Altered striatal response to reward in bulimia nervosa after recovery
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Objective: It is possible that disturbances of systems modulating reward may contribute to a vulnerability to develop an eating disorder. Method: This hypothesis was tested by assessing functional magnetic resonance brain imaging response to a monetary reward task known to activate the anterior ventral striatum (AVS), a region implicated in motivational aspects toward stimuli. To avoid the confounding effects of malnutrition, 10 women who had recovered from bulimia nervosa (BN) were compared with 10 healthy comparison women (CW). Results: For the AVS, CW distinguished positive and negative feedback, whereas recovered BN women had similar responses to both conditions. In addition, these groups had similar patterns of findings for the dorsal caudate. Discussion: We have previously shown that individuals recovered from anorexia nervosa (AN) also had altered striatal responses and difficulties in differentiating positive and negative feedback. Thus BN and AN individuals may share a difficulty in discriminating the emotional significance of a stimulus. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010
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Women who recovered from BN had equivalent DCN responses to monetary-reward outcomes, whereas CN responses in the control group were specifically linked to monetary gains relative to losses.
“Wagner and colleagues [323] reported that women who had recovered from BN had equivalent DCN responses to monetary-reward outcomes, whereas CN responses in the control group were specifically linked to monetary gains relative to losses.”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [323]
Other studies have found atypical responses during reward outcome for monetary and food rewards in BN.
“Other studies have found atypical responses during reward outcome for monetary and food rewards.”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [323]
Women recovered from anorexia show increased CN activation to monetary-reward outcomes and relatively equivalent CN responses to monetary gains and losses, suggesting possible similarities in reward-circuitry response in AN and bulimia.
“Wagner and colleagues [341] reported increased CN activation to monetary-reward outcomes in women recovered from anorexia, and relatively equivalent CN responses to monetary gains and losses (a strongly similar pattern of results to that found by Wagner et al. in bulimia in [323]), suggesting possible similarities in reward-circuitry response in AN and bulimia.”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [323]
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- Authors
- Wagner, A., Aizenstein, H., Venkatraman, V. K., Bischoff‐Grethe, A., Fudge, J., May, J. C., Frank, G. K., Bailer, U. F., Fischer, L., Putnam, K., & Kaye, W. H.
- Affiliations
- University of Pittsburgh (US)
- University of California San Diego (US)
- University of Rochester Medicine (US)
- University of Cincinnati (US)
- Corresponding author
- Kaye, Walter H.
- ORCID
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2009-05-11
- Volume
- 43
- Issue
- 4
- Pages
- 289-294
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- PMC
- PMC4286149
- OpenAlex
- W2000938423
- Cited by
- 93
- References
- 34
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 7 · 2019: 2 · 2018: 8 · 2017: 6 · 2016: 7 · 2015: 9 · 2014: 6 · 2013: 8 · 2012: 10
- FWCI
- 9.44
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (MH42984, MH-46001, K05MH001894, R01MH046001, K23MH080135, R01MH042984, T32MH018399)
- National Institute on Minority Health and Health Disparities (L60 MD001894, K05-MD01894)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- bulimia nervosa, striatum, reward processing, dorsal caudate, recovery, anorexia nervosa, positive and negative feedback, eating disorders
- MeSH terms
- Adult, Basal Ganglia, Brain Mapping, Emotions, Female, Humans, Magnetic Resonance Imaging, Motivation, Reference Values, Reward, Feedback, Psychological, Bulimia Nervosa, Young Adult
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