Olfactory function and alternation learning in eating disorders

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• 作者：Daniel Stein ; Ruth Gross-Isseroff ; Roni Besserglick ; Amir Ziv ; Gad Mayer ; Amit Yaroslavsky ; Anat Toledano ; Hillary Voet ; Abraham Weizman ; Haggai Hermesh
• 关键词：Orbitofrontal ; Alternation learning ; Olfactory discrimination ; Anorexia nervosa ; Bulimia nervosa ; Obsessive compulsive disorder
• 刊名：European Neuropsychopharmacology
• 出版年：2012
• 出版时间：September, 2012
• 年：2012
• 卷：22
• 期：9
• 页码：615-624
• 全文大小：316 K

文摘

Orbitofrontal dysfunction is a prominent feature of obsessive compulsive disorder (OCD). In the present study we assessed orbitofrontal functioning in eating disorders (EDs) which share many features with OCD. For this purpose we studied female adolescent inpatients with anorexia nervosa restricting type (n = 40), anorexia nervosa binge/purge type (n = 23), a normal weight group including patients with either bulimia nervosa or eating disorder not otherwise specified-purging type (n = 33), and 20 non-ED control females. Patients were assessed at admission, and when achieving weight restoration and symptom stabilization at discharge, for depression, non-ED, and ED-related OC symptoms. Orbitofrontal functioning was assessed with an alternation learning task, and with a battery assessing olfactory threshold and discrimination. Control females were assessed once. ED patients of all subtypes performed better on olfactory threshold and discrimination, but not on alternation learning, in comparison to healthy controls. More favorable orbitofrontal functioning was associated with greater ED-related obsessionality. No changes were found in olfactory threshold and discrimination between acutely-ill and symptomatically-stabilized patients. The improvement shown in alternation learning from admission to discharge was suggested to reflect a learning effect rather than being an actual change. Our findings suggest that the better orbitofrontal functioning of ED patients in comparison to healthy controls may represent a core feature of the ED that is independent of malnutrition and deranged eating behaviors, but is associated with ED-related obsessionality.