Étude du développement cognitif et de la pensée logique dans l'anorexie mentale

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• 作者：F. Poinso ; D. Da Fonseca ; E. Camera ; C. Zarro ; J. Guelfi ; H. Duverger ; B. Vialettes
• 关键词：Anorexia nervosa ; Formal Thought ; Piaget ; IQ
• 刊名：Neuropsychiatrie de l'enfance et de l'adolescence
• 出版年：2006
• 出版时间：September 2006
• 年：2006
• 卷：54
• 期：5
• 页码：289-296
• 全文大小：301 K

文摘

Patients with anorexia nervosa are usually presented as studious pupils, proposing their school performances to avoid the hospitalisation. Their real intellectual level is discussed in the literature, by taking into account of their state of denutrition, of the possibly associated depression and the psychopathological aspects of the cognitive investment.

Population and methodology

This study includes a population of 21 teenagers and adults with anorexia nervosa hospitalized in an endocrinology unit. They were evaluated using the IQ scales of Weschler and the scales of logical thought.

Results

These patients with anorexia nervosa have a normal IQ (average QIG = 102). On the other hand, 19 patients out of 21, present either a delay (50 % ), or a normal cognitive disharmony (45 % ).

Conclusions

The intellectual performances measured by the psychometric tests do not differentiate this group of patients from the general population. But these patients have a form of concrete thought, revealed by the tests of logical thought, which show their difficulties of accession to the abstract or formal thought of adolescence. We make the hypothesis of a link between the refusal of the sexual body and the immaturity of the new cognitive processes of the adolescence as the formal thought.