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Executive functioning among female pathological gambling and bulimia nervosa patients: Preliminary findings

Published online by Cambridge University Press:  01 March 2009

E.M. ÁLVAREZ-MOYA ,
S. JIMÉNEZ-MURCIA ,
L. MORAGAS ,
M. GÓMEZ-PEÑA ,
M.N. AYMAMÍ ,
C. OCHOA ,
I. SÁNCHEZ-DÍAZ ,
J.M. MENCHÓN  and
F. FERNÁNDEZ-ARANDA
E.M. ÁLVAREZ-MOYA
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain Ciber Fisiopatologia Obesidad y Nutricion (CIBERObn), Instituto Salud Carlos III, Spain
S. JIMÉNEZ-MURCIA
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain Ciber Fisiopatologia Obesidad y Nutricion (CIBERObn), Instituto Salud Carlos III, Spain
L. MORAGAS
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain
M. GÓMEZ-PEÑA
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain
M.N. AYMAMÍ
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain
C. OCHOA
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain Department of Psychiatry and Clinical, University of Barcelona, Spain
I. SÁNCHEZ-DÍAZ
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain
J.M. MENCHÓN
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain Ciber Fisiopatologia Obesidad y Nutricion (CIBERObn), Instituto Salud Carlos III, Spain
F. FERNÁNDEZ-ARANDA*
Affiliation:
Department of Psychiatry, Bellvitge University Hospital, Barcelona, Spain Ciber Fisiopatologia Obesidad y Nutricion (CIBERObn), Instituto Salud Carlos III, Spain
*
*Correspondence and reprint requests to: Fernando Fernández-Aranda, Department of Psychiatry, University Hospital of Bellvitge, c/Feixa Llarga s/n, 08907-Barcelona, Spain. E-mail: ffernandez@csub.scs.es
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Abstract

Shared vulnerabilities have been described across disorders of impulse control, including pathological gambling (PG) and bulimia nervosa (BN). Our aim was to compare the executive functioning of PG and BN females in order to confirm their similarity at a neurocognitive level. A total of 15 BN females, 15 PG females, and 15 healthy control (HC) females were administered the Wisconsin Card Sorting Test (WCST) and the Stroop Color and Word Test. Analysis of covariance adjusted for age and education was conducted to compare groups. PG showed the greatest impairment, that is, the highest percentage of WCST perseverative errors (p = .023), the lowest percentage of conceptual-level responses (p = .034), and the highest number of total trials administered (p = .021), while BN showed the highest percentage of WCST nonperseverative errors (p = .003). Both BN and PG females demonstrated executive dysfunction relative to HCs but different specific correlates (i.e., greater vulnerability to distraction in BN, but more cognitive inflexibility in PG). (JINS, 2009, 15, 302–306.)

Keywords

Impulse control disordersAttentionCognitive flexibilityBulimia nervosaPathological gamblingEndophenotype
Type
Brief Communications
Information
Journal of the International Neuropsychological Society , Volume 15 , Issue 2 , March 2009 , pp. 302 - 306
Copyright
Copyright © INS 2009

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