Roy Murphy | PubMed Health

PubMed2002

Dissociated conditional-associative learning in anorexia nervosa.

This study assessed the acquisition of conditional-associations using neutral and individually threatening nouns in 16 females with anorexia nervosa (AN), 16 females with bulimia nervosa (BN) and 16 normal controls (NC). Groups did not differ in terms of age, sex, handedness, depression, intelligence, verbal memory and verbal fluency measures. Furthermore, patients and controls were widely comparable on any test assessing neuropsychological functioning. In the conditional-associative learning (CAL) task, anorexic patients displayed an impaired performance with neutral material but not with individually threatening material. Such a deficit was not evident in bulimics or in normal controls. Only anorexics showed a dissociation in the CAL of material with different emotional valence. These findings support the assumptions from functional neuroimaging investigations in AN and justify the assignment of this disorder to the obsessive-compulsive spectrum disorders.

Adolescent↗

PubMed2002

Specificity of conditional associative-learning deficits in obsessive-compulsive disorder (OCD) and non-OCD anxiety disorders.

The acquisition of conditional associations using neutral and disease-related nouns was studied in 15 inpatients with obsessive-compulsive disorder (OCD), 15 inpatients with non-OCD anxiety disorders and 15 chronic pain inpatients. Patients were comparable with respect to age, sex, depression, intelligence, executive functions, verbal and spatial memory, visuoconstructive functions, and handedness. The investigation took place in the diagnostic phase prior to the patient's beginning a standardized behavioral treatment program. It was hypothesized that anxiety patients acquired disease-related material faster than pain patients but that only OCD patients show inferior performance with respect to neutral stimuli. Results show that the three patient groups were widely comparable concerning neuropsychological background measures and showed equivalent results with respect to disease-related stimuli. But OCD patients yielded an inferior degree of performance when neutral stimuli were used whereas non-OCD anxiety disorder and pain patients displayed an equivalent degree of performance both for neutral and disease-related material, respectively. Results are discussed within the framework of obsessive-compulsive spectrum disorders.

Adult↗