Relationship between cognitive flexibility and disordered eating attitudes across the non-clinical spectrum

Abstract

Disordered eating attitudes exist on a continuum that extends well below clinical diagnostic thresholds, yet the cognitive correlates of this non-clinical variation remain incompletely understood. Previous research linking executive functioning to disordered eating in non-clinical samples has relied almost exclusively on self-report questionnaire measures of executive function, which show weak correspondence with performance-based assessments. This methodological reliance leaves open the question of how objective executive performance relates to eating behavior across the spectrum. The present study addressed this gap by examining the association between performance-based measures of executive function and disordered eating attitudes in a non-clinical sample of 243 university students via an online experiment, using a dimensional approach consistent with the Research Domain Criteria framework. Participants completed established neurocognitive tasks covering three executive function domains: working memory was assessed with Digit Span and an N-back task, inhibitory control with a Go/No-Go task, and cognitive flexibility with the Card Sorting Task. Disordered eating attitudes were indexed using the EAT-26 total score and its subscales. A notable correlation was identified between cognitive flexibility and disordered eating attitudes, while working memory and inhibitory control exhibited no such association. Overall, our findings provide evidence for associations between executive functioning and disordered eating attitudes in a non-clinical sample.