Electrocortical processing of food and emotional pictures in anorexia nervosa and bulimia nervosa

Psychosom Med. 2011 Jun;73(5):415-21. doi: 10.1097/PSY.0b013e318211b871. Epub 2011 Apr 14.

Abstract

Objective To compare the electrocortical processing of food pictures in participants with anorexia nervosa (n = 21), bulimia nervosa (n = 22), and healthy controls (HCs) (n = 32) by measuring the early posterior negativity, an event-related potential that reflects stimulus salience and selective attention. Methods We exposed these three groups to a rapid stream of high- and low-calorie food pictures, as well as standard emotional and neutral pictures. Results Event-related potentials in the time range of 220 milliseconds to 310 milliseconds on posterior electrodes differed between groups: patients with eating disorders showed facilitated processing of both high- and low-calorie food pictures relative to neutral pictures, whereas HC participants did so only for the high-calorie pictures. Subjective palatability of the pictures was rated highest by patients with anorexia nervosa, followed by the HC and bulimia nervosa groups. Conclusions Patients with eating disorders show a generalized attentional bias for food images, regardless of caloric value. This might explain the persistent preoccupation with food in these individuals.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Anorexia Nervosa / physiopathology*
  • Anorexia Nervosa / psychology
  • Attention
  • Bulimia Nervosa / physiopathology*
  • Bulimia Nervosa / psychology
  • Case-Control Studies
  • Cues
  • Electroencephalography
  • Emotions / physiology*
  • Energy Intake
  • Evoked Potentials, Visual / physiology*
  • Female
  • Food Preferences / psychology
  • Food*
  • Humans
  • Photic Stimulation
  • Young Adult