title: Set-shifting and its relation to clinical and personality variables in full recovery of anorexia nervosa.
abstract: OBJECTIVE
  First, this study aimed to explore whether set-shifting is inefficient after full recovery of anorexia nervosa (recAN). Second, this study wanted to explore the relation of set-shifting to clinical and personality variables.
  
  
  METHODS
  A total of 100 recAN women were compared with 100 healthy women. Set-shifting was assessed with Berg's Card Sorting Test. Expert interviews yielded assessments for the inclusion/exclusion criteria, self-ratings for clinical and personality variables.
  
  
  RESULTS
  Compared with the healthy control group, the recAN participants achieved fewer categories, showed more perseverations and spent less time for shifting set. Perfectionism is correlated with set-shifting but in converse directions in the two groups.
  
  
  CONCLUSIONS
  Our study supports the findings of inefficiencies in set-shifting after full recovery from AN. Higher perfectionism in the recAN group is associated with better set-shifting ability, whereas higher perfectionism in the healthy control group is related to worse set-shifting ability.
authors.affiliation: Department of Psychiatry, University of Munich (LMU), Munich, Germany.
authors.forename: Susanne E
authors.initials: SE
authors.lastname: Lindner
authors.forename: Manfred M
authors.initials: MM
authors.lastname: Fichter
authors.forename: Norbert
authors.initials: N
authors.lastname: Quadflieg
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology*; D016022:Case-Control Studies; D056344:Executive Function; D005260:Female; D006801:Humans; D008875:Middle Aged; D009483:Neuropsychological Tests; D009771:Obsessive-Compulsive Disorder / Q000150:complications; D010551:Personality; D012718:Set, Psychology; D055815:Young Adult
keywords: Berg's Card Sorting Test; anorexia nervosa; cognitive flexibility; perfectionism; set-shifting