INTRODUCTION: Eating disordered patients (EDp) who binge-eat appear to present impulse control deficits that influence treatment outcome. The present bulimia nervosa (BN) study tests the function of brain areas involved in top-down control of behavior, associated with the anterior cingulate cortex (ACC), at the individual level. METHODS: ACC activity was analyzed in two women with BN and one matched control with a reliable and simple cue imperative target paradigm for response anticipation and response conflict processing using an event-related functional magnetic resonance imaging (fMRI) design. RESULTS: Patients showed meaningful ACC patterns of activation, less recruitment for response anticipation, and abnormal for response conflict, when they had to suppress an inappropriate response. DISCUSSION: Preliminary evidence suggests a BN neurocognitive model of impaired executive control-related brain activity. Reliable fMRI paradigms may be clinically useful to determine ACC dysfunction in EDp, to inform treatment and track changes. ©2007, Editrice Kurtis.
CITATION STYLE
Peñas-Lledó, E. M., Loeb, K. L., Martin, L., & Fan, J. (2007). Anterior cingulate activity in bulimia nervosa: A fMRI case study. Eating and Weight Disorders, 12(4). https://doi.org/10.1007/bf03327599
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