Frontocingular Dysfunction in Bulimia Nervosa when Confronted with Disease‐specific Stimuli
Abstract
Objective: Bulimia nervosa (BN) is characterized by dysregulation of impulse control, in other words, uncontrolled eating. Functional neuroimaging studies have been sparse and have used variable methodologies. Method: Thirteen medication‐free female BN patients and 13 female healthy controls were investigated by functional magnetic resonance imaging using a disease‐specific food paradigm. Stimuli were rated after the scanning procedure. Results: Bulimia nervosa patients showed increased fear ratings and a trend for increased disgust. Magnetic resonance imaging data of 10 BN patients could be analysed. Three BN patients had to be excluded from the analysis because of minimal blood oxygen level dependent signals. Compared with healthy controls, BN patients showed less activation of the anterior cingulate cortex, which extended into the lateral prefrontal cortex. Furthermore, the right temporal pole showed decreased reactivity. Discussion: This study substantiates a key role of lateral prefrontal dysfunction in BN, a brain region involved in impulse control. Furthermore, the anterior cingulate cortex, which plays a key role in emotion processing, is dysfunctional. A major limitation of this study is the small sample size. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.
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Anorexia is associated with hyper-reactive reward-outcome responses during processing of food-reward images.
“Joos and colleagues [340] also reported hyper-reactive reward-outcome responses in anorexia during the processing of food-reward images.”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [340]
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- Authors
- Joos, A. A. B., Saum, B., Zeeck, A., Perlov, E., Glauche, V., Hartmann, A., Freyer, T., Sandholz, A., Unterbrink, T., van Elst, L. T., & Tüscher, O.
- Affiliations
- University of Freiburg (DE)
- University of Freiburg Department of Psychiatry and Psychotherapy Section for Experimental Neuropsychiatry Freiburg Germany
- Corresponding author
- Joos, Andreas A.B.
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2011-08-02
- Volume
- 19
- Issue
- 5
- Pages
- 447-453
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W1954753492
- Cited by
- 35
- References
- 57
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 1 · 2013: 7 · 2012: 2
- FWCI
- 3.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- bulimia nervosa, anterior cingulate cortex, lateral prefrontal cortex, temporal pole, impulse control, emotional processing, food stimuli, disgust, brain dysfunction
- MeSH terms
- Adult, Emotions, Female, Food, Gyrus Cinguli, Humans, Magnetic Resonance Imaging, Photography, Case-Control Studies, Prefrontal Cortex, Bulimia Nervosa, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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