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Neuropsychological Studies in Eating Disorders - A Review (Paperback)
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Neuropsychological Studies in Eating Disorders - A Review (Paperback)
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A number of avenues of research indicate that neurobiological
abnormalities may be involved in eating disorders. An important
component of this may be some form of dysfunction in cognitive
processing. The aim of this book is to review the results and
implications of previous research into neuropsychological function
in Eating Disorders (ED), focusing on the diagnoses of Anorexia
Nervosa (AN) and Bulimia Nervosa (BN). Published articles on this
topic, uncovered in a recent systematic literature search, are
summarised here in a table format, allowing the straightforward
comparison of materials, methods and results across studies. Whilst
providing insight into potential areas of cognitive dysfunction in
this clinical group, the neuropsychological data that exists for
eating disorders is somewhat unclear. A number of methodological
limitations are inherent in this literature; with issues ranging
from sample characteristics to study design and the variety of
tests employed, thus restricting the conclusions that may be
derived. Suggestions as to how these limitations may be overcome
and potential directions for future research are discussed
accordingly. We advocate the adoption of a hypothesis driven
approach to explore neuropsychological processing in Eating
Disorders, the utility of which has been confirmed in the ongoing
work of our department. Based on clinical observation and
personality research, our hypotheses with regards to reduced
cognitive flexibility in individuals with AN have consistently been
endorsed. Neuropsychological research has both important
theoretical and clinical implications, advancing understanding with
regards to aetiology and phenotypes of disorder. The knowledge
derived from hypothesis driven neuropsychological studies may be
applied practically in research and treatment settings, with the
potential to initiate the development of innovative treatment
interventions, as has been seen with other psychiatric disorders.
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