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Prior research attempted to capture an increased tendency to delay gratification in AN using delay\u2010discounting tasks that assess how rapidly the subjective value of rewards decreases as a function of time until receipt. However, significant effects were mostly subtle or absent. Here, we tested whether the <jats:italic>process<\/jats:italic> leading to such decisions might be altered in AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We recorded mouse\u2010cursor movement trajectories leading to the final choice in a computerized delay\u2010discounting task (238 trials) in 55 acutely underweight females with AN and pairwise age\u2010matched female healthy controls (HC). We tested for group differences in deviations from a direct choice path, a measure of conflict strength in decision making, and whether group moderated the effect of several predictors of conflict strength (e.g., choice difficulty, consistency). We also explored reaction times and changes in trajectory directions (X\u2010flips).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No group differences in delay\u2010discounting parameters or movement trajectories were detected. However, the effect of the aforementioned predictors on deviations (and to a lesser extent reaction times) was reduced in AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These findings suggest that while delay discounting and conflict strength in decision making are generally unaltered in AN, conflict strength was more stable across different decisions in the disorder. This might enable individuals with AN to pursue (maladaptive) long\u2010term body\u2010weight goals, because particularly conflicting choices may not be experienced as such.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>The deviations from a direct path of mouse\u2010cursor movements during a computerized delay\u2010discounting task varied less in people with anorexia nervosa. Assuming such deviations measure decision conflict, we speculate that this increased stability might help people with anorexia nervosa achieve their long\u2010term weight goals, as for them the struggle with the decision to eat high\u2010calorie meals when hungry will be milder, so they would be more likely to skip them.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24019","type":"journal-article","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T07:40:38Z","timestamp":1688715638000},"page":"1898-1908","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Mouse\u2010cursor trajectories reveal reduced contextual influence on decision conflict during delay discounting in anorexia nervosa"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5112-405X","authenticated-orcid":false,"given":"Fabio","family":"Bernardoni","sequence":"first","affiliation":[{"name":"Translational 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