Neural correlates of altered feedback learning in women recovered from anorexia nervosa
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
Abstract
Anorexia nervosa (AN) is associated with exaggerated self-control and altered reward-based decision making, but the underlying neural mechanisms are poorly understood. Consistent with the notion of excessive cognitive control, we recently found increased dorsal anterior cingulate cortex (dACC) activation in acutely ill patients (acAN) on lose-shift trials in a probabilistic reversal learning (PRL) task. However, undernutrition may modulate brain function. In attempt to disentangle trait from state factors, the current fMRI study investigated cognitive control in recovered patients (recAN). Thirty-one recAN and 31 healthy controls (HC) completed a PRL task during fMRI. Based on previous findings, we focused on hemodynamic responses during lose-shift behaviour and conducted supplementary functional connectivity analysis. RecAN showed elevated lose-shift behaviour relative to HC. On the neural level, recAN showed normal dACC responses, but increased activation in fronto-parietal control regions. A trend for increased coupling between frontal and parietal regions of interest was also evident in recAN. The current findings in recAN differ from those in our previous study in acAN. While aberrant dACC response to negative feedback may be a correlate of the underweight state in acAN, impaired behavioural adaptation and elevated activation of cognitive control regions in recAN is suggestive of altered neural efficiency.
Details
Original language | English |
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Pages (from-to) | 5421-5431 |
Number of pages | 11 |
Journal | Scientific Reports |
Volume | 7 |
Issue number | 1 |
Publication status | Published - 1 Dec 2017 |
Peer-reviewed | Yes |
External IDs
researchoutputwizard | legacy.publication#78956 |
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researchoutputwizard | legacy.publication#79439 |
Scopus | 85024364519 |
PubMed | 28710363 |
ORCID | /0000-0002-2864-5578/work/159605435 |
ORCID | /0000-0003-2132-4445/work/159605881 |
ORCID | /0000-0002-5112-405X/work/159607708 |
ORCID | /0000-0001-5398-5569/work/159607745 |