Associations Between Neural Reward Processing and Binge Eating Among Adolescent Girls

作者:Bodell Lindsay P*; Wildes Jennifer E; Goldschmidt Andrea B; Lepage Rachel; Keenan Kate E; Guyer Amanda E; Hipwell Alison E; Stepp Stephanie D; Forbes Erika E
来源:Journal of Adolescent Health, 2018, 62(1): 107-113.
DOI:10.1016/j.jadohealth.2017.08.006

摘要

Purpose: Neuroimaging studies suggest that altered brain responses to food-related cues in reward-sensitive regions characterize individuals who experience binge-eating episodes. However, the absence of longitudinal data limits the understanding of whether reward-system alterations increase vulnerability to binge eating, as theorized in models of the development of this behavior.
Methods: Adolescent girls (N = 122) completed a functional magnetic resonance imaging monetary reward task at age 16 years as part of an ongoing longitudinal study. Self-report of binge eating was assessed using the Eating Attitudes Test at ages 16 and 18 years. Regression analyses examined concurrent and longitudinal associations between the blood-oxygenation-level-dependent response to anticipating and winning monetary rewards and the severity of binge eating while controlling for age 16 depressive symptoms and socioeconomic status.
Results: Greater ventromedial prefrontal cortex and caudate responses to winning money were correlated with greater severity of binge eating concurrently but not prospectively.
Conclusions: This study is the first to examine longitudinal associations between reward responding and binge eating in community-based, mostly low-socioeconomic status adolescent girls. Ventromedial prefrontal cortex response to reward outcome-possibly reflecting an enhanced subjective reward value-appears to be a state marker of binge-eating severity rather than a predictor of future severity.

  • 出版日期2018-1