Factors associated with Brain Function in Patients with Eating Disorders

S. Kong
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Abstract

Purpose: The purpose of this study was to investigate the factors associated with brain function in patients with eating disorders.Methods: Patients(N=171) who visited 'M' clinic for eating disorders participated. Data were collected from June 2022 to September 2022 using self-reported questionnaires.Results: Problems with brain function were observed in the deep limbic system in 84.8%, basal ganglia in 78.9%, the anterior cingulate in 74.3%, the prefrontal lobe in 55.6%, and the temporal lobe in 34.5%. Additionally, 55.6% of the participants had more than moderate anxiety, and 32.2% were suspected of having obsessive-compulsive disorder. Anxiety, obsessive-compulsion, and eating psychopathology(ineffectiveness, impulse regulation, social insecurity, body dissatisfaction, perfectionism, and bulimia) were significantly associated factors of brain function.Conclusion: It was found that problems of brain function can be identified in a more convenient way by evaluating brain function through the Amen Brain System Checklist (ABSC), a self-reporting test tool, instead of brain imaging. Through brain function evaluation by the ABSC at the initial interview, more suitable interventions can be selected for patients. In future studies, it is necessary to evaluate the effect of practical interventions according to changes in brain function of patients with eating disorders.
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饮食失调患者脑功能相关因素
目的:本研究的目的是探讨饮食失调患者脑功能的相关因素。方法:171例因进食障碍就诊于M门诊的患者参与。数据收集于2022年6月至2022年9月,采用自我报告问卷。结果:脑功能问题发生在深部边缘系统占84.8%,基底节区占78.9%,前扣带区占74.3%,前额叶区占55.6%,颞叶区占34.5%。此外,55.6%的参与者有中度以上的焦虑,32.2%的参与者被怀疑患有强迫症。焦虑、强迫症和饮食精神病理(无效、冲动调节、社会不安全感、身体不满、完美主义和贪食症)是脑功能的显著相关因素。结论:采用自报告测试工具阿门脑系统检查表(ABSC)对脑功能进行评估,可以比脑成像更方便地发现脑功能问题。通过初次访谈时ABSC对患者脑功能的评估,为患者选择更合适的干预措施。在未来的研究中,有必要根据进食障碍患者脑功能的变化来评估实际干预措施的效果。
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