{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:14:37Z","timestamp":1788434077283,"version":"build-2803163510"},"reference-count":97,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,3,17]],"date-time":"2020-03-17T00:00:00Z","timestamp":1584403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004212","name":"P\u00e4ivikki ja Sakari Sohlbergin S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004212","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003125","name":"Suomen Kulttuurirahasto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Anorexia nervosa (AN) is associated with neuropsychological characteristics such as impairments in central coherence, cognitive flexibility, and emotion recognition. The same features also manifest in autism spectrum disorders (ASD) and have been suggested to be associated with illness prolongation in AN. The purpose of this meta\u2010analysis was to examine whether pronounced neuropsychological characteristics related to ASD are associated with illness duration in AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Four databases (Medline, PsycINFO, Scopus, PubMed) were searched for eligible studies. Search terms were (a) \u201canorexia nervosa\u201d and (b) \u201ccognitive flexibility\u201d or \u201cset\u2010shifting\u201d or \u201ccentral coherence\u201d or \u201cemotion recognition\u201d or \u201ctheory of mind\u201d. The final sample consisted of 53 studies. Duration of AN was divided into three categories in order to investigate differences between the groups with varying illness duration. The meta\u2010analysis was performed with Review Manager using a random\u2010effects model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Deficits in central coherence, cognitive flexibility, and emotion recognition were pronounced among individuals with prolonged AN compared to those with shorter illness duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>A prolonged course of AN appears to be associated with underlying neuropsychological characteristics that are also distinctive to ASD. Neuropsychological impairments may lead to prolonged AN, and prolonged illness may contribute to the subsequent \u201cneurological scar effect,\u201d further strengthening these impairments.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23259","type":"journal-article","created":{"date-parts":[[2020,3,17]],"date-time":"2020-03-17T11:39:30Z","timestamp":1584445170000},"page":"1056-1079","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":63,"title":["Characteristics of autism spectrum disorders are associated with longer duration of anorexia nervosa: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4061-554X","authenticated-orcid":false,"given":"Emma","family":"Saure","sequence":"first","affiliation":[{"name":"Department of Psychology and Logopedics, Faculty of Medicine University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marja","family":"Laasonen","sequence":"additional","affiliation":[{"name":"Department of Psychology and Logopedics, Faculty of Medicine University of Helsinki  Helsinki Finland"},{"name":"Department of Psychology and Speech\u2010Language Pathology University of Turku  Turku Finland"},{"name":"Department of Otorhinolaryngology and Phoniatrics, Head and Neck Surgery Helsinki University Hospital and University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuulia","family":"Lepist\u00f6\u2010Paisley","sequence":"additional","affiliation":[{"name":"Department of Child Neurology Helsinki University Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katri","family":"Mikkola","sequence":"additional","affiliation":[{"name":"Department of Psychology and Logopedics, Faculty of Medicine University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"\u00c5lgars","sequence":"additional","affiliation":[{"name":"Department of Psychology and Logopedics, Faculty of Medicine University of Helsinki  Helsinki Finland"},{"name":"\u00c5bo Akademi University, Department of Psychology, \u00c5bo Akademi Fakulteten f\u00f6r humaniora psykologi och teologi  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Raevuori","sequence":"additional","affiliation":[{"name":"Clinicum, Department of Public Health University of Helsinki  Helsinki Finland"},{"name":"Department of Adolescent Psychiatry Helsinki University Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-11-162"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2014.06.024"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0044414"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291711002881"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1469-7610.00715"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005653411471"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00221309.1948.9918159"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22574"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22715"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00702-012-0821-z"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2591"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/13803395.2012.760536"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2018.00012"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/00048674.2010.524625"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuropsychologia.2019.05.019"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-222"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22007"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2554"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2013.08.051"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2430"},{"key":"e_1_2_9_23_1","volume-title":"Delis\u2010Kaplan executive function system (D\u2010KEFS)","author":"Delis D. C.","year":"2001"},{"issue":"1","key":"e_1_2_9_24_1","first-page":"43","article-title":"Polymorphisms of the SNAP\u201025 gene and performance on the Wisconsin Card Sorting Test in anorexia nervosa and in healthy adolescent participants","volume":"2011","author":"Dmitrzak\u2010Weglarz M.","year":"2011","journal-title":"Archives of Psychiatry and Psychotherapy"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2012.04.025"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/neu0000055"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713002389"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0063964"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291705006379"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2012.10.001"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2011.10.017"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466507X272475"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/17470210701508731"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.628"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.2011.02026.x"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.12.2269"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2244"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.3109\/15622975.2012.665478"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/13546805.2012.682362"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00102"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2007.06081388"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0137514"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2014.09.005"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000476"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.153221"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291710002539"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105311435946"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-016-0108-0"},{"key":"e_1_2_9_49_1","first-page":"42","article-title":"The recognition of emotion in the faces and voice of anorexia nervosa","volume":"3","author":"Kucharska\u2010Pietura K.","year":"2003","journal-title":"International Journal of Eating Disorders"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1080\/13546805.2015.1091766"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0131724"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.3109\/15622975.2014.909606"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0165467"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22235"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2213"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2293"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20478"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617711000671"},{"issue":"2","key":"e_1_2_9_60_1","first-page":"189","article-title":"Emotional theory of mind in eating disorders","volume":"12","author":"Medina\u2010Pradas C.","year":"2012","journal-title":"International Journal of Clinical and Health Psychology"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2005.07.010"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1080\/13546805.2013.794723"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291708004108"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-019-00768-8"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13229-015-0013-4"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2010.11.001"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e3181c6c7ca"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1069"},{"key":"e_1_2_9_69_1","first-page":"206","article-title":"The test of coping a complex figure: A contribution to the study of perception and memory","volume":"30","author":"Osterrieth P.","year":"1944","journal-title":"Archives of Psychology"},{"key":"e_1_2_9_70_1","first-page":"31","article-title":"Eating disturbances in autism spectrum disorders with focus on adolescent and adult years","volume":"5","author":"R\u00e5stam M.","year":"2008","journal-title":"Clinical Neuropsychiatry"},{"key":"e_1_2_9_71_1","unstructured":"Review Manager (RevMan). [Computer program] Version 5.3.2014.The Cochrane Collaboration. Copenhagen: The Nordic Cochrane Centre"},{"key":"e_1_2_9_72_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291707009877"},{"key":"e_1_2_9_73_1","doi-asserted-by":"publisher","DOI":"10.3109\/15622975.2011.639804"},{"key":"e_1_2_9_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2008.10.028"},{"key":"e_1_2_9_75_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0061108"},{"key":"e_1_2_9_76_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.09.048"},{"key":"e_1_2_9_77_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2172"},{"key":"e_1_2_9_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2007.07.017"},{"key":"e_1_2_9_79_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.10.029"},{"key":"e_1_2_9_80_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617706060528"},{"key":"e_1_2_9_81_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2497"},{"key":"e_1_2_9_82_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pscychresns.2016.07.004"},{"key":"e_1_2_9_83_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22332"},{"key":"e_1_2_9_84_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361317722431"},{"key":"e_1_2_9_85_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0028331"},{"key":"e_1_2_9_86_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0020462"},{"key":"e_1_2_9_87_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2337"},{"key":"e_1_2_9_88_1","doi-asserted-by":"publisher","DOI":"10.3109\/15622975.2010.483250"},{"key":"e_1_2_9_89_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.187.5.398"},{"key":"e_1_2_9_90_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2233"},{"key":"e_1_2_9_91_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-016-0847-0"},{"key":"e_1_2_9_92_1","unstructured":"Wells G.A. Shea B. O'Connell D. Peterson J. Welch V. Losos M. &Tugwell P.The Newcastle\u2010Ottawa Scale (NOS) for assessing the quality of non\u2010randomised studies in meta\u2010analysis.2019. Retrieved fromhttp:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.htm."},{"key":"e_1_2_9_93_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-017-0301-x"},{"key":"e_1_2_9_94_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.09.005"},{"key":"e_1_2_9_95_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13229-017-0128-x"},{"key":"e_1_2_9_96_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716000581"},{"key":"e_1_2_9_97_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22651"},{"key":"e_1_2_9_98_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2017.11.008"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Feat.23259","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23259","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.23259","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23259","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T14:07:53Z","timestamp":1694009273000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,17]]},"references-count":97,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1002\/eat.23259"],"URL":"https:\/\/doi.org\/10.1002\/eat.23259","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,17]]},"assertion":[{"value":"2019-10-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}