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Disturbances of the central nervous system in anorexia nervosa and bulimia nervosa.

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  • Author(s): Berner, Laura A.. Eating Disorder Center for Treatment and Research, Department of Psychiatry, UC San Diego School of Medicine, University of California, San Diego, La Jolia, CA, US; Kaye, Walter H.. Eating Disorder Center for Treatment and Research, Department of Psychiatry, UC San Diego School of Medicine, University of California, San Diego, La Jolia, CA, US
  • Source:
    Eating disorders and obesity: A comprehensive handbook., 3rd ed. Brownell, Kelly D., (Ed); Walsh, B. Timothy, (Ed); pp. 265-270; New York, NY, US: The Guilford Press; 2018. xxi, 690 pp.
  • Language:
    English
  • Document Type:
    Chapter
  • Publication Type:
    Book; Edited Book
  • Additional Information
    • Physical Description:
      6
    • ISBN:
      978-1-4625-2906-3 (Hardcover)
    • Keywords:
      central nervous system, anorexia nervosa, bulimia nervosa
    • Abstract:
      Eating disorders are characterized by unique symptoms including body image distortion and often denial of the seriousness of the illness; however, perhaps the primary defining characteristic of these disorders is abnormal extremes of food consumption. Advances in our understanding of disturbances in neural circuits associated with eating disorders are beginning to raise the possibility that the behavioral extremes characteristic of these disorders may be better understood based on a continuum of interacting neurocognitive constructs—reward and inhibition. While a relatively novel idea for understanding eating disorders, this perspective is consistent with the obesity and addiction literature. These fields have made substantial advances in delineating the circuitry that makes drugs and food rewarding, and that underlie the self-control mechanisms that may inhibit their use. These advances may serve as models to develop a mechanistic understanding of eating disorders. This chapter focuses on how the symptoms of anorexia nervosa (AN) and bulimia nervosa (BN) may be related to an altered balance between reward, inhibition, and saliency. We focus primarily on the potential relevance of ventral and dorsal corticos- triatal circuits. Ventral corticostriatal and corticolimbic neural circuits, which include the rostral anterior cingulate cortex (ACC), the ventromedial prefrontal cortex (PFC), and the anterior ventral striatum, evaluate rewarding or emotionally significant stimuli and generate affective responses to these stimuli. A dorsal cognitive neural circuit, which modulates self-regulatory control functions, including action inhibition, planning, effortful regulation of affective states, and decision making, includes the dorsal caudate, the dorsal ACC, the ventrolateral PFC (VLPFC) and dorsolateral PFC (DLPFC), the insula, and the parietal cortex. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
    • Subject Terms:
    • PsycINFO Classification:
      Eating Disorders (3260)
    • Population:
      Human
    • Intended Audience:
      Psychology: Professional & Research (PS)
    • Physical Description:
      Print
    • Document Type:
      Handbook/Manual
    • Publication Date:
      20180517
    • Publication Date:
      20190211
    • Accession Number:
      2017-08404-043
  • Citations
    • ABNT:
      BERNER, L. A.; KAYE, W. H. Disturbances of the central nervous system in anorexia nervosa and bulimia nervosa. In: BROWNELL, K. D.; WALSH, B. T. (Eds.). Eating disorders and obesity: A comprehensive handbook., 3rd ed. New York, NY: The Guilford Press, 2018. p. 265–270. ISBN 978-1-4625-2906-3. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-08404-043. Acesso em: 3 abr. 2020.
    • AMA:
      Berner LA, Kaye WH. Disturbances of the central nervous system in anorexia nervosa and bulimia nervosa. In: Brownell KD, Walsh BT, eds. Eating Disorders and Obesity: A Comprehensive Handbook., 3rd Ed. New York, NY: The Guilford Press; 2018:265-270. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-08404-043. Accessed April 3, 2020.
    • APA:
      Berner, L. A., & Kaye, W. H. (2018). Disturbances of the central nervous system in anorexia nervosa and bulimia nervosa. In K. D. Brownell & B. T. Walsh (Eds.), Eating disorders and obesity: A comprehensive handbook., 3rd ed. (pp. 265–270). The Guilford Press.
    • Chicago/Turabian: Author-Date:
      Berner, Laura A., and Walter H. Kaye. 2018. “Disturbances of the Central Nervous System in Anorexia Nervosa and Bulimia Nervosa.” In Eating Disorders and Obesity: A Comprehensive Handbook., 3rd Ed., edited by Kelly D. Brownell and B. Timothy Walsh, 265–70. New York, NY: The Guilford Press. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-08404-043.
    • Harvard:
      Berner, L. A. and Kaye, W. H. (2018) ‘Disturbances of the central nervous system in anorexia nervosa and bulimia nervosa’, in Brownell, K. D. and Walsh, B. T. (eds) Eating disorders and obesity: A comprehensive handbook., 3rd ed. New York, NY: The Guilford Press, pp. 265–270. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-08404-043 (Accessed: 3 April 2020).
    • Harvard: Australian:
      Berner, LA & Kaye, WH 2018, ‘Disturbances of the central nervous system in anorexia nervosa and bulimia nervosa’, in KD Brownell & BT Walsh (eds), Eating disorders and obesity: A comprehensive handbook., 3rd ed., The Guilford Press, New York, NY, pp. 265–270, viewed 3 April 2020, .
    • MLA:
      Berner, Laura A., and Walter H. Kaye. “Disturbances of the Central Nervous System in Anorexia Nervosa and Bulimia Nervosa.” Eating Disorders and Obesity: A Comprehensive Handbook., 3rd Ed., edited by Kelly D. Brownell and B. Timothy Walsh, The Guilford Press, 2018, pp. 265–270. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-08404-043.
    • Chicago/Turabian: Humanities:
      Berner, Laura A., and Walter H. Kaye. “Disturbances of the Central Nervous System in Anorexia Nervosa and Bulimia Nervosa.” In Eating Disorders and Obesity: A Comprehensive Handbook., 3rd Ed., edited by Kelly D. Brownell and B. Timothy Walsh, 265–70. New York, NY: The Guilford Press, 2018. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-08404-043.
    • Vancouver/ICMJE:
      Berner LA, Kaye WH. Disturbances of the central nervous system in anorexia nervosa and bulimia nervosa. In: Brownell KD, Walsh BT, editors. Eating disorders and obesity: A comprehensive handbook, 3rd ed [Internet]. New York, NY: The Guilford Press; 2018 [cited 2020 Apr 3]. p. 265–70. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2017-08404-043