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It was hypothesised that the comorbid group will present worse neuropsychological performance that will lead to a worse treatment outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The study has a longitudinal design. Women (<jats:italic>N<\/jats:italic>\u00a0=\u00a075) diagnosed with BSD, BSD\u00a0+\u00a0CB and Healthy Controls (HC); completed an evaluation of: cognitive flexibility, decision making, eating disorder (ED) symptomatology, psychopathological state and personality traits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>BSD\u00a0+\u00a0CB was the group with the most severe clinical profile, worst treatment outcome and higher neuropsychological impairment, than other groups. Path\u2010analysis evidenced that deficits in decision making were associated with bad treatment outcome, while deficits in flexibility with the presence of the comorbidity. Self\u2010directedness and novelty seeking were associated with the neuropsychological performance and the comorbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>BSD\u00a0+\u00a0CB exhibit a worse clinical and neuropsychological profile that seems to be related with the treatment outcome, which should be taken into account for the establishment of specific treatment approaches.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2855","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T04:06:10Z","timestamp":1627531570000},"page":"854-867","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Executive functions in binge spectrum eating disorders with comorbid compulsive 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