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Cognitive performance in children with acute early-onset anorexia nervosa
When anorexia nervosa (AN) occurs in children below the age of 14 years, it is referred to as early-onset AN (EO-AN). Over the last years, there has been an increased focus on the role of cognitive functioning in the development and maintenance of AN. Adults with AN show inefficiencies in cognitive...
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| Published in: | European child & adolescent psychiatry 2016-11, Vol.25 (11), p.1233-1244 |
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| creator | van Noort, Betteke Maria Pfeiffer, Ernst Ehrlich, Stefan Lehmkuhl, Ulrike Kappel, Viola |
| description | When anorexia nervosa (AN) occurs in children below the age of 14 years, it is referred to as early-onset AN (EO-AN). Over the last years, there has been an increased focus on the role of cognitive functioning in the development and maintenance of AN. Adults with AN show inefficiencies in cognitive functions such as flexibility and central coherence. Systematic neuropsychological examinations of patients with EO-AN are missing. Thirty children with EO-AN and 30 adolescents with AN, as well as 60 healthy controls (HC) underwent an extensive neuropsychological examination. ANOVAs with post hoc tests and explorative regression analyses were conducted. Patients with EO-AN (mean age = 2.17 ± 1.57 years) showed no significant differences in flexibility, inhibition, planning, central coherence, visuospatial short- and long-term memory or recognition in comparison to HC (mean age = 11.62 ± 1.29 years). Performance of adolescents with AN (mean age = 15.93 ± 0.70 years) was not significantly different compared to HC (mean age = 16.20 ± 1.26 years). Explorative regression analyses revealed a significant interaction of age and group for flexibility (adjusted
R
2
= 0.30,
F
= 17.85,
p
= 0.013, η
p
2
= 0.32). Contrary to expectations, the current study could not confirm the presence of inefficient cognitive processing in children with EO-AN compared to HC. Nonetheless, the expected age-related improvement of flexibility might be disrupted in children and adolescents with AN. Longitudinal neuropsychological examinations are necessary to provide more information about the role of cognitive functioning in the development and maintenance of AN. |
| doi_str_mv | 10.1007/s00787-016-0847-0 |
| format | article |
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R
2
= 0.30,
F
= 17.85,
p
= 0.013, η
p
2
= 0.32). Contrary to expectations, the current study could not confirm the presence of inefficient cognitive processing in children with EO-AN compared to HC. Nonetheless, the expected age-related improvement of flexibility might be disrupted in children and adolescents with AN. Longitudinal neuropsychological examinations are necessary to provide more information about the role of cognitive functioning in the development and maintenance of AN.</description><identifier>ISSN: 1018-8827</identifier><identifier>EISSN: 1435-165X</identifier><identifier>DOI: 10.1007/s00787-016-0847-0</identifier><identifier>PMID: 27083433</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acute Disease ; Adolescent ; Adolescents ; Age ; Age differences ; Age of Onset ; Anorexia ; Anorexia Nervosa - physiopathology ; Brain research ; Brain-derived neurotrophic factor ; Child ; Child & adolescent psychiatry ; Child and Adolescent Psychiatry ; Children ; Children & youth ; Cognition ; Cognition - physiology ; Cognitive ability ; Cognitive development ; Cognitive functioning ; Coherence ; Early onset ; Eating disorders ; Female ; Flexibility ; Humans ; Information processing ; Long term memory ; Male ; Medicine ; Medicine & Public Health ; Original Contribution ; Psychiatry ; Regression analysis ; Spatial memory ; Studies ; Systematic review ; Teenagers ; Visual memory</subject><ispartof>European child & adolescent psychiatry, 2016-11, Vol.25 (11), p.1233-1244</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><rights>European Child & Adolescent Psychiatry is a copyright of Springer, 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-ef2497c2a2dc585e323d4896898d1aae135d2b08a843c4e22ef03ee3264b5a523</citedby><cites>FETCH-LOGICAL-c372t-ef2497c2a2dc585e323d4896898d1aae135d2b08a843c4e22ef03ee3264b5a523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1867928854/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1867928854?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,783,787,12858,21406,21407,27936,27937,31011,33623,33624,34542,34543,43745,44127,74555,74973</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27083433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Noort, Betteke Maria</creatorcontrib><creatorcontrib>Pfeiffer, Ernst</creatorcontrib><creatorcontrib>Ehrlich, Stefan</creatorcontrib><creatorcontrib>Lehmkuhl, Ulrike</creatorcontrib><creatorcontrib>Kappel, Viola</creatorcontrib><title>Cognitive performance in children with acute early-onset anorexia nervosa</title><title>European child & adolescent psychiatry</title><addtitle>Eur Child Adolesc Psychiatry</addtitle><addtitle>Eur Child Adolesc Psychiatry</addtitle><description>When anorexia nervosa (AN) occurs in children below the age of 14 years, it is referred to as early-onset AN (EO-AN). Over the last years, there has been an increased focus on the role of cognitive functioning in the development and maintenance of AN. Adults with AN show inefficiencies in cognitive functions such as flexibility and central coherence. Systematic neuropsychological examinations of patients with EO-AN are missing. Thirty children with EO-AN and 30 adolescents with AN, as well as 60 healthy controls (HC) underwent an extensive neuropsychological examination. ANOVAs with post hoc tests and explorative regression analyses were conducted. Patients with EO-AN (mean age = 2.17 ± 1.57 years) showed no significant differences in flexibility, inhibition, planning, central coherence, visuospatial short- and long-term memory or recognition in comparison to HC (mean age = 11.62 ± 1.29 years). Performance of adolescents with AN (mean age = 15.93 ± 0.70 years) was not significantly different compared to HC (mean age = 16.20 ± 1.26 years). Explorative regression analyses revealed a significant interaction of age and group for flexibility (adjusted
R
2
= 0.30,
F
= 17.85,
p
= 0.013, η
p
2
= 0.32). Contrary to expectations, the current study could not confirm the presence of inefficient cognitive processing in children with EO-AN compared to HC. Nonetheless, the expected age-related improvement of flexibility might be disrupted in children and adolescents with AN. Longitudinal neuropsychological examinations are necessary to provide more information about the role of cognitive functioning in the development and maintenance of AN.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Age</subject><subject>Age differences</subject><subject>Age of Onset</subject><subject>Anorexia</subject><subject>Anorexia Nervosa - physiopathology</subject><subject>Brain research</subject><subject>Brain-derived neurotrophic factor</subject><subject>Child</subject><subject>Child & adolescent psychiatry</subject><subject>Child and Adolescent Psychiatry</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cognition</subject><subject>Cognition - physiology</subject><subject>Cognitive ability</subject><subject>Cognitive development</subject><subject>Cognitive functioning</subject><subject>Coherence</subject><subject>Early onset</subject><subject>Eating disorders</subject><subject>Female</subject><subject>Flexibility</subject><subject>Humans</subject><subject>Information processing</subject><subject>Long term memory</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Contribution</subject><subject>Psychiatry</subject><subject>Regression analysis</subject><subject>Spatial memory</subject><subject>Studies</subject><subject>Systematic review</subject><subject>Teenagers</subject><subject>Visual memory</subject><issn>1018-8827</issn><issn>1435-165X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OJlNZ-72aMUv6DgRcFbSLOz7ZbdpCa71f57U7aKCF5mBvLMO-FB6Jzga4JxfhNikXmKSZZiyeNwgMaEM5GSTLwdxhkTmUpJ8xE6CWGFMREFpsdoRHMsGWdsjJ6mbmHrrt5AsgZfOd9qayCpbWKWdVN6sMlH3S0TbfoOEtC-2abOBugSbZ2Hz1onFvzGBX2KjirdBDjb9wl6vb97mT6ms-eHp-ntLDUsp10KFeVFbqimpRFSAKOs5LLIZCFLojUQJko6x1JLzgwHSqHCDCKW8bnQgrIJuhpy19699xA61dbBQNNoC64PikiaZbkosh16-Qddud7b-LtIZXlBpRQ8UmSgjHcheKjU2tet9ltFsNp5VoNnFT2rnWeF487FPrmft1D-bHyLjQAdgBCf7AL8r9P_pn4BAE2HkA</recordid><startdate>20161101</startdate><enddate>20161101</enddate><creator>van Noort, Betteke Maria</creator><creator>Pfeiffer, Ernst</creator><creator>Ehrlich, Stefan</creator><creator>Lehmkuhl, Ulrike</creator><creator>Kappel, Viola</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20161101</creationdate><title>Cognitive performance in children with acute early-onset anorexia nervosa</title><author>van Noort, Betteke Maria ; Pfeiffer, Ernst ; Ehrlich, Stefan ; Lehmkuhl, Ulrike ; Kappel, Viola</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-ef2497c2a2dc585e323d4896898d1aae135d2b08a843c4e22ef03ee3264b5a523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Age</topic><topic>Age differences</topic><topic>Age of Onset</topic><topic>Anorexia</topic><topic>Anorexia Nervosa - physiopathology</topic><topic>Brain research</topic><topic>Brain-derived neurotrophic factor</topic><topic>Child</topic><topic>Child & adolescent psychiatry</topic><topic>Child and Adolescent Psychiatry</topic><topic>Children</topic><topic>Children & youth</topic><topic>Cognition</topic><topic>Cognition - physiology</topic><topic>Cognitive ability</topic><topic>Cognitive development</topic><topic>Cognitive functioning</topic><topic>Coherence</topic><topic>Early onset</topic><topic>Eating disorders</topic><topic>Female</topic><topic>Flexibility</topic><topic>Humans</topic><topic>Information processing</topic><topic>Long term memory</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Contribution</topic><topic>Psychiatry</topic><topic>Regression analysis</topic><topic>Spatial memory</topic><topic>Studies</topic><topic>Systematic review</topic><topic>Teenagers</topic><topic>Visual memory</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Noort, Betteke Maria</creatorcontrib><creatorcontrib>Pfeiffer, Ernst</creatorcontrib><creatorcontrib>Ehrlich, Stefan</creatorcontrib><creatorcontrib>Lehmkuhl, Ulrike</creatorcontrib><creatorcontrib>Kappel, Viola</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>Proquest Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European child & adolescent psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Noort, Betteke Maria</au><au>Pfeiffer, Ernst</au><au>Ehrlich, Stefan</au><au>Lehmkuhl, Ulrike</au><au>Kappel, Viola</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive performance in children with acute early-onset anorexia nervosa</atitle><jtitle>European child & adolescent psychiatry</jtitle><stitle>Eur Child Adolesc Psychiatry</stitle><addtitle>Eur Child Adolesc Psychiatry</addtitle><date>2016-11-01</date><risdate>2016</risdate><volume>25</volume><issue>11</issue><spage>1233</spage><epage>1244</epage><pages>1233-1244</pages><issn>1018-8827</issn><eissn>1435-165X</eissn><abstract>When anorexia nervosa (AN) occurs in children below the age of 14 years, it is referred to as early-onset AN (EO-AN). Over the last years, there has been an increased focus on the role of cognitive functioning in the development and maintenance of AN. Adults with AN show inefficiencies in cognitive functions such as flexibility and central coherence. Systematic neuropsychological examinations of patients with EO-AN are missing. Thirty children with EO-AN and 30 adolescents with AN, as well as 60 healthy controls (HC) underwent an extensive neuropsychological examination. ANOVAs with post hoc tests and explorative regression analyses were conducted. Patients with EO-AN (mean age = 2.17 ± 1.57 years) showed no significant differences in flexibility, inhibition, planning, central coherence, visuospatial short- and long-term memory or recognition in comparison to HC (mean age = 11.62 ± 1.29 years). Performance of adolescents with AN (mean age = 15.93 ± 0.70 years) was not significantly different compared to HC (mean age = 16.20 ± 1.26 years). Explorative regression analyses revealed a significant interaction of age and group for flexibility (adjusted
R
2
= 0.30,
F
= 17.85,
p
= 0.013, η
p
2
= 0.32). Contrary to expectations, the current study could not confirm the presence of inefficient cognitive processing in children with EO-AN compared to HC. Nonetheless, the expected age-related improvement of flexibility might be disrupted in children and adolescents with AN. Longitudinal neuropsychological examinations are necessary to provide more information about the role of cognitive functioning in the development and maintenance of AN.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27083433</pmid><doi>10.1007/s00787-016-0847-0</doi><tpages>12</tpages></addata></record> |
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| language | eng |
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| subjects | Acute Disease Adolescent Adolescents Age Age differences Age of Onset Anorexia Anorexia Nervosa - physiopathology Brain research Brain-derived neurotrophic factor Child Child & adolescent psychiatry Child and Adolescent Psychiatry Children Children & youth Cognition Cognition - physiology Cognitive ability Cognitive development Cognitive functioning Coherence Early onset Eating disorders Female Flexibility Humans Information processing Long term memory Male Medicine Medicine & Public Health Original Contribution Psychiatry Regression analysis Spatial memory Studies Systematic review Teenagers Visual memory |
| title | Cognitive performance in children with acute early-onset anorexia nervosa |
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