title: Associations between neural correlates of visual stimulus processing and set-shifting in ill and recovered women with anorexia nervosa.
abstract: Women ill with anorexia nervosa (AN) have been shown to exhibit altered cognitive functioning, particularly poor set-shifting (SS). In this study, we investigated whether brain activation in frontal and parietal regions during visual stimulus processing correlates with SS ability. Women currently ill with AN (AN; N=14), recovered women (REC; N=14) and healthy controls (HC; N=15), viewed alternating blocks of food and non-food pictures during functional magnetic resonance imaging (fMRI). The Berg's Card Sorting Task was completed outside the scanner to measure SS. A priori regions of interest (ROIs) were defined in frontal and parietal regions. The activation during visual stimulus processing in several ROIs correlated positively with poor SS ability in REC, particularly in the left dorsal anterior cingulate cortex (dACC). The correlations with poor SS ability were opposite in AN patients, particularly in the right dACC. These findings underscore that addressing heightened levels of cognitive control associated with higher frontal activation could reduce cognitive inflexibility in recovered women. In AN, greater activation in frontal and parietal regions might be necessary to perform at normal levels during various tasks. Thus, weight restoration could be necessary for AN patients prior to addressing cognitive inflexibility.
authors: Image Sciences Institute, University Medical Center Utrecht, Heidelberglaan 100, Q02.4.45, 3584 CX Utrecht, The Netherlands.
authors: Hedvig
authors: H
authors: Sultson
authors: Image Sciences Institute, University Medical Center Utrecht, Heidelberglaan 100, Q02.4.45, 3584 CX Utrecht, The Netherlands.
authors: Floor
authors: F
authors: van Meer
authors: Altrecht Eating Disorders Rintveld, Altrecht Mental Health Institute, Zeist, The Netherlands; Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
authors: Nicole
authors: N
authors: Sanders
authors: Altrecht Eating Disorders Rintveld, Altrecht Mental Health Institute, Zeist, The Netherlands; Faculty of Social Sciences, Utrecht University, Utrecht, The Netherlands.
authors: Annemarie A
authors: AA
authors: van Elburg
authors: Altrecht Eating Disorders Rintveld, Altrecht Mental Health Institute, Zeist, The Netherlands.
authors: Unna N
authors: UN
authors: Danner
authors: Altrecht Eating Disorders Rintveld, Altrecht Mental Health Institute, Zeist, The Netherlands; Parnassia Psychiatric Institute, The Hague, The Netherlands; Department of Psychiatry, University Medical Center Groningen, Groningen, The Netherlands.
authors: Hans W
authors: HW
authors: Hoek
authors: Altrecht Eating Disorders Rintveld, Altrecht Mental Health Institute, Zeist, The Netherlands; Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
authors: Roger A H
authors: RA
authors: Adan
authors: Image Sciences Institute, University Medical Center Utrecht, Heidelberglaan 100, Q02.4.45, 3584 CX Utrecht, The Netherlands; Division of Human Nutrition, Wageningen University & Research Center, Wageningen, The Netherlands. Electronic address: p.smeets@umcutrecht.nl.
authors: Paul A M
authors: PA
authors: Smeets
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000523:psychology*; D003071:Cognition / Q000502:physiology; D005260:Female; D005502:Food; D006179:Gyrus Cinguli / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D010296:Parietal Lobe / Q000000981:diagnostic imaging* / Q000503:physiopathology; D010775:Photic Stimulation; D012718:Set, Psychology; D014796:Visual Perception / Q000502:physiology*; D055815:Young Adult
keywords: Cognitive inflexibility; Food viewing; Non-food viewing