![]() If these difficulties normalize with recovery, they are likely a consequence of the illness state. If they do persist, this could be related to traits and might be considered as predisposing factors of the illness. An important question is whether these difficulties persist after the patients have recovered from their illness. Studies have consistently shown that patients with anorexia nervosa have altered neuropsychological functions in some cognitive domains. Whether these functions are trait or state related could have implications for how they are targeted in treatment. Novel treatment strategies based on neuroscience research are emerging, focusing on targeting the underlying mechanisms of the illness, including neuropsychological functioning. Few studies have investigated decision-making in AN-REC, however those studies that do exist suggest that decision-making is not impaired in AN-REC. Central coherence might also be trait related, however findings are inconsistent. The majority of studies on set-shifting showed that set-shifting difficulties persist after recovery. ![]() After exclusion of 135 articles, 23 articles were included in the review. The main search resulted in 158 articles. ![]() Literature was identified via searches in PubMed, PsychInfo and Embase database. MethodĪ systematic review approach was used. The aim of this study was to review the existing literature and evaluate whether deficits in set-shifting, central coherence and decision-making persist in individuals recovered from anorexia nervosa (AN-REC). ![]()
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