Could training executive function improve treatment outcomes for eating disorders?
Open accessAbstract
Current gold standard treatments for eating disorders (EDs) lack satisfactory efficacy, and traditional psychological treatments do not directly address executive functioning deficits underpinning ED pathology. The goal of this paper is to explore the potential for enhancing ED treatment outcomes by improving executive functioning deficits that have been demonstrated to underlie eating pathology. To achieve our objective, we (1) review existing evidence for executive functioning deficits that underpin EDs and consider the extent to which these deficits could be targeted in neurocognitive training programs, (2) present the evidence for the one ED neurocognitive training program well-studied to date (Cognitive Remediation Therapy), (3) discuss the utility of neurocognitive training programs that have been developed for other psychiatric disorders with similar deficits, and (4) provide suggestions for the future development and research of neurocognitive training programs for EDs. Despite the fact that the body of empirical work on neurocognitive training programs for eating disorders is very small, we conclude that their potential is high given the combined evidence for the role of deficits in executive functioning in EDs, the initial promise of Cognitive Remediation Training, and the success in treating related conditions with neurocognitive training. Based on the evidence to date, it appears that the development and empirical evaluation of neurocognitive training programs for EDs is warranted.
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The potential of neurocognitive training programs for EDS is high, given combined evidence of the role of deficits in executive functioning in EDS.
“The potential of neurocognitive training programs for EDS is high, given the combined evidence of the role of deficits in executive functioning in EDS”
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 Juarascio et al., 2015
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References 111 · Cited by 86
Research works printed but not linked: 3
- Excellence N.I.f.C. CG9 eating disorders review recommendations 2011 London, England
- Mahon J Dropping out from psychological treatment for eating disorders. What are the issues? European Eating Disorders Review 2000 8 3 198 216
- Shapiro J Bulimia nervosa treatment. A systematic review of randomized controlled trials International Journal of Eating Disorders 2007 40 4 321 336 17370288
- Authors
- Juarascio, A. S., Manasse, S. M., Espel, H. M., Kerrigan, S. G., & Forman, E. M.
- Affiliations
- Drexel University (US)
- Corresponding author
- Juarascio, Adrienne S.
- Venue
- Appetite
- Publisher
- Elsevier BV
- Published
- 2015-07
- Volume
- 90
- Pages
- 187-193
- ISSN
- 0195-6663 (ISSN-L)
- PMC
- PMC4844012
- OpenAlex
- W2006973020
- Cited by
- 86
- References
- 111
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 6 · 2022: 4 · 2021: 5 · 2020: 45 · 2019: 2 · 2018: 2 · 2017: 8 · 2016: 6 · 2015: 2
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Appetite (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K23MH105680)
- 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
- eating disorders, executive dysfunction, neurocognitive training, cognitive remediation, treatment outcomes, eating pathology, neuropsychological deficits
- MeSH terms
- Adult, Feeding and Eating Disorders, Female, Humans, Neuropsychological Tests, Psychiatric Status Rating Scales, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult, Executive Function
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