Obsessive-compulsivity and working memory are associated with differential prefrontal cortex and insula activation in adolescents with a recent diagnosis of an eating disorder.

Journal: Psychiatry research

Volume: 224

Issue: 3

Year of Publication: 2015

Affiliated Institutions:  Department of Neuroscience, Functional Pharmacology, Uppsala University, Uppsala, Sweden; Deptartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, Western Cape, South Africa. Electronic address: drsamanthabrooks@gmail.com. Department of Neuroscience, Functional Pharmacology, Uppsala University, Uppsala, Sweden. Department of Women׳s and Children׳s Health, Uppsala University, Uppsala, Sweden. Department of Neuroscience, Child and Adolescent Psychiatry, Uppsala University, Sweden. Department of Radiology, Uppsala University, Uppsala, Sweden.

Abstract summary 

The role of rumination at the beginning of eating disorder (ED) is not well understood. We hypothesised that impulsivity, rumination and restriction could be associated with neural activity in response to food stimuli in young individuals with eating disorders (ED). We measured neural responses with functional magnetic resonance imaging (fMRI), tested working memory (WM) and administered the eating disorders examination questionnaire (EDE-Q), Barratt impulsivity scale (BIS-11) and obsessive-compulsive inventory (OCI-R) in 15 adolescent females with eating disorder not otherwise specified (EDNOS) (mean age 15 years) and 20 age-matched healthy control females. We found that EDNOS subjects had significantly higher scores on the BIS 11, EDE-Q and OCI-R scales. Significantly increased neural responses to food images in the EDNOS group were observed in the prefrontal circuitry. OCI-R scores in the EDNOS group also significantly correlated with activity in the prefrontal circuitry and the cerebellum. Significantly slower WM responses negatively correlated with bilateral superior frontal gyrus activity in the EDNOS group. We conclude that ruminations, linked to WM, are present in adolescent females newly diagnosed with EDNOS. These may be risk factors for the development of an eating disorder and may be detectable before disease onset.

Authors & Co-authors:  Brooks Samantha J SJ Solstrand Dahlberg Linda L Swenne Ingemar I Aronsson Marianne M Zarei Sanaz S Lundberg Lina L Jacobsson Josefin A JA Rask-Andersen Mathias M Salonen-Ros Helena H Rosling Agneta A Larsson Elna-Marie EM Schiöth Helgi B HB

Study Outcome 

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Citations : 
Authors :  12
Identifiers
Doi : 10.1016/j.pscychresns.2014.10.001
SSN : 1872-7123
Study Population
Females
Mesh Terms
Adolescent
Other Terms
EDNOS;Eating disorders;Impulsivity;Neural correlates;OCD;Working-memory
Study Design
Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Ireland