Avoidance habit learning after recovery from anorexia nervosa: An fMRI study / Clara M. BREIER in Journal of Child Psychology and Psychiatry, 67-12 (December 2026)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 67-12 (December 2026) . - p.2056-2068 Titre : Avoidance habit learning after recovery from anorexia nervosa: An fMRI study Type de document : texte imprimé Auteurs : Clara M. BREIER, Auteur ; Julius HENNIG, Auteur ; Joseph A. KING, Auteur ; Daniel GEISLER, Auteur ; Arne DOOSE, Auteur ; Ilka BOEHM, Auteur ; Maria SEIDEL, Auteur ; Tung Anh NGUYEN, Auteur ; Katharina ZWOSTA, Auteur ; Veit ROESSNER, Auteur ; Uta WOLFENSTELLER, Auteur ; Hannes RUGE, Auteur ; Stefan EHRLICH, Auteur Article en page(s) : p.2056-2068 Langues : Anglais (eng) Mots-clés : anorexia nervosa  eating disorders  habits  self-control  avoidance learning Index. décimale : PER Périodiques Résumé : Background Anorexia Nervosa (AN) has been linked to altered self-regulatory control processes and maladaptive habitual avoidance behavior. Both goal-directed and habit systems may be relevant to AN, in which restrictive eating behavior can appear highly deliberate and increasingly automatic over time. A previous fMRI study identified behavioral and neural markers hinting at heightened self-regulatory control (?overcontrol?) during an avoidance habit task in acutely underweight adolescents and young women with AN. Extending this research to recovered individuals with a history of AN (recAN), we aimed to clarify whether these findings persist and can be seen as trait vulnerabilities. Methods A sample of 40 recAN and 40 pairwise age-matched healthy control (HC) participants carried out a three-phase experimental paradigm including (1) training of goal-directed response-outcome behavior, (2) training of avoidance stimulus?response pairings, and (3) a test of habitual response interference. Our fMRI analysis strategy focused on capturing training-related changes in neural activity related to reinforcement learning processes. Results Analyses of main effects of task confirmed expected behavioral and fMRI results. However, unlike previous findings of greater activation in frontoparietal control regions in young acutely underweight patients with AN during the establishment of avoidance behavior and of higher task performance, all behavioral task measures, region-of-interest fMRI, and follow-up whole-brain analyses yielded no group differences between recAN and HC. Conclusions Our findings of intact avoidance habit learning after recovery from AN suggest that correlates of overcontrol previously observed in acutely underweight individuals with AN may reflect state-dependent rather than persistent trait markers of the disorder. En ligne : https://doi.org/10.1111/jcpp.70204 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=597 [article] Avoidance habit learning after recovery from anorexia nervosa: An fMRI study [texte imprimé] / Clara M. BREIER, Auteur ; Julius HENNIG, Auteur ; Joseph A. KING, Auteur ; Daniel GEISLER, Auteur ; Arne DOOSE, Auteur ; Ilka BOEHM, Auteur ; Maria SEIDEL, Auteur ; Tung Anh NGUYEN, Auteur ; Katharina ZWOSTA, Auteur ; Veit ROESSNER, Auteur ; Uta WOLFENSTELLER, Auteur ; Hannes RUGE, Auteur ; Stefan EHRLICH, Auteur . - p.2056-2068. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 67-12 (December 2026) . - p.2056-2068 Mots-clés : anorexia nervosa  eating disorders  habits  self-control  avoidance learning Index. décimale : PER Périodiques Résumé : Background Anorexia Nervosa (AN) has been linked to altered self-regulatory control processes and maladaptive habitual avoidance behavior. Both goal-directed and habit systems may be relevant to AN, in which restrictive eating behavior can appear highly deliberate and increasingly automatic over time. A previous fMRI study identified behavioral and neural markers hinting at heightened self-regulatory control (?overcontrol?) during an avoidance habit task in acutely underweight adolescents and young women with AN. Extending this research to recovered individuals with a history of AN (recAN), we aimed to clarify whether these findings persist and can be seen as trait vulnerabilities. Methods A sample of 40 recAN and 40 pairwise age-matched healthy control (HC) participants carried out a three-phase experimental paradigm including (1) training of goal-directed response-outcome behavior, (2) training of avoidance stimulus?response pairings, and (3) a test of habitual response interference. Our fMRI analysis strategy focused on capturing training-related changes in neural activity related to reinforcement learning processes. Results Analyses of main effects of task confirmed expected behavioral and fMRI results. However, unlike previous findings of greater activation in frontoparietal control regions in young acutely underweight patients with AN during the establishment of avoidance behavior and of higher task performance, all behavioral task measures, region-of-interest fMRI, and follow-up whole-brain analyses yielded no group differences between recAN and HC. Conclusions Our findings of intact avoidance habit learning after recovery from AN suggest that correlates of overcontrol previously observed in acutely underweight individuals with AN may reflect state-dependent rather than persistent trait markers of the disorder. En ligne : https://doi.org/10.1111/jcpp.70204 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=597

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