Evidence map›Paper›PMID 41216793›Full record

Trial reportThe International journal of eating disorders2026

Shared Versus Unique Features of Neural Activation During Cognitive Flexibility Across Restrictive Eating Disorder Presentations.

Adrienne L Romer, Lauren Breithaupt, Meghan Slattery, Felicia Petterway, Lauren Lindman, Jason Scott, Meghan Lauze, Mia Cravitz, Zara Poon, Siddarth Seenivasa and 10 more

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

20 authors.

Adrienne L RomerDepartment of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, USA.ORCID https://orcid.org/0000-0002-1626-0857
Lauren BreithauptDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-2439-6519
Meghan SlatteryMass General Brigham Multidisciplinary Eating Disorders Research Collaborative, Mass General Brigham, Boston, Massachusetts, USA.
Felicia PetterwayMass General Brigham Multidisciplinary Eating Disorders Research Collaborative, Mass General Brigham, Boston, Massachusetts, USA.
Lauren LindmanMass General Brigham Multidisciplinary Eating Disorders Research Collaborative, Mass General Brigham, Boston, Massachusetts, USA.
Jason ScottCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts, USA.
Meghan LauzeMass General Brigham Multidisciplinary Eating Disorders Research Collaborative, Mass General Brigham, Boston, Massachusetts, USA.
Mia CravitzMass General Brigham Multidisciplinary Eating Disorders Research Collaborative, Mass General Brigham, Boston, Massachusetts, USA.
Zara PoonEating Disorders Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.
Siddarth SeenivasaMass General Brigham Multidisciplinary Eating Disorders Research Collaborative, Mass General Brigham, Boston, Massachusetts, USA.
Sarah NaticchiaMass General Brigham Multidisciplinary Eating Disorders Research Collaborative, Mass General Brigham, Boston, Massachusetts, USA.
Kristin N JavarasDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-0885-2331
David AlperovitzDivision of Women's Mental Health, McLean Hospital, Belmont, Massachusetts, USA.
Jennifer J ThomasDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-2601-581X
Elizabeth A LawsonMass General Brigham Multidisciplinary Eating Disorders Research Collaborative, Mass General Brigham, Boston, Massachusetts, USA.
Diego A PizzagalliCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts, USA.
Franziska PlessowDepartment of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California San Francisco, San Francisco, California, USA.
Poornima KumarCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts, USA.
Madhusmita MisraNeuroendocrine Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-9405-2981
Kamryn T EddyDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-1586-0930

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Elizabeth Austen Lawson, Takara Leah Stanley · 1994 to 2026
$31.6M
Neuroimaging Studies of Reward Processing in DepressionR37MH068376 · NIMH · UNIVERSITY OF CALIFORNIA-IRVINE · PI Diego A Pizzagalli · 2016 to 2026
$7.4M
The Role of Estrogen in the Neurobiology of Eating Disorders: A Study of Cognitive Flexibility and Reward in Eating DisordersR01MH116205 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI EDDY, KAMRYN T, MISRA, MADHUSMITA · 2019 to 2023
$4.7M
Multi level Analysis of Positive Valence Systems Across Mood DisordersR01MH101521 · NIMH · MCLEAN HOSPITAL · PI PIZZAGALLI, DIEGO A · 2013 to 2016
$2.1M
Replicability, Mechanisms, and Trajectory of Neural Alterations Related to General PsychopathologyF32MH124409 · NIMH · MCLEAN HOSPITAL · PI ROMER, ADRIENNE LYNN · 2020 to 2022
$210k
Brain and Behavior Research Foundation 32880NIDDK NIH HHS P30 DK040561NIMH NIH HHS F32 MH124409NIMH NIH HHS R01 MH101521NIMH NIH HHS R01 MH116205NIMH NIH HHS R37 MH068376
6 · The paper itself

Abstract

objectiveRestrictive eating disorders (EDs), including anorexia nervosa (AN) and atypical AN (Atyp-AN), are often associated with cognitive rigidity that can impede treatment. The dorsolateral prefrontal cortex (dlPFC) plays a central role in cognitive control, but it remains unclear whether its activation during cognitive flexibility will differ across restrictive ED presentations.

methodEighty-seven females with restrictive EDs (aged 14-35) (AN: n = 31; atyp-AN with history of AN [hx-AN]: n = 33; atyp-AN without history of AN [Atyp-AN]: n = 23) completed a task-switching paradigm during functional magnetic resonance imaging. We examined dlPFC activation during sustained (task-switching vs. completing a single task) and transient control (switching between task rules vs. repeating the same rule), testing for group differences and symptom associations.

resultsThe AN group showed a greater difference in left dlPFC activation during task switching vs. the single task compared to the hx-AN and Atyp-AN groups, driven by reduced activation during the single task condition. All groups showed similar increases in dlPFC activation during task switching and no differences in task performance. Across all participants, higher dlPFC activation during task switching vs. single task was associated with greater restraint symptoms. DISCUSSION: These novel findings identified shared versus unique neural features of sustained and transient control across restrictive ED groups. Heightened dlPFC activation during transient control associated with restraint may represent a transdiagnostic feature shared across restrictive EDs. Alternatively, reduced dlPFC activation during the low-demand, single-task condition in those with typical, but not atypical AN, may reflect a difference in sustained control, with implications for tailoring interventions to distinct restrictive ED presentations.

Indexed as

Anorexia NervosaCognitive FlexibilityDorsolateral Prefrontal CortexFeeding and Eating DisordersFeeding BehaviorAdolescentAdultFemaleFunctional NeuroimagingHumansMagnetic Resonance ImagingYoung Adultanorexia nervosacognitive flexibilityfMRIrestrictive eating disorderstask‐switching

Identifiers

PMID41216793
PMCPMC12979975

What OpenQuestion holds

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LicenceCC BY
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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.