Neurocognitive functioning in subjects with eating disorders: the influence of neuroactive steroids.

Abstract:

BACKGROUND:Neuropsychological studies in subjects with eating disorders (EDs) have reported conflicting findings, which might be accounted for by several confounding variables, including neuroendocrine changes. METHODS:General abilities, executive functions, attention, and noneffortful learning were assessed in 45 patients with EDs and 45 healthy comparison subjects (HCS). Plasma levels of 17beta-estradiol, cortisol, allopregnanolone, dehydroepiandrosterone and its sulfate metabolite (DHEA and DHEAS) were evaluated in a subsample of patients and HCS. The influence of clinical, demographic, and neuroendocrine variables on neurocognitive performance was explored. RESULTS:Patients were slower than HCS on noneffortful learning and more accurate on a spatial executive task. DHEA and DHEAS were increased and positively correlated with accuracy on the executive task, while cortisol positively correlated with speed of noneffortful learning. CONCLUSIONS:A subtle impairment of noneffortful learning is the only neuropsychological deficit in patients with EDs. Changes in neuroactive steroids influence neurocognitive performance.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Galderisi S,Mucci A,Monteleone P,Sorrentino D,Piegari G,Maj M

doi

10.1016/s0006-3223(02)01668-2

subject

Has Abstract

pub_date

2003-05-15 00:00:00

pages

921-7

issue

10

eissn

0006-3223

issn

1873-2402

pii

S0006322302016682

journal_volume

53

pub_type

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