Joanna Steinglass1, B Timothy Walsh. 1. Department of Psychiatry, College of Physicians and Surgeons of Columbia University/New York State Psychiatric Institute, New York, New York 10032, USA. js1124@columbia.edu
Abstract
OBJECTIVE: Anorexia nervosa (AN) is characterized by abnormal behaviors involving eating and weight that are impressively resistant to change. The persistence of these behaviors likely plays an important role in the high relapse rate after initial treatment. Persistent, stereotyped behaviors are also characteristic of obsessive-compulsive disorder (OCD). This article presents a neurocognitive model of AN, based on comparisons with OCD. METHOD: This article reviews clinical, neuropsychological, and neuroimaging findings in both OCD and AN relevant to a neurobiological understanding of a potential mechanism of the perpetuation of AN. RESULTS: The identification of specific neurocognitive disturbances in individuals with OCD has led to a compelling hypothesis of the neural mechanisms mediating this disorder. Evidence suggests that similar disturbances, involving neural circuits between the cortex and the basal ganglia, may be present in individuals with AN. CONCLUSION: Research on such neurocognitive disturbances has the potential both to inform understanding of neural mechanisms underlying AN and to lead to advances in treatment. 2006 by Wiley Periodicals, Inc.
OBJECTIVE:Anorexia nervosa (AN) is characterized by abnormal behaviors involving eating and weight that are impressively resistant to change. The persistence of these behaviors likely plays an important role in the high relapse rate after initial treatment. Persistent, stereotyped behaviors are also characteristic of obsessive-compulsive disorder (OCD). This article presents a neurocognitive model of AN, based on comparisons with OCD. METHOD: This article reviews clinical, neuropsychological, and neuroimaging findings in both OCD and AN relevant to a neurobiological understanding of a potential mechanism of the perpetuation of AN. RESULTS: The identification of specific neurocognitive disturbances in individuals with OCD has led to a compelling hypothesis of the neural mechanisms mediating this disorder. Evidence suggests that similar disturbances, involving neural circuits between the cortex and the basal ganglia, may be present in individuals with AN. CONCLUSION: Research on such neurocognitive disturbances has the potential both to inform understanding of neural mechanisms underlying AN and to lead to advances in treatment. 2006 by Wiley Periodicals, Inc.
Authors: Shari A Steinman; Susanne E Ahmari; Tse Choo; Marcia B Kimeldorf; Rachel Feit; Sarah Loh; Victoria Risbrough; Mark A Geyer; Joanna E Steinglass; Melanie Wall; Franklin R Schneier; Abby J Fyer; H Blair Simpson Journal: Depress Anxiety Date: 2016-02-15 Impact factor: 6.505
Authors: Joanna E Steinglass; Bernd Figner; Staci Berkowitz; H Blair Simpson; Elke U Weber; B Timothy Walsh Journal: J Int Neuropsychol Soc Date: 2012-05-16 Impact factor: 2.892
Authors: Kim A Celone; Heather Thompson-Brenner; Robert S Ross; Elizabeth M Pratt; Chantal E Stern Journal: Neuroimage Date: 2011-03-23 Impact factor: 6.556
Authors: Lauren R Godier; Sanne de Wit; Anthony Pinto; Joanna E Steinglass; Ashley L Greene; Jessica Scaife; Claire M Gillan; B Timothy Walsh; Helen-Blair Simpson; Rebecca J Park Journal: Psychiatry Res Date: 2016-07-26 Impact factor: 3.222