title: A further assessment of decision-making in anorexia nervosa.
abstract: OBJECTIVE
  Anorexia nervosa (AN) may be associated with impaired decision-making. Cognitive processes underlying this impairment remain unclear, mainly because previous assessments of this complex cognitive function were completed with a single test. Furthermore, clinical features such as mood status may impact this association. We aim to further explore the hypothesis of altered decision-making in AN.
  
  
  METHODS
  Sixty-three adult women with AN and 49 female controls completed a clinical assessment and were assessed by three tasks related to decision-making [Iowa Gambling Task (IGT), Balloon Analogue Risk Task (BART), Probabilistic Reversal Learning Task (PRLT)].
  
  
  RESULTS
  People with AN had poorer performance on the IGT and made less risky choices on the BART, whereas performances were not different on PRLT. Notably, AN patients with a current major depressive disorder showed similar performance to those with no current major depressive disorder.
  
  
  CONCLUSIONS
  These results tend to confirm an impaired decision making-process in people with AN and suggest that various cognitive processes such as inhibition to risk-taking or intolerance of uncertainty may underlie this condition Furthermore, these impairments seem unrelated to the potential co-occurent major depressive disorders.
authors.affiliation: Inserm U1061, Montpellier, France; University of Montpellier 1, Montpellier, France; Department of Psychiatry, Nimes University Hospital, Nimes, France.
authors.forename: C
authors.initials: C
authors.lastname: Adoue
authors.affiliation: Inserm U1061, Montpellier, France; University of Montpellier 1, Montpellier, France.
authors.forename: I
authors.initials: I
authors.lastname: Jaussent
authors.affiliation: Inserm U1061, Montpellier, France; University of Montpellier 1, Montpellier, France; CHU Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France.
authors.forename: E
authors.initials: E
authors.lastname: Olié
authors.affiliation: Inserm U1061, Montpellier, France; University of Montpellier 1, Montpellier, France.
authors.forename: S
authors.initials: S
authors.lastname: Beziat
authors.affiliation: Eating Disorders Program, Douglas University Institute, Psychiatry Department, McGill University, Montreal, 6875, boulevard Lasalle, Verdun, H4H 1R3, Quebec, Canada.
authors.forename: F
authors.initials: F
authors.lastname: Van den Eynde
authors.affiliation: Inserm U1061, Montpellier, France; University of Montpellier 1, Montpellier, France; CHU Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France.
authors.forename: P
authors.initials: P
authors.lastname: Courtet
authors.affiliation: Inserm U1061, Montpellier, France; University of Montpellier 1, Montpellier, France; CHU Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France. Electronic address: s-guillaume@chu-montpellier.fr.
authors.forename: S
authors.initials: S
authors.lastname: Guillaume
mesh_terms: D000328:Adult; D000339:Affect; D000856:Anorexia Nervosa / Q000523:psychology*; D015992:Body Mass Index; D003071:Cognition; D015897:Comorbidity; D003657:Decision Making; D003865:Major Depressive Disorder / Q000523:psychology; D005260:Female; D005715:Gambling; D006801:Humans; D008875:Middle Aged; D009483:Neuropsychological Tests; D012309:Risk-Taking
keywords: Anorexia nervosa; Decision making; Eating disorders; Neurocognition; Neuropsychology