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BMC Psychiatry
Published in: BMC Psychiatry 1/2014

Open Access 01-12-2014 | Research article

Social insecurity in relation to orbitofrontal activity in patients with eating disorders: a near-infrared spectroscopy study

Authors: Hiroto Katayama, Kunihiro Kohmura, Satoshi Tanaka, Miho Imaeda, Naoko Kawano, Yukihiro Noda, Kazuo Nishioka, Masahiko Ando, Branko Aleksic, Tetsuya Iidaka, Norio Ozaki

Published in: BMC Psychiatry | Issue 1/2014

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Abstract

Background

Functional neuroimaging techniques are widely used to elucidate changes in brain activity, and various questionnaires are used to investigate psychopathological features in patients with eating disorders (ED). It is well known that social skills and interpersonal difficulties are strongly associated with the psychopathology of patients with ED. However, few studies have examined the association between brain activity and social relationships in patients with ED, particularly in patients with extremely low body weight.

Methods

In this study, 22-channel near-infrared spectroscopy was used to quantify regional hemodynamic changes during a letter fluency task (LFT) in 20 female patients with ED with a mean body mass index of 14.0 kg/m2and 31 female controls (CTLs). Symptoms were assessed using the Eating Disorder Inventory-2 and Beck Depression Inventory. We hypothesized that frontal activity in patients with ED would be lower than in CTLs and would show different correlations with psychopathological features compared with CTLs.

Results

The LFT performance and score on the social insecurity subscale of the Eating Disorder Inventory-2 were significantly higher in the ED group than in the CTL group. The mean change in oxygenated hemoglobin (oxy-Hb) in bilateral frontal regions during the LFT was significantly smaller in the ED group than in the CTL group. Social insecurity score was positively correlated with the concentration of oxy-Hb in the bilateral orbitofrontal cortex in the ED group but not in the CTL group.

Conclusions

These results suggest that activity of the orbitofrontal cortex is associated with social insecurity and disturbed in patients with ED. Therefore, disturbed orbitofrontal cortex activity may underlie the lack of insight and social isolation that is characteristic of patients with ED.
Appendix
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Metadata
Title
Social insecurity in relation to orbitofrontal activity in patients with eating disorders: a near-infrared spectroscopy study
Authors
Hiroto Katayama
Kunihiro Kohmura
Satoshi Tanaka
Miho Imaeda
Naoko Kawano
Yukihiro Noda
Kazuo Nishioka
Masahiko Ando
Branko Aleksic
Tetsuya Iidaka
Norio Ozaki
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2014
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-14-173

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