Executive function in eating disorders: The role of state anxiety
Open accessAbstract
Objective: We examined the influence of depression and anxiety on executive function in individuals with a DSM‐IV diagnosis of anorexia nervosa‐restricting type, anorexia nervosa‐binge‐eating/purging type, bulimia nervosa, or eating disorder not otherwise specified. Method: We assessed 106 women after their inpatient treatment in an eating disorders program. All participants were nutritionally stable at the time of testing. Results: Thirty percent of the total sample showed impaired performance on one or more tests of executive function. No differences in executive function were observed among diagnostic groups. Anxiety scores accounted for significant variance in performance for all groups. Discussion: Executive function deficits were found in a minority of our sample, with significant variance in performance accounted for by self‐reported anxiety. State anxiety appears to contribute to diminished executive function in women with eating disorders. © 2013 by Wiley Periodicals, Inc. (Int J Eat Disord 2013)
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Cognitive flexibility is a potential pathway for the impact of state anxiety on EDS.
“The finding that cognitive flexibility is a potential pathway for the impact of state anxiety on EDS and is consistent with previous research, which emphasized the importance of preventing the deterioration of EF deficits in individuals with state anxiety in an inpatient EDS program (Billingsley-Marshall et al., 2013).”
From Common Predictive Factors of Social Media Addiction and Eating Disorder Symptoms in Female College Students: State Anxiety and the Mediating Role of Cognitive Flexibility/Sustained Attention (2022) · cites this paper as Billingsley-Marshall et al., 2013
The Discussion (p. 4) suggests that anxiety symptoms in women with eating disorders may impair executive-function performance, particularly on tasks requiring mental flexibility. It does not establish cognitive flexibility as a pathway by which state anxiety affects eating-disorder symptoms. The Procedure (p. 2) describes testing after inpatient treatment, not an intervention to prevent executive-function deterioration. (LLM, conf=0.87)
Experimental — accuracy not yet measuredWomen who performed poorly on executive function were likely to have reported higher levels of state anxiety.
“For EF, women who performed poorly were likely to have reported higher levels of state anxiety (Billingsley-Marshall et al., 2013).”
From Common Predictive Factors of Social Media Addiction and Eating Disorder Symptoms in Female College Students: State Anxiety and the Mediating Role of Cognitive Flexibility/Sustained Attention (2022) · cites this paper as Billingsley-Marshall et al., 2013
State anxiety contributes to diminished executive function in women with eating disorders.
“State anxiety also appears to contribute to diminished EF in women with eating disorders (Billingsley-Marshall et al., 2013).”
From Common Predictive Factors of Social Media Addiction and Eating Disorder Symptoms in Female College Students: State Anxiety and the Mediating Role of Cognitive Flexibility/Sustained Attention (2022) · cites this paper as Billingsley-Marshall et al., 2013
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“deterioration of EF deficits in individuals with state anxiety in an inpatient EDS program (Billingsley-Marshall et al., 2013).”
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- Authors
- Billingsley‐Marshall, R. L., Basso, M. R., Lund, B. C., Hernandez, E. R., Johnson, C. L., Drevets, W. C., McKee, P. A., & Yates, W. R.
- Affiliations
- Laureate Institute for Brain Research (US)
- University of Tulsa (US)
- University of Iowa (US)
- Laureate Psychiatric Clinic and Hospital (US)
- University of Oklahoma Health Sciences Center (US)
- Corresponding author
- Billingsley‐Marshall, Rebecca L.
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2013-01-28
- Volume
- 46
- Issue
- 4
- Pages
- 316-321
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W2087624150
- Cited by
- 40
- References
- 41
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 2 · 2022: 8 · 2021: 3 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 3 · 2014: 6 · 2013: 1
- FWCI
- 5.56
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- executive function, eating disorders, state anxiety, depression, anorexia nervosa, bulimia nervosa, eating disorder not otherwise specified, cognitive impairment, women, inpatient care
- MeSH terms
- Adolescent, Adult, Anxiety, Feeding and Eating Disorders, Depression, Female, Humans, Neuropsychological Tests, Diagnostic and Statistical Manual of Mental Disorders, Executive Function
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