{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T10:17:42Z","timestamp":1791281862999,"version":"4.1.0"},"reference-count":52,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2004,7,1]],"date-time":"2004-07-01T00:00:00Z","timestamp":1088640000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Int Neuropsychol Soc"],"published-print":{"date-parts":[[2004,7]]},"abstract":"<jats:p>The aim of this study was to determine if there are differences in \ncognitive flexibility in anorexia nervosa and bulimia nervosa. \nFifty-three patients with an eating disorder (34 with anorexia nervosa \nand 19 with bulimia nervosa) and 35 healthy controls participated in \nthe study. A battery of neuropsychological tests for cognitive \nflexibility was used, including Trail Making B, the Brixton Test, \nVerbal Fluency, the Haptic Illusion Test, a cognitive shifting task \n(CatBat) and a picture set test. Using exploratory factor analysis, \nfour factors were obtained: 1: Simple Alternation; 2: Mental \nFlexibility; 3: Perseveration; and 4: Perceptual Shift. Patients with \nanorexia nervosa had abnormal scores on Factors 1 and 4. Patients with \nbulimia nervosa showed a different pattern, with significant \nimpairments in Factors 2 and 4. These findings suggest that \ndifferential neuropsychological disturbance in the domain of mental \nflexibility\/rigidity may underlie the spectrum of eating disorders. \n(<jats:italic>JINS<\/jats:italic>, 2004, <jats:italic>10<\/jats:italic>, 513\u2013520.)<\/jats:p>","DOI":"10.1017\/s1355617704104086","type":"journal-article","created":{"date-parts":[[2004,8,24]],"date-time":"2004-08-24T15:13:47Z","timestamp":1093360427000},"page":"513-520","source":"Crossref","is-referenced-by-count":221,"title":["Cognitive flexibility in anorexia nervosa and bulimia nervosa"],"prefix":"10.1017","volume":"10","author":[{"given":"KATE","family":"TCHANTURIA","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MARIJA BRECELJ","family":"ANDERLUH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ROBIN G.","family":"MORRIS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SOPHIA","family":"RABE-HESKETH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DAVID A.","family":"COLLIER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PATRICIA","family":"SANCHEZ","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JANET L.","family":"TREASURE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2004,7,1]]},"reference":[{"key":"S1355617704104086_ref029","doi-asserted-by":"publisher","DOI":"10.1016\/0006-3223(90)90447-A"},{"key":"S1355617704104086_ref031","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3956(98)00020-X"},{"key":"S1355617704104086_ref012","unstructured":"Eliava, N. (1964).A problem of set in cognitive psychology.Tbilisi, Georgia:Academic Press."},{"key":"S1355617704104086_ref043","doi-asserted-by":"publisher","DOI":"10.1007\/BF03324978"},{"key":"S1355617704104086_ref038","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199209000-00007"},{"key":"S1355617704104086_ref014","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.13.4.508"},{"key":"S1355617704104086_ref024","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1997.02170450043006"},{"key":"S1355617704104086_ref048","doi-asserted-by":"crossref","unstructured":"Uher, R. , Treasure, J. , & Campbell, I.C. (2002).Neuroanatomical bases of eating disorders. In H. D'haenen , J.A. den Boer , & P. Willner (Eds.),Biological psychiatry (pp.1173\u20131179).Swansea, UK:John Wiley & Sons.","DOI":"10.1002\/0470854871.chxxiii7"},{"key":"S1355617704104086_ref052","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"S1355617704104086_ref002","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.178.3.200"},{"key":"S1355617704104086_ref005","doi-asserted-by":"publisher","DOI":"10.1007\/BF01108842"},{"key":"S1355617704104086_ref033","unstructured":"Lezak, M.D. (1983).Neuropsychological assessment.Oxford, UK:Oxford University Press."},{"key":"S1355617704104086_ref025","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199511)18:3<287::AID-EAT2260180311>3.0.CO;2-Y"},{"key":"S1355617704104086_ref037","doi-asserted-by":"publisher","DOI":"10.1080\/01688639108401085"},{"key":"S1355617704104086_ref030","doi-asserted-by":"crossref","unstructured":"Lauer, C.J. (2002).Neuropsychological findings in eating disorders. In H. D'haenen , J.A. den Boer , H. Westenberg , & P. Willner (Eds.),Biological psychiatry (pp.1167\u20131172).Swansey, UK:John Wiley & Sons.","DOI":"10.1002\/0470854871.chxxiii6"},{"key":"S1355617704104086_ref050","doi-asserted-by":"publisher","DOI":"10.1080\/09602019108401379"},{"key":"S1355617704104086_ref036","unstructured":"Nelson, H.E. & Willison, J.W. (1991).The National Adult Reading Test(2nd ed.).Windsor, UK:NFER Nelson."},{"key":"S1355617704104086_ref040","unstructured":"Surguladze, S. (1995).Insight and characteristics of fixed set in patients withschizophrenia.Journal of Georgian Medicine,2,58\u201360."},{"key":"S1355617704104086_ref032","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617700633052"},{"key":"S1355617704104086_ref013","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10028"},{"key":"S1355617704104086_ref035","doi-asserted-by":"crossref","unstructured":"Naruo, T. (2002).Brain imaging. In H. D'haenen , J.A. den Boer , & P. Willner (Eds.),Biological psychiatry (pp.1181\u20131189).Chichester, UK:John Wiley & Sons.","DOI":"10.1002\/0470854871.chxxiii8"},{"key":"S1355617704104086_ref041","doi-asserted-by":"publisher","DOI":"10.1080\/01688639208402834"},{"key":"S1355617704104086_ref001","unstructured":"American Psychiatric Association .(1994).Diagnostic and statistical manual of mental disorders(4th ed.).Washington, DC:Author."},{"key":"S1355617704104086_ref045","doi-asserted-by":"crossref","unstructured":"Toulopoulou, T. , Morris, R.G. , Rabe-Hesketh, S. , & Murrey, R.M. (2003).Selectivity of verbal memory deficit in schizophrenic patients andtheir relatives.American Journal of Medical Genetics,116,1\u20137.","DOI":"10.1002\/ajmg.b.10027"},{"key":"S1355617704104086_ref003","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199503)17:2<147::AID-EAT2260170207>3.0.CO;2-X"},{"key":"S1355617704104086_ref004","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.2.242"},{"key":"S1355617704104086_ref006","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.2.366"},{"key":"S1355617704104086_ref010","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.56.7.634"},{"key":"S1355617704104086_ref011","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.1992.tb01007.x"},{"key":"S1355617704104086_ref049","unstructured":"Uznadze, D.N. (1966).The psychology of set.New York:Consultants' Bureau."},{"key":"S1355617704104086_ref016","doi-asserted-by":"crossref","unstructured":"Gillberg, C. , Rastam, M. , & Gillberg, I.C. (1994).Anorexia nervosa: Physical health and neurodevelopment at 16 and 21years.Developmental Medicine and Child Neurology,36,567\u2013575.","DOI":"10.1111\/j.1469-8749.1994.tb11893.x"},{"key":"S1355617704104086_ref017","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(96)00026-X"},{"key":"S1355617704104086_ref018","unstructured":"Grunwald, M. , Ettrich, C. , Busse, F. , Assmann, B. , Dahne, A. , & Gertz, H. (2002).Angle paradigm: A new method to measure right parietal dysfunctionin anorexia nervosa.Archives of Clinical Psychology,17,485\u2013496."},{"key":"S1355617704104086_ref019","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(79)90063-5"},{"key":"S1355617704104086_ref020","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(81)90011-1"},{"key":"S1355617704104086_ref021","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(77)90042-0"},{"key":"S1355617704104086_ref022","doi-asserted-by":"publisher","DOI":"10.1053\/scnp.2001.22263"},{"key":"S1355617704104086_ref023","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(96)70021-5"},{"key":"S1355617704104086_ref026","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700033687"},{"key":"S1355617704104086_ref027","unstructured":"Kravariti, E. (2001).A neuropsychological investigation of adolescent onset schizophrenia.Unpublished Ph.D. thesis,Institute of Psychiatry, King's College, University of London."},{"key":"S1355617704104086_ref028","doi-asserted-by":"publisher","DOI":"10.1016\/S0920-9964(02)00291-8"},{"key":"S1355617704104086_ref034","doi-asserted-by":"publisher","DOI":"10.1006\/cogp.1999.0734"},{"key":"S1355617704104086_ref008","doi-asserted-by":"publisher","DOI":"10.1007\/s007870050129"},{"key":"S1355617704104086_ref039","doi-asserted-by":"publisher","DOI":"10.2466\/pms.1958.8.3.271"},{"key":"S1355617704104086_ref042","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7916(01)00025-8"},{"key":"S1355617704104086_ref044","doi-asserted-by":"crossref","unstructured":"Toner, B. , Garfinkel, P. , & Garner, D. (1987).Cognitive style of patients with bulimic and diet-restrictinganorexia nervosa.American Journal of Psychiatry,144,510\u2013512.","DOI":"10.1176\/ajp.144.4.510"},{"key":"S1355617704104086_ref046","unstructured":"Touyz, S. & Beumont, P.J.V. (1994).Neuropsychological assessment of patients with anorexia andbulimia nervosa. In S. Touyz , D. Byrne , & A. Gilandas (Eds.),Neuropsychology in clinical practice (pp.305\u2013329).Sydney, Australia:Academic Press."},{"key":"S1355617704104086_ref047","doi-asserted-by":"crossref","unstructured":"Treasure, J. & Collier, D. (2001).The spectrum of eating disorders in humans. In J. Owen , J. Treasure , & D. Collier (Eds.),Animal models\u2014Disorders of eating behaviour and bodycomposition (pp.19\u201351).London:Kluwer Academic Publishers.","DOI":"10.1007\/978-94-015-9662-6_2"},{"key":"S1355617704104086_ref007","unstructured":"Burgess, P.W. & Shallice, T. (1997).The Hayling and Brixton Tests.Bury St. Edmonds, UK:Thames Valley Test Company Ltd."},{"key":"S1355617704104086_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9384(03)00101-X"},{"key":"S1355617704104086_ref015","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-440X(96)90046-2"},{"key":"S1355617704104086_ref051","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162200000578"}],"container-title":["Journal of the International Neuropsychological Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1355617704104086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,7]],"date-time":"2019-04-07T16:18:03Z","timestamp":1554653883000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1355617704104086\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,7]]},"references-count":52,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2004,7]]}},"alternative-id":["S1355617704104086"],"URL":"https:\/\/doi.org\/10.1017\/s1355617704104086","relation":{},"ISSN":["1355-6177","1469-7661"],"issn-type":[{"value":"1355-6177","type":"print"},{"value":"1469-7661","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,7]]}}}