Inhibitory control and ability to maintain response in obesity and binge eating disorder


  • Fátima Cristina da Silva Ribeiro Gameiro
  • Maria Victoria Perea-Bartolomé
  • Valentina Ladera-Fernandéz
  • Beatriz Alice Leal da Silva Alves Rosa



inhibitory control, ability to maintain response, obesity, bing eating disorder


The aim of this study was to analyse the inhibitory control and the ability to maintain response in obese patients with and without Binge Eating Disorder (BED), compared to normalweight subjects. A total of 114 participants comprised three different groups (obese with BED, obese without BED and normal-weight) completed the Frontal Assessment Battery, the Stroop Neuropsychological Screening Test and the Wisconsin Card Sorting Test. The results showed differences between the obese groups and normal-weight group, to inhibitory control. There were also differences between the two obese groups in the ability to maintain the response. These results suggest that low inhibitory control, characterizes obesity and the difficulties to maintain the response, characterizes the binge eating disorder.


WHO. Obesity and Overweight; World Health Organization: Geneva, Switzerland, 2020.

Fontaine, K.R.; Bartlett, S.J.; Barofsky, I. Health-related quality of life among obese persons seeking and not currently seeking treatment. International Journal of Eating Disorders, 2000, 27(1), 101-105.

Silva, I.; Pais-Ribeiro, J.; Cardoso, H. Cirurgia de obesidade: Qualidade de vida e variáveis psicológicas antes e depois do tratamento cirúrgico. Psicologia: Teoria e Prática, 2009, 11(2), 196-210.

Blume, M.; Schmidt, R.; Hilbert, A. Executive functioning in obesity, food addiction, and binge-eating disorder. Nutrients, 2018, 11, 54.

Segura-Serralta, M.; Perpiñá, C.; Ciscar, S.; Blasco, L.; Espert, R.; RomeroEscobar, C.; Domínguez, J. R.; Oltra-Cucarella, J. Executive functions and emotion regulation in obesity and eating disorders. Nutrición Hospitalaria, 2019, 36 (1), 167-172.

De Zwaan, M.; Mitchell, J.F.; Howell, L.M.; Monson, N.; Swan-Kremeier, L.; Roerig, J.L.; Kolotkin, R.L.; Crosby, R.D. Two measures of health-related quality of life in morbid obesity. Obesity Research, 2002, 10, 1143-1145.

Marcus, M.D.; Wing, R.R.; Lamparski, D.M. Binge eating and dietary restraint in obese patients. Addictive Behaviors, 1985, 10, 163-168.

Teixeira, A. & Lopes, R. Funções executivas e compulsão alimentar: revisão sistemática da literatura. Cuadernos de Neuropsicología / Panamerican, Journal of Neuropsychology, 2020, 14(2), 35-50.

Spitzer, R.L.; Yanovski, S.; Wadden, T.; Wing, R.; Marcus, M.D.; Stunkarf, A.; Devlin, M.; Mitchell, J.; Hasin, D.; Home, R. Binge eating disorder: Its further validation in a multisite study. International Journal of Eating Disorder, 1993, 13(2), 137-153.

American Psychiatric Association. Manual de diagnóstico e estatística das perturbações mentais (DSM-5), 2014. Climepsi Editores.

Dahlgren, C. L.; Hage, T. W.; Wonderlich, J. A.; Stedal, K. General and eating disorder specific flexibility: Development and validation of the eating disorder flexibility index (EDFLIX). Questionnaire. Fronteiras em Psicologia, 2019, 10, 663.

Díaz, B.B.; Fuentes, R.C.; Coello, S.D.; Cabrera de León, A. Psicoendocrinoneurología de la obesidad. Revista Española de Obesidad, 2007, 5(4), 204-225.

Barkley, R.A. Behavioral inhibition, sustained attention and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 1997, 121, 65-94.

García-Molina, A.; Tirapu-Ustárroz, J.; Luna-Lario, P.; Ibáñez, J.; Duque, P. Son lo mismo inteligencia y funciones ejecutivas? Revista de Neurología, 2010, 50(12), 738-746.

Carnell, S.; Gibson, C.; Benson, L.; Ochner, C.N.; Geliebter, A. Neuroimaging and obesity: Current knowledge and future directions. Obesity Reviews, 2012, 13(1), 43-56.

Elias, M.F.; Elias, P.K.; Sullivan, L.M.; Wolf, P.A.; D’Agostino, R.B. Lower cognitive function in the presence of obesity and hypertension: The framingham heart study. International Journal of Obesity, 2003, 27, 260-268.

Miller, J.; Kranzler, J.; Liu, Y.; Schmalfuss, I.; Theriaque, D.W.; Shuster, J.J.; Hatfield, A.; Mueller, O.T.; Goldstone, A.P.; Sahoo, T.; Beaudet, A.L.; Driscoll, D.J. Neurocognitive findings in prader willi syndrome and early-onset morbid obesity. Journal of Pediatrics, 2006, 149(2), 192-198.

Grucza, R.A.; Przybeck, T.R.; Cloninger, C.R. Prevalence and correlates of binge eating disorder in a community sample. Comprehensive Psychiatry, 2007, 48(2), 124-131.

Lokken, K.E.; Boeka, A.G. Evidence of executive dysfunction in extremely obese adolescents: A pilot study. Surgery for Obesity and Related Diseases, 2009, 5(5), 547-552.

Mobbs, O.; Iglesias, K.; Golay, A.; Van der Linden, M. Cognitive deficits in obese persons with and without binge eating disorder. Investigation using a mental flexibility task. Appetite, 2011, 57(1), 263-271.

Narimani, M.; Esmaeilzadeh, S.; Pesola, A.J.; Azevedo, L.; Moradi, A.; Heidari, B.; Moghadam, M. Impact of obesity on control processing time rather than overall reaction time in young adult men. Journal of Eating Disorders, 2019, 24(6), 1051-1061.

Rigoli, D.; Piek, J.P.; Kane, R.; Oosterlaan, J. An examination of the relationship between motor coordination and executive functions in adolescents. Developmental Medicine and Child Neurology, 2012, 54 (11), 1025-1231.

Martín-Martínez, I.; Chirosa-Ríos, L.; Reigal-Garrido, R.; Hernández-Mendo, A.; Juárez-Ruiz-de-Mier, R.; Guisado-Barrilao, R. Efectos de la actividad física sobre las funciones ejecutivas en una muestra de adolescentes. Anales de Psicología, 2015, 31, 962-971.

Boeka, A.G.; Lokken, K.E. Neuropsychological performance of a clinical sample of extremely obese individuals. Archives of Clinical Neuropsychology, 2008, 23(4), 467-474.

Campoy, C.; Martín-Matillas, M.; López-Belmonte, G.; Martín-Bautista, E.; Marcos, A.; Verdejo, A.; Pérez-García, M.; Cruz-Quintana, F. Alteraciones de las funciones ejecutivas y de impulsividad en adolescentes obesos. Revista Española de Endocrinología Pediátrica, 2011, 1, 87-92.

Duchesne, M.; Mattos, P.; Appolinario, J.C.; Freitas, S.R.; Coutinho, G.; Santos, C.; Coutinho, W. Assessment of executive functions in obese individuals with binge eating disorder. Revista Brasileira de Psiquiatria, 2010, 32(4), 381-388.

Davis, C.; Levitan, R.D.; Muglia, P.; Bewell, C.; Kennedy, J. Decision-making deficits and overeating: A risk model for obesity. Obesity Research, 2004, 12, 929–935.

Pignatti, R.; Bertella, L.; Albani, G.; Mauro, A.; Molinari, E.; Semenza, C. Decision-making in obesity: A study using the Gambling Task. Eating and Weight Disorders, 2006, 11, 126–132.

Eneva, K. T.; Artl, J. M.; Yiu, A.; Murray, S. M.; Chen, E. Y. Assessment of executive functioning in binge-eating disorder independent of weight status. HHS Public Access - Author manuscript, International Journal Eating Disorders, 2017, 50(8), 942–951.

Eichen, D. M.; Matheson, B. E.; Appleton-Knapp, S. L.; Kerri N. Boutelle, K. N. Neurocognitive treatments for eating disorders and obesity. Current Psychiatry Reports. HHS Public Access Author manuscript, 2017, 19(9), 62.

Farah, J. F. S.; Castanho, P. Dimensões psíquicas do emagrecimento: por uma compreensão psicanalítica da compulsão alimentar. Revista Latino Americana de Psicopatologia Fundamental, 2018, 21(1), 41-57.

Dingemans, A. E.; Vanhaelen, C. B.; Aardoom, J. J.; Van Furth, E. F. The influence of depressive symptoms on executive functioning in binge eating disorder: A comparison of patients and non-obese healthy controls. Psychiatry Research, 2019, 274, 138-145.

Mang, L.; Ridout, N.; Dritschel, B. The influence of mood and attitudes towards eating on cognitive and autobiographical memory flexibility in female university students (vol. 269). Psychiatry Research, 2018, 269.

Solano-Pinto, N.; De-la-Peña, C.; Solbes-Canales, I.; Bernadéu-Brotóns, E. Perfiles neuropsicológicos em anorexia y bulimia nerviosa. Revista de Neurologia / Formacion Online, 2018, 67, 355-364.

Bradley, S.J.; Taylor, M.J.; Rovet, J.F.; Goldberg, E.; Hood, J.; Wachsmuth, R.; Azcue, M.P.; Pencharz, P.B. Assessment of brain function in adolescent anorexia nervosa before and after weight gain. Journal of Clinical and Experimental Neuropsychology, 1997, 19, 20-33.

Spinella, M.; Lyke, J. Executive personality traits and eating behavior. Internacional Journal of Neurosciene, 2004, 114(1), 83-93.

Marcus, R.N.; Katz, J. Inpatient care of the substance-abusing patient with a concomitant eating disorder. Hospital and Community Psychiatry, 1990, 41, 59-63.

Wilson, G.T.; Nonas, C.A.; Rosenbaum, G.D. Assessment of binge-eating in obese patients. International Journal Eating Disorder, 1993, 13(1), 25-33.

Córdova, M. E. Perfil nutricional e neuropsicológico das funções executivas no transtorno da compulsão alimentar periódica [Master’s thesis, Universidade Federal de Ciências da Saúde, Porto Alegre, Brasil], 2014.

Kollei, I.; Rustemeier, M.; Schroeder, S.; Jongen, S.; Herpertz, S.; Loeber, S. Cognitive control functions in individuals with obesity with and without binge‐eating disorder. International Journal Eating Disorders, 2018, 51(3), 233-240.

Greeno, C.G.; Marcus, M.D.; Wing, R.R. Diagnosis of binge eating disorder: Discrepancies between a questionnaire and clinical interview. International Journal of Eating Disorders, 1995, 17(2), 153- 160.

Garner, D.M.; Olmsted, M.P.; Boher, Y.; Garfinkel, P.E. Eating attitudes test: Psychometric features and clinical correlates. Psychology Medicine, 1982, 12, 871-878.

Nunes, M.A.; Bagatini, L.F.; Abuchaim, A.L.; Kunz, A.; Ramos, D.; Silva, J.; Somenzi, L.; Pinheiro, A. Distúrbios da conduta alimentar: Considerações sobre o teste de atitudes alimentares (EAT). Revista ABPAPAL, 1994, 16(1), 7-10.

Baptista, A. A génese da perturbação de pânico [Doctoral Dissertation, Instituto de Ciências Biomédicas Abel Salazar da Universidade do Porto, Portugal], 1994.

Guerreiro, M.; Silva, A.P.; Botelho, M.A.; Leitão, O.; Castro-Caldas, A.; Garcia, C. Avaliação breve do estado mental. In A. Mendonça, C. Garcia, & M. Guerreiro (Eds.). Escalas e testes na demência (pp. 27-32). Grupo de Estudos de Envelhecimento Cerebral e Demência, 2003.

Dubois, B.; Slachevsky, A.; Litvan, I.; Pillon, B. The FAB. A frontal assessment battery at bedside. Neurology, 2000, 55, 1621-1626.

Lima, C.F.; Meireles, L.P.; Fonseca, R.; Castro, S.L.; Garrett, C. The frontal assessment battery in parkinson’s disease and correlations with formal measures of executive functioning. Journal of Neurology, 2008, 255, 1756-1761.

Trenerry, M.R.; Crosson, B.; DeBoe, J.; Leber, W.R. Stroop Neuropsychological Screening Test manual. PAR, 1988.

Spreen, O.; Strauss, E. A compendium of neuropsychological tests: Administration, norms, and commentary. Oxford University Press, 1998.

Heaton, R.K.; Chelune, G.J.; Talley, J.L.; Kay, G.; Curtiss, G. Wisconsin card sorting test manual. Revised and Expanded. PAR, 1993.

Ord, J.S.; Greve, K.W.; Bianchini, K.J.; Aguerrevere, L. Executive dysfunction in traumatic brain injury: The effects of injury severity and effort on the wisconsin card sorting test. Journal of Clinical and Experimental Neuropsychology, 2010, 32, 123-140.

Duchesne, M.; Mattos, P.; Fontenelle, L.F.; Veiga, H.; Rizo, L.; Appolinario, J.C. Neuropsicología dos transtornos alimentares: Revisão sistemática da literatura. Revista Brasileira de Psiquiatria, 2004, 26(2), 107-117.

Agras, W.S.; Telch, C.F.; Arnow, B.; Eldredge, K.; Marnell, M. One-year follow-up of cognitive-behavioral therapy for obese individuals with binge eating disorder. Journal of Consulting and Clinical Psychology, 1997, 65(2), 343-347.

Eldredge, K.L.; Agras, W.S.; Arnow, B.; Telch, C.F.; Bell, S.; Castonguay, L.; Marnell, M. The effects of extending cognitive-behavioral therapy for binge eating disorder among initial treatment nonresponders. International Journal of Eating Disorders, 1997, 21, 347-352.

Shelley-Ummenhofer, J.; MacMillan, P. Cognitive-behavioural treatment for women who binge eat. Canadian Journal of Dietetic Practive and Research, 2007, 68(3), 139-142.

Roehrich, L.; Goldman, M.S. Experience-dependent neuropsychological recovery and the treatment of alcoholism. Journal of Consulting and Clinical Psychology, 1993, 61 (5), 812-821.



How to Cite

GAMEIRO, F. C. da S. R.; PEREA-BARTOLOMÉ, M. V.; LADERA-FERNANDÉZ, V.; ROSA, B. A. L. da S. A. Inhibitory control and ability to maintain response in obesity and binge eating disorder. Journal Archives of Health, [S. l.], v. 3, n. 7, p. 731–743, 2022. DOI: 10.46919/archv3n7-005. Disponível em: Acesso em: 19 may. 2024.

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