CHILDHOOD-ONSET ANOREXIA NERVOSA AND OBSESSIVE-COMPULSIVE DISORDER IN A MALE ADOLESCENT PATIENT: PROFILE OF NEUROCOGNITIVE FUNCTIONING
Journal Title: Acta Neuropsychologica - Year 2007, Vol 5, Issue 1
Abstract
Background. Impairments of neurocognitive performance in female patientswith anorexia nervosa have been reported in many studies. To our knowledgeneuropsychological studies of male eating disorder patients remainrare. The goals of our study were to present the profile of neurocognitivefunctioning in a male adolescent anorexia nervosa patient and, given that theclinical manifestation of both eating disorders and obsessive-compulsive disorderpresents strong psychopathological similarities, to determine how neurocognitiveperformance could be associated with the patient's obsessivecompulsivedisorder symptoms.Material and methods. A male adolescent anorexia nervosa patient whosatisfied DSM-IV diagnostic criteria participated in the study. A battery of neuropsychologicalassessment methods was used, including the WechslerAdult Intelligence Scale-Revised, Auditory Verbal Learning Test, subtest forlong-term memory of the Choynowski Memory Scale, the Rey-Osterrieth ComplexFigure Test, the Benton Visual Retention Test, the Diagnosis of Brain Damagebattery, the Trail Making Test, parts A and B. The Yale-Brown Obsessive-Compulsive Scale was also used. Longitudinal neurocognitive data are presented from an inpatient neuropsychological assessment conducted at ages 13 and 18.Results. Several neuropsychological deficits were observed in our patient in both verbal and nonverbal domains.Conclusions. The results of this study indicate that obsessive-compulsive disorder symptomatology was very closely related to the patient's neurocognitive performance. The patient's rigid, inflexible and perfectionist behavior patterns interfered with his neuropsychological functioning.
Authors and Affiliations
Anna Monika Cieślukowska, Izabela Łucka
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