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Zaburzenia rozpoznawania emocji u chorych na jadłowstręt psychiczny w okresie adolescencyjnym

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Author(s): Monika Dmitrzak-Węglarz | Jan Jaracz | Agnieszka Słopień | Małgorzata Maciukiewicz | Andrzej Rajewski

Journal: Neuropsychiatria i Neuropsychologia
ISSN 1896-6764

Volume: 5;
Issue: 2;
Start page: 71;
Date: 2010;
Original page

Keywords: anorexia nervosa | endophenotype | facial recognition | cognitive function

ABSTRACT
Background: Previous investigations have founddisturbances of cognitive function and impaired facialrecognition in anorectic patients. The aim of this studywas to assess the accuracy in emotion recognition tasks,and to determine whether emotion processing deficitswere correlated with neurocognitive performance andintensity of depressive symptoms in anorexia nervosa(AN) patients.Material and methods: A group of 55 patients withdiagnoses of anorexia nervosa and 58 healthy controlswere studied. Mean age in the studied groups was 15.29in pa tients and 15.63 in controls. A ComputerizedNeuropsychological Test Battery was used to estimate:emotion recognition (ER40), emotion discrimination(EDF40), and emotion recognition and discrimination(PEAT40). Executive functions were measured by theWisconsin Card Sorting Test (WCST). Intensity ofdepressive symptoms was measured by the BeckDepression Inventory. Also, the body mass index (BMI)was calculated.Results: Patients with AN needed more time to give thecorrect answer of happy (p = 0.018) and sad (p = 0.029)emotions in the EDF40 test and sad emotions (p = 0.026)in the PEAT40 test. In comparison of patients withbulimic (ANB) vs. restricting type of illness (ANR), ANRpatients needed a shorter time to give answers duringincorrect classification of fear emotions in the ER40 test.We did not find any significant differences in resultsobtained in WCST between patients and controls. Wealso did not find a significant correlation between WCST,intensity of depressive symptoms and performance in alldomains in facial recognition tasks.Conclusions: The obtained results suggest discreteimpairment of emotion recognition in adolescentpatients with AN. The study did not reveal a correlationbetween emotion recognition, cognitive deficits andintensity of depressive symptoms.
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