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Base Rates of Low Delis Kaplan Executive Function System Scores in Individuals With Anorexia Nervosa.

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Title: Base Rates of Low Delis Kaplan Executive Function System Scores in Individuals With Anorexia Nervosa.
Authors: Schnabel, Jiana (AUTHOR), Stedal, Kristin (AUTHOR), Rose, Mark (AUTHOR), van Noort, Betteke Maria (AUTHOR), Alloy, Lauren B. (AUTHOR), Timko, C. Alix (AUTHOR)
Source: European Eating Disorders Review. Sep2025, Vol. 33 Issue 5, p1044-1050. 7p.
Subjects: Research funding, Secondary analysis, Body mass index, Executive function, Disease prevalence, Descriptive statistics, Severity of illness index, Chronic diseases, Anorexia nervosa, Neuropsychological tests, Analysis of variance, Cognitive flexibility
Abstract: Objective: Inefficiencies in cognitive flexibility (CF) are a potential vulnerability trait for anorexia nervosa (AN). Yet, much of the research on CF in AN has been conducted in adult samples, with mixed results from research on adolescents. Knowledge of the prevalence of low scores on assessments can help avoid erroneous interpretations of test scores. The current study examined the prevalence of low scores on the Delis Kaplan Executive Function System (D‐KEFS) in adolescents and adults with AN and adolescent healthy controls. Method: We conducted a secondary analysis of D‐KEFS data from 739 participants (552 adolescents with AN [aged 15.39 ± 1.91, 92% female], 69 adults with AN [aged 26.5 ± 6.1, 98.6% female], and 118 adolescent healthy controls [HC] [aged 15.09 ± 2.14, 98.3% female]). Results: Low scores on the D‐KEFS were common across all groups. Adults with AN exhibited the highest proportion of individuals with abnormally low scores, followed by adolescents with AN and adolescent HC. Adolescents with a higher proportion of low scores had a lower BMI z‐score and longer length of illness. Conclusions: Results highlight differences between adults and adolescents and lend support to the hypothesis that inefficiencies in flexibility are either a marker of persistent course or a scar of AN illness. [ABSTRACT FROM AUTHOR]
Copyright of European Eating Disorders Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Base Rates of Low Delis Kaplan Executive Function System Scores in Individuals With Anorexia Nervosa.
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  Data: <searchLink fieldCode="AR" term="%22Schnabel%2C+Jiana%22">Schnabel, Jiana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stedal%2C+Kristin%22">Stedal, Kristin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rose%2C+Mark%22">Rose, Mark</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+Noort%2C+Betteke+Maria%22">van Noort, Betteke Maria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alloy%2C+Lauren+B%2E%22">Alloy, Lauren B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Timko%2C+C%2E+Alix%22">Timko, C. Alix</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Eating+Disorders+Review%22">European Eating Disorders Review</searchLink>. Sep2025, Vol. 33 Issue 5, p1044-1050. 7p.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Inefficiencies in cognitive flexibility (CF) are a potential vulnerability trait for anorexia nervosa (AN). Yet, much of the research on CF in AN has been conducted in adult samples, with mixed results from research on adolescents. Knowledge of the prevalence of low scores on assessments can help avoid erroneous interpretations of test scores. The current study examined the prevalence of low scores on the Delis Kaplan Executive Function System (D‐KEFS) in adolescents and adults with AN and adolescent healthy controls. Method: We conducted a secondary analysis of D‐KEFS data from 739 participants (552 adolescents with AN [aged 15.39 ± 1.91, 92% female], 69 adults with AN [aged 26.5 ± 6.1, 98.6% female], and 118 adolescent healthy controls [HC] [aged 15.09 ± 2.14, 98.3% female]). Results: Low scores on the D‐KEFS were common across all groups. Adults with AN exhibited the highest proportion of individuals with abnormally low scores, followed by adolescents with AN and adolescent HC. Adolescents with a higher proportion of low scores had a lower BMI z‐score and longer length of illness. Conclusions: Results highlight differences between adults and adolescents and lend support to the hypothesis that inefficiencies in flexibility are either a marker of persistent course or a scar of AN illness. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of European Eating Disorders Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/erv.3202
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        Text: English
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      – SubjectFull: Research funding
        Type: general
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      – SubjectFull: Body mass index
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      – SubjectFull: Executive function
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      – SubjectFull: Disease prevalence
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Severity of illness index
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      – SubjectFull: Neuropsychological tests
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      – SubjectFull: Analysis of variance
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      – SubjectFull: Cognitive flexibility
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      – TitleFull: Base Rates of Low Delis Kaplan Executive Function System Scores in Individuals With Anorexia Nervosa.
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              M: 09
              Text: Sep2025
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              Y: 2025
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