[Are the neuropsychological alterations in eating disorders endophenotypes of the disease? Review and state of the art]. / Son las alteraciones neuropsicologicas de los trastornos de la conducta alimentaria endofenotipos de la enfermedad? Revision y estado actual del tema.

INTRODUCTION. Recent studies have shown that alterations to the executive cognitive functions may be endophenotypes of eating disorders. AIM. To perform a critical review of the literature on neuropsychological alterations in patients with eating disorders and their first-degree relatives. DEVELOPMENT. We review the papers written in English and in Spanish indexed in Medline and PsycINFO over the last 10 years. We included abstracts of papers that have still not been published and search terms were crossed. Excluding some isolated clinical cases, we obtained 41 studies on patients with anorexia nervosa (n = 17), bulimia nervosa (n = 5), both (n = 13) or a non-specific eating disorder (n = 6). CONCLUSIONS. The studies reviewed display important limitations due to their heterogeneous methodology and small samples, which give rise to contradictory results. Most of them were conducted on anorexia nervosa. Cognitive rigidity seems to be more frequent in patients with anorexia and their relatives, and alterations in decision-making or central coherence is more often found in bulimia nervosa. There is evidence suggesting that the neuropsychological alterations found in eating disorders are endophenotypes of the disease.

Motivación como predictor de respuesta al tratamiento en los trastornos de la conducta alimentaria / No disponible

Introducción: Motivación es el impulso que nosmueve para alcanzar una meta. Nuestro trabajo pretendeaveriguar si la motivación del paciente con trastorno dela conducta alimentaria (TCA) está relacionada conparámetros de la historia clínica y los resultados obtenidosen distintos cuestionarios psiquiátricos.Resultados: Muestra de 24 pacientes (91,7% mujeresy edad media 25,75 años). Los diagnósticos de anorexianerviosa, bulimia nerviosa y trastorno de la conductaalimentaria no especificado estaban igualmente representados.La mayoría de pacientes no presentabacomorbilidad psiquiátrica. El 45,8% presentaba unamotivación alta para el tratamiento en la evaluación inicial.No hubo asociación significativa entre la motivacióndel paciente y las variables analizadas.Conclusiones: La motivación al tratamiento del TCAen un paciente es un constructo independiente de la patología(AU)

Introduction: Motivation is the boost that movespeople to achieve an objective. The aim of the study isto evaluate the correlation of the motivation of a patientwith eating disorder (ED) with clinical parameters andresults obtained from psychiatric tests.Results: Sample with 24 patients (percentage offemale 91,7% and mean of 25,75 years). Anorexia nervosa(AN), Bulimia Nervosa (BN) and eating disordersno otherwise specified (EDNOS) were equally represented.Majority did not present axis I co morbidity. Inthe first assessment the 45,8% had a high motivation forthe treatment. Patient motivation was not related withany of the clinical parameters.Conclusions: Motivation for change, in ED patients,is an independent factor of the pathology(AU)