Francesconi, M;
Flouri, E;
Harrison, A;
(2020)
Change in decision-making skills and risk for eating disorders in adolescence: A population based study.
European Psychiatry
, 63
(1)
, Article e93. 10.1192/j.eurpsy.2020.92.
(In press).
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Abstract
Background: Despite the growing interest in the involvement of decision-making under conditions of risk in the onset of eating disorders in adolescence, no studies have investigated how the development of decision-making across that period may influence such a risk. Using data from the Millennium Cohort Study this study explored whether changes in performance on the Cambridge Gambling Task (CGT) between age 11 and age 14 were associated with presence of eating disorder (ED) symptoms at age 14. Methods: Latent class analysis was used to identify groups with distinct profiles based on their responses to questions investigating eating and dieting at age 14. CGT change scores were used as predictors of latent class membership in a logistic regression while accounting for confounders. Results: In our sample of 11,303 participants, the best class solution was a two-class one reflecting high and low risk for ED symptoms. Higher risk-taking scores and lower quality of decision-making scores at age 11 were associated with increased odds of belonging to the high-risk group at age 14. Risk-taking was reduced from age 11 to age 14, but a smaller reduction was associated with a higher probability of being in the higher risk group at age 14. The change over time in the other CGT measures was not associated with risk for ED symptoms. Conclusions: Atypical change in risk-taking from early to middle adolescence may be implicated in the risk of ED symptoms in middle adolescence. These results should be replicated in clinical samples.
| Type: | Article |
|---|---|
| Title: | Change in decision-making skills and risk for eating disorders in adolescence: A population based study |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1192/j.eurpsy.2020.92 |
| Publisher version: | https://doi.org/10.1192/j.eurpsy.2020.92 |
| Language: | English |
| Additional information: | © The Author(s), 2020. Published by Cambridge University Press on behalf of European Psychiatry Association. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:// creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Cambridge Gambling Task, Decision-Making, Eating Disorder, Latent Class Analysis, Millennium Cohort Study |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Psychology and Human Development |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10112427 |
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