Implications of starvation‐induced change in right dorsal anterior cingulate volume in anorexia nervosa
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Objective: Converging evidence suggests a role for the anterior cingulate cortex (ACC) in the pathophysiology of anorexia nervosa (AN). This study sought to determine whether ACC volume was affected by starvation in active AN and, if so, whether this had any clinical significance. Method: Eighteen patients with active AN and age‐ and gender‐matched normal controls underwent magnetic resonance imaging (MRI). Sixteen patients (89%) with AN had intelligence quotients (IQ) testing at intake, 14 (78%) had repeat MRIs after weight normalization, and 10 (56%) had outcome data at 1‐year posthospitalization. Results: Right dorsal ACC volume was significantly reduced in active AN patients versus controls and was correlated with lower performance IQ. While ACC normalization occurred with weight restoration, smaller change in right dorsal ACC volume prospectively predicted relapse after treatment. Conclusion: Reduced right dorsal ACC volume during active AN relates to deficits in perceptual organization and conceptual reasoning. The degree of right dorsal ACC normalization during treatment is related to outcome. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008
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Decreased volumes of dorsal anterior cingulate cortex have been reported in ill and recovered adult patients with anorexia relative to comparison subjects.
“First, decreased volumes of the dorsal anterior cingulate cortex have been reported in ill (103) and recovered (104) adult patients relative to comparison subjects.”
From Functional disturbances within frontostriatal circuits across multiple childhood psychopathologies (2009) · cites this paper as [103]
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- Authors
- McCormick, L. M., Keel, P. K., Brumm, M. C., Bowers, W., Swayze, V., Andersen, A., & Andreasen, N.
- Affiliations
- University of Iowa (US)
- Corresponding author
- McCormick, Laurie M.
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2008-05-12
- Volume
- 41
- Issue
- 7
- Pages
- 602-610
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- PMC
- PMC3652574
- OpenAlex
- W2006326305
- Cited by
- 114
- References
- 61
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 5 · 2023: 9 · 2022: 3 · 2021: 6 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 10 · 2015: 9 · 2014: 6 · 2013: 11 · 2012: 7
- FWCI
- 8.55
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- International Journal of Eating Disorders (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH031593, MH 40856, MH-31593, R37MH031593, MH-43271, R01MH040856, P50MH043271)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- anorexia nervosa, anterior cingulate cortex, brain volume, starvation, weight restoration, recurrence prediction, performance IQ, perceptual organization, conceptual reasoning, treatment outcomes
- MeSH terms
- Adolescent, Adult, Anorexia Nervosa, Atrophy, Cognition, Female, Follow-Up Studies, Gyrus Cinguli, Humans, Intelligence, Magnetic Resonance Imaging, Male, Starvation, Weight Gain, Case-Control Studies, Matched-Pair Analysis
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