Impulsivity and compulsivity in anorexia and bulimia nervosa: A systematic review

Maxine Howard, Eva C. Gregertsen, Chandni Hindocha, Lucy Serpell

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35 Citations (Scopus)

Abstract

This study aimed to systematically appraise cross-sectional research that compared the cognitive performance of individuals in the acute phase of BN and/or AN to HCs on measures of impulsivity and compulsivity. The results of the systematic review showed support for the trans-diagnostic approach to eating disorders. There was no strong evidence to support the characterisation of AN as high in compulsivity (and low in impulsivity), nor to support the characterisation of BN as high in impulsivity (and low in compulsivity). There appeared to be mixed findings for both impulsivity and compulsivity across AN and BN. Results were highly variable due to the heterogeneous tasks used, and lack of replication across studies. There was no consensus amongst the included studies on the most appropriate task and/or outcome measures that should be used to study the constructs of impulsivity and compulsivity.

Original languageEnglish
Article number113354
Number of pages15
JournalPsychiatry Research
Volume293
DOIs
Publication statusPublished - Nov 2020
Externally publishedYes

Keywords

  • Action cancellation
  • Action inhibition
  • Action restraint
  • Eating disorders
  • Interference control
  • Risk taking
  • Set-shifting

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