MH103230NIMH NIH HHS T32 MH082761
6 · The paper itself

Abstract

This study investigated concurrent and prospective associations between measures of reversal learning and attentional set-shifting and eating disorder symptoms at baseline, 3 months, and 6 months among individuals with anorexia nervosa restricting subtype (AN-R, n = 26), AN binge eating/purging subtype (AN-BP, n = 22), bulimia nervosa (BN, n = 35), and healthy controls (n = 27), and explored whether these associations differed by diagnosis. At baseline, participants completed diagnostic interviews, height/weight measurements, and measures of set-shifting (the Intradimensional/Extradimensional shift task) and reversal learning (a probabilistic reversal learning task). At 3- and 6-month follow-up, participants with eating disorders completed assessments of weight and eating disorder symptoms. A one-way analysis of variance found no evidence that baseline reversal learning and attentional set-shifting differed across diagnostic groups. Multilevel modeling analyses indicated that perseverative errors (an index of reversal learning) predicted an increase in purging over time for individuals with AN-BP and BN. Set-shifting errors differentially predicted frequency of loss of control eating for individuals with AN-BP and BN; however, set-shifting was not related to loss of control eating when examined separately in AN-BP and BN. These findings suggest that disentangling facets of cognitive flexibility may help understand change in eating disorder symptoms.

Indexed as

Anorexia NervosaBinge-Eating DisorderBulimiaBulimia NervosaFeeding and Eating DisordersCognitionHumansEating disordersReversal learningSet-shifting

Identifiers

PMID38183925
PMCPMC10872327
OpenAlexW4390531918

What OpenQuestion holds

Textmetadata
LicenceTDM
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.