title: The neuropsychology of starvation: set-shifting and central coherence in a fasted nonclinical sample.
abstract: OBJECTIVE
  Recent research suggests certain neuropsychological deficits occur in anorexia nervosa (AN). The role of starvation in these deficits remains unclear. Studies of individuals without AN can elucidate our understanding of the effect of short-term starvation on neuropsychological performance.
  
  
  METHODS
  Using a within-subjects repeated measures design, 60 healthy female participants were tested once after fasting for 18 hours, and once when satiated. Measures included two tasks to measure central coherence and a set-shifting task.
  
  
  RESULTS
  Fasting exacerbated set-shifting difficulties on a rule-change task. Fasting was associated with stronger local and impaired global processing, indicating weaker central coherence.
  
  
  CONCLUSIONS
  Models of AN that propose a central role for set-shifting difficulties or weak central coherence should also consider the impact of short-term fasting on these processes.
authors.affiliation: Research Department of Clinical, Educational, and Health Psychology, University College London, London, United Kingdom.
authors.forename: Sarah
authors.initials: S
authors.lastname: Pender
authors.affiliation: Institute of Cognitive Neuroscience, University College London, London, United Kingdom.
authors.forename: Sam J
authors.initials: SJ
authors.lastname: Gilbert
authors.affiliation: Research Department of Clinical, Educational, and Health Psychology, University College London, London, United Kingdom; Eating Disorders Service, North East London Foundation Trust, Essex, United Kingdom.
authors.forename: Lucy
authors.initials: L
authors.lastname: Serpell
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology*; D001007:Anxiety / Q000523:psychology; D003863:Depression / Q000523:psychology; D005215:Fasting / Q000523:psychology; D005260:Female; D006801:Humans; D009483:Neuropsychological Tests; D060685:Sense of Coherence; D012718:Set, Psychology; D013217:Starvation / Q000523:psychology*; D055815:Young Adult