Prospective associations between childhood neuropsychological profiles and adolescent eating disorders.
Prospective associations between childhood neuropsychological profiles and adolescent eating disorders.
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DOI：
10.1002/erv.2721
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发表时间：
2020-01
期刊：
影响因子：
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通讯作者：
Katherine Schaumberg;Katherine Schaumberg;L. Brosof;E. Lloyd;Z. Yilmaz;C. M. Bulik;C. M. Bulik;S. Zerwas;Nadia Micali;Nadia Micali;Nadia Micali
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文献类型：
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作者：
Katherine Schaumberg;Katherine Schaumberg;L. Brosof;E. Lloyd;Z. Yilmaz;C. M. Bulik;C. M. Bulik;S. Zerwas;Nadia Micali;Nadia Micali;Nadia Micali
目的：饮食失调（EDs）与神经心理功能缺陷之间的横断面关联已被充分证明；然而，关于神经心理功能是否与ed相关的研究有限。目前的研究在基于人群的样本中调查了儿童（8岁和10岁）神经心理功能与青春期（14岁、16岁和18岁）ED行为和障碍之间的前瞻性关联。方法参与者（N = 4,803）是参加雅芳父母与儿童纵向研究的儿童，这是一项基于人群的妇女及其子女的前瞻性研究。回归方法测试了神经心理功能（注意力、工作记忆和抑制）与饮食失调症状和诊断之间的联系。结果：儿童期工作记忆任务得分较高与禁食风险降低有关，但与青春期过度运动风险增加有关。更好的抑制控制与14岁时饮食失调的风险降低有关，而注意力困难与青春期男孩而不是女孩的暴食症风险增加有关。结论：神经心理功能可能通过特定方式增加饮食失调的风险。总体而言，效应量很小，结果不支持该样本中神经心理差异与ED风险之间的整体关联。
OBJECTIVE Cross-sectional associations between eating disorders (EDs) and deficits in neuropsychological functioning have been well documented; however, limited research has examined whether neuropsychological functioning is prospectively associated with EDs. The current study investigated prospective associations between neuropsychological functioning in childhood (ages 8 and 10) and ED behaviours and disorders in adolescence (at ages 14, 16, and 18 years) in a population-based sample. METHOD Participants (N = 4,803) were children enrolled in the Avon Longitudinal Study of Parents and Children, a population-based, prospective study of women and their children. Regression methods tested associations between facets of neuropsychological functioning (attention, working memory, and inhibition) and eating disorder symptoms and diagnoses. RESULTS Better scores on working memory tasks in childhood were associated with decreased risk of fasting but increased risk of excessive exercise during adolescence. Better inhibitory control was associated with decreased risk for disordered eating at age 14, and attentional difficulties were associated with increased risk for binge eating disorder during adolescence among boys but not girls. CONCLUSIONS Neuropsychological functioning may enhance risk for disordered eating behaviours in specific ways. Overall, effect sizes were small, and results did not support global associations between neuropsychological differences and ED risk in this sample.