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Classical Stroop effect in bulimia nervosa

Abstract

Bulimia nervosa (BN) is a distressing condition. Its pathogenesis is not fully understood. Neurocognitive functioning, and particularly inhibitory control, is a potential biomarker that may improve our understanding of BN. A few small-scale studies have used the classical Stroop Colour Word Test (SCWT) in BN with contradictory findings. We examined SCWT performance in a large sample of people with BN (N=72), eating disorder not otherwise specified — bulimic type (N=43) and healthy controls (N=50). The results found no difference between groups on Stroop interference effect. These findings question the utility of the classical SCWT as an assessment tool in examining executive functioning in BN.

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References

  1. 1.

    Steiger H, Bruce KR. Phenotypes, endophenotypes, and genotypes in bulimia spectrum eating disorders. Can J Psychiatry 2007; 52: 220–7.

    PubMed  Google Scholar 

  2. 2.

    Van den Eynde F, Guillaume S, Broadbent H, et al. Neurocognition in bulimic eating disorders: a systematic review. Acta Psychiatr Scand 2011; 124: 120–40.

    PubMed  Article  Google Scholar 

  3. 3.

    Claes L, Nederkoorn C, Vandereycken W, et al. Impulsiveness and lack of inhibitory control in eating disorders. Eat Behav 2006; 7: 196–203.

    PubMed  Article  Google Scholar 

  4. 4.

    Rosval L, Steiger H, Bruce K, et al. Impulsivity in women with eating disorders: problem of response inhibition, planning, or attention? Int J Eat Disord 2006; 39: 590–3.

    PubMed  Article  Google Scholar 

  5. 5.

    Marsh R, Steinglass JE, Gerber AJ, et al. Deficient activity in the neural systems that mediate self-regulatory control in bulimia nervosa. Arch Gen Psychiatry 2009; 66: 51–63.

    PubMed Central  PubMed  Article  Google Scholar 

  6. 6.

    Stroop J. Studies of interference in serial verbal reactions. J Exp Psychol 1935: 643–62.

    Google Scholar 

  7. 7.

    Kemps E, Wilsdon A. Preliminary evidence for a role for impulsivity in cognitive disinhibition in bulimia nervosa. J Clin Exp Neuropsychol 2010; 32: 515–21.

    PubMed  Article  Google Scholar 

  8. 8.

    Fairburn CG, Cooper PJ, Cooper MJ, et al. Selective information processing in bulimia nervosa. Int J Eat Disord 1991; 10: 415–22.

    Article  Google Scholar 

  9. 9.

    Ben-Tovim DI, Walker M. Further evidence for the stroop test as a quantitative measure of psychopathology in eating disorders. Int J Eat Disord 1991; 10: 609–13.

    Article  Google Scholar 

  10. 10.

    Ben-Tovim DI, Walker MK, Fok D, et al. An adaptation of the stroop test for measuring shape and food concerns in eating disorders: a quantitative measure of psychopathology. Int J Eat Disord 1989: 681–9.

    Google Scholar 

  11. 11.

    Brand M, Franke-Sievert C, Jacoby GE, et al. Neuropsychological correlates of decision making in patients with bulimia nervosa. Neuropsychology 2007; 21: 742–50.

    PubMed  Article  Google Scholar 

  12. 12.

    Cooper MJ, Anastasiades P, Fairburn CG. Selective processing of eating-, shape-, and weight-related words in persons with bulimia nervosa. J Abnorm Psychol 1992; 101: 352–5.

    CAS  PubMed  Article  Google Scholar 

  13. 13.

    Davidson EJ, Wright P. Selective processing of weight- and shape-related words in bulimia nervosa: use of a computerised Stroop test. Eat Behav 2002; 3: 261–73.

    PubMed  Article  Google Scholar 

  14. 14.

    Perpiñá C, Hemsley D, Treasure J, et al. Is the selective information processing of food and body words specific to patients with eating disorders? Int J Eat Disord 1993; 14: 359–66.

    PubMed  Article  Google Scholar 

  15. 15.

    Dobson KS, Dozois DJ. Attentional biases in eating disorders: a meta-analytic review of Stroop performance. Clin Psychol Rev 2004; 23: 1001–22.

    PubMed  Article  Google Scholar 

  16. 16.

    Crow SJ, Peterson CB, Swanson SA, et al. Increased mortality in bulimia nervosa and other eating disorders. Am J Psychiatry 2009; 166: 1342–6.

    PubMed  Article  Google Scholar 

  17. 17.

    Walsh BT, Sysko R. Broad categories for the diagnosis of eating disorders (BCD-ED): an alternative system for classification. Int J Eat Disord 2009; 42: 754–64.

    PubMed Central  PubMed  Article  Google Scholar 

  18. 18.

    Southgate L, Tchanturia K, Treasure J. Information processing bias in anorexia nervosa. Psychiatry Res 2008; 160: 221–7.

    PubMed  Article  Google Scholar 

  19. 19.

    Carter FA, Bulik CM, McIntosh VV, et al. Changes on the stroop test following treatment: relation to word type, treatment condition, and treatment outcome among women with bulimia nervosa. Int J Eat Disord 2000; 28: 349–55.

    CAS  PubMed  Article  Google Scholar 

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Correspondence to S. Guillaume.

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Guillaume, S., Van den Eynde, F., Samarawickrema, N. et al. Classical Stroop effect in bulimia nervosa. Eat Weight Disord 17, e203–e206 (2012). https://doi.org/10.1007/BF03325349

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Keywords

  • Eating disorders
  • neuropsychology
  • neurocognition
  • inhibition
  • Stroop interference