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Types of Eating Disorder Prodrome in Adolescence: The Role of Decision Making in Childhood

Psychiatric disorders like eating disorders (EDs) might be underpinned by differences in decision making. However, little previous research has investigated this potential relationship using longitudinal data. This study aimed to understand how components of decision making (delay aversion, risk adj...

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Autores principales: Harrison, Amy, Francesconi, Marta, Flouri, Eirini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8966721/
https://www.ncbi.nlm.nih.gov/pubmed/35369201
http://dx.doi.org/10.3389/fpsyg.2022.743947
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author Harrison, Amy
Francesconi, Marta
Flouri, Eirini
author_facet Harrison, Amy
Francesconi, Marta
Flouri, Eirini
author_sort Harrison, Amy
collection PubMed
description Psychiatric disorders like eating disorders (EDs) might be underpinned by differences in decision making. However, little previous research has investigated this potential relationship using longitudinal data. This study aimed to understand how components of decision making (delay aversion, risk adjustment, risk taking, quality of decision making and deliberation time) measured by the Cambridge Gambling Task in the United Kingdom’s Millennium Cohort Study (MCS; n = 11,303; female = 50.17%) at age 11 might explain clusters/types of ED prodrome involving body dissatisfaction, intention to lose weight, dietary restraint, excessive exercise and significant under/overweight measured in the MCS at age 14. Latent class analysis revealed two groups within the cohort: a non-prodromal eating pathology group, who were more likely to be of “average” weight, according to the UK90, with minimal disordered attitudes and behaviors in relation to eating and weight; and a second group with prodromal eating pathology, who had more body dissatisfaction, a desire to lose weight, were using dietary restriction and exercise to influence weight and were more likely to be “overweight” according to the UK90. Logistic regression showed that, after adjustment for confounding, higher risk-taking scores were associated with a 60% greater probability of being in the prodromal eating pathology group (b = 0.47, OR = 1.60, p < 0.01), and higher scores on quality of decision making were associated with a 30% lower probability of being in the prodromal eating pathology group (b = −0.34, OR = 0.70, p < 0.05). Helping young people to engage in moderate risk taking and improving decision making might reduce the later presence of ED prodromes.
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spelling pubmed-89667212022-03-31 Types of Eating Disorder Prodrome in Adolescence: The Role of Decision Making in Childhood Harrison, Amy Francesconi, Marta Flouri, Eirini Front Psychol Psychology Psychiatric disorders like eating disorders (EDs) might be underpinned by differences in decision making. However, little previous research has investigated this potential relationship using longitudinal data. This study aimed to understand how components of decision making (delay aversion, risk adjustment, risk taking, quality of decision making and deliberation time) measured by the Cambridge Gambling Task in the United Kingdom’s Millennium Cohort Study (MCS; n = 11,303; female = 50.17%) at age 11 might explain clusters/types of ED prodrome involving body dissatisfaction, intention to lose weight, dietary restraint, excessive exercise and significant under/overweight measured in the MCS at age 14. Latent class analysis revealed two groups within the cohort: a non-prodromal eating pathology group, who were more likely to be of “average” weight, according to the UK90, with minimal disordered attitudes and behaviors in relation to eating and weight; and a second group with prodromal eating pathology, who had more body dissatisfaction, a desire to lose weight, were using dietary restriction and exercise to influence weight and were more likely to be “overweight” according to the UK90. Logistic regression showed that, after adjustment for confounding, higher risk-taking scores were associated with a 60% greater probability of being in the prodromal eating pathology group (b = 0.47, OR = 1.60, p < 0.01), and higher scores on quality of decision making were associated with a 30% lower probability of being in the prodromal eating pathology group (b = −0.34, OR = 0.70, p < 0.05). Helping young people to engage in moderate risk taking and improving decision making might reduce the later presence of ED prodromes. Frontiers Media S.A. 2022-03-16 /pmc/articles/PMC8966721/ /pubmed/35369201 http://dx.doi.org/10.3389/fpsyg.2022.743947 Text en Copyright © 2022 Harrison, Francesconi and Flouri. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Harrison, Amy
Francesconi, Marta
Flouri, Eirini
Types of Eating Disorder Prodrome in Adolescence: The Role of Decision Making in Childhood
title Types of Eating Disorder Prodrome in Adolescence: The Role of Decision Making in Childhood
title_full Types of Eating Disorder Prodrome in Adolescence: The Role of Decision Making in Childhood
title_fullStr Types of Eating Disorder Prodrome in Adolescence: The Role of Decision Making in Childhood
title_full_unstemmed Types of Eating Disorder Prodrome in Adolescence: The Role of Decision Making in Childhood
title_short Types of Eating Disorder Prodrome in Adolescence: The Role of Decision Making in Childhood
title_sort types of eating disorder prodrome in adolescence: the role of decision making in childhood
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8966721/
https://www.ncbi.nlm.nih.gov/pubmed/35369201
http://dx.doi.org/10.3389/fpsyg.2022.743947
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