The improvement in neurocognitive functioning in anorexia nervosa adolescents throughout the integrative model of psychotherapy including cognitive remediation therapy.

BACKGROUND: Patients with anorexia nervosa (AN) experience difficulties in neurocognitive functioning in the acute phase of illness which might be related to clinical presentation, but also in the apparently remitted state after weight recovery. Among the most commonly reported persistent deficits is cognitive inflexibility, which can be interpreted as a vulnerability trait or a "neuropsychological scar" reflecting the detrimental effect of prolonged semi-starvation in patients with a long duration of illness. Studies of adolescent samples with a relatively short clinical course may enable avoiding the effect of prolonged illness and help to determine whether neuropsychological deficits are trait or state dependent. The aim of this study is to assess cognitive functioning in adolescents with AN before and after the inpatient treatment programme, including cognitive remediation therapy (CRT). METHODS: Forty-seven adolescent female inpatients with AN diagnosed according to DSM-5 and fifty healthy female adolescents matched for the education level and age were recruited. The patients underwent a multimodal treatment including a ten-week CRT. The standardized and cross-validated neuropsychological (Trail Making Test - TMT A and B, Color-Word Stroop Task - CWST, Ruff Figural Fluency Test - RFFT) and clinical measurements (Beck Depression Inventory - BDI, Eating Attitude Test - EAT-26, Yale-Brown Obsessive Compulsive Scale - Y-BOCS) were used to assess both clinical (in the acute phase and after partial weight recovery) and control subjects. RESULTS: Initially, AN patients performed significantly worse compared to the controls, but afterwards, inpatient treatment improvement was noted on all examined measures. In a few subtests (TMT, CWST) performance of AN patients after the programme was still significantly poorer than in HC. CONCLUSIONS: Cognitive inflexibility in adolescent AN patients, as measured with TMT, CWST, and RFFT tends to improve after therapy. Nevertheless, a few neuropsychological subtests which did not show complete normalization may warrant attention in subsequent studies. Further research including control intervention is needed to conclude whether CRT intervention affects the outcome.

[Amounts of selected minerals in green and black teas]. / Zawartosc wybranych skladników mineralnych w herbatach zielonych i czarnych.

The paper contains the results of 19 minerals (Ca, K, P, Na, Mg, Zn, Fe, Mn, Cu, F, Ni, Co, Cr, Li, Sr, Al, Cd, Hg, Pb) determined in green and black species of market teas. The examined minerals (except phosphorus, fluoride and mercury) were determined by ASA-method using air-acetylene flame (aluminium was determined in the nitrous oxide-acetylene flame). Mercury was determined by cold vapour method. The phosphorus and fluoride was determined by spectrophotometry methods (phosphorus in the form of phosphomolybdate blue and fluoride by use microdiffusion procedure where alizarin-fluoride complex was formed). It has been found that the examined teas are important source of potassium and low source of sodium, assuming a daily intake of 4 glasses of tea infusions. Tea drinking may be advantageous for hypertensive persons. The investigated teas are also important source of other examined minerals especially some microelements. The intake of the toxic metals with tea (Cd, Hg, Pb, Al) is low, from a centesimal to a few percent of the PTWI dose accepted by the FAO/WHO Experts. This paper presents also the first findings of the lithium and stronthium contents of examined tea species--whose physiological role still remains unknown.