Cognitive Neuroscience of Eating Disorders

Psychiatr Clin North Am. 2019 Mar;42(1):75-91. doi: 10.1016/j.psc.2018.10.008. Epub 2018 Dec 3.

Abstract

Anorexia nervosa and bulimia nervosa are characterized by severely restricted intake, binge eating, and compensatory behaviors like self-induced vomiting. The neurobiological underpinnings of these maladaptive behaviors are poorly understood, but the application of cognitive neuroscience and neuroimaging to eating disorders has begun to elucidate their pathophysiology. Specifically, this review focuses on 3 areas that suggest paths forward: reward, cognitive and behavioral control, and decision making. Understanding the brain-based mechanisms that promote and maintain these often chronic symptoms could guide the development of new and more effective treatments.

Keywords: Anorexia nervosa; Bulimia nervosa; Cognitive neuroscience; Eating disorders; Neurobiology; Neuroscience.

Publication types

  • Review

MeSH terms

  • Anorexia Nervosa / physiopathology*
  • Brain / physiopathology*
  • Bulimia Nervosa / physiopathology*
  • Cognitive Neuroscience / methods*
  • Decision Making / physiology*
  • Humans
  • Reward*