{
  "abstract": "Background: Anorexia Nervosa (AN) has been linked to altered self‐regulatory control processes and maladaptive habitual avoidance behavior. Both goal‐directed and habit systems may be relevant to AN, in which restrictive eating behavior can appear highly deliberate and increasingly automatic over time. A previous fMRI study identified behavioral and neural markers hinting at heightened self‐regulatory control (‘overcontrol’) during an avoidance habit task in acutely underweight adolescents and young women with AN. Extending this research to recovered individuals with a history of AN (recAN), we aimed to clarify whether these findings persist and can be seen as trait vulnerabilities.\n\nMethods: A sample of 40 recAN and 40 pairwise age‐matched healthy control (HC) participants carried out a three‐phase experimental paradigm including (1) training of goal‐directed response‐outcome behavior, (2) training of avoidance stimulus–response pairings, and (3) a test of habitual response interference. Our fMRI analysis strategy focused on capturing training‐related changes in neural activity related to reinforcement learning processes.\n\nResults: Analyses of main effects of task confirmed expected behavioral and fMRI results. However, unlike previous findings of greater activation in frontoparietal control regions in young acutely underweight patients with AN during the establishment of avoidance behavior and of higher task performance, all behavioral task measures, region‐of‐interest fMRI, and follow‐up whole‐brain analyses yielded no group differences between recAN and HC.\n\nConclusions: Our findings of intact avoidance habit learning after recovery from AN suggest that correlates of overcontrol previously observed in acutely underweight individuals with AN may reflect state‐dependent rather than persistent trait markers of the disorder.",
  "abstract_shown": true,
  "affiliations": [
    "Translational Developmental Neuroscience Section, Division of Psychological and Social Medicine and Developmental Neurosciences, Faculty of Medicine TUD Dresden University of Technology Dresden Germany",
    "Faculty of Psychology TUD Dresden University of Technology Dresden Germany",
    "Department of General Psychology, Faculty of Psychology TUD Dresden University of Technology Dresden Germany",
    "Department of Child and Adolescent Psychiatry, Faculty of Medicine TUD Dresden University of Technology Dresden Germany"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 13,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Clara M. Breier",
      "orcid": "0009-0007-9054-3592"
    },
    {
      "affs": [
        0
      ],
      "name": "Julius Hennig",
      "orcid": "0000-0002-4558-0323"
    },
    {
      "affs": [
        0
      ],
      "name": "Joseph A. King",
      "orcid": "0000-0002-2864-5578"
    },
    {
      "affs": [
        0
      ],
      "name": "Daniel Geisler",
      "orcid": "0000-0003-2076-5329"
    },
    {
      "affs": [
        0
      ],
      "name": "Arne Doose",
      "orcid": "0000-0002-5026-1239"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Ilka Boehm",
      "orcid": "0000-0003-0194-7557"
    },
    {
      "affs": [
        0
      ],
      "name": "Maria Seidel",
      "orcid": "0000-0001-8995-6401"
    },
    {
      "affs": [
        0
      ],
      "name": "Tung Anh Nguyen",
      "orcid": "0009-0004-6790-3885"
    },
    {
      "affs": [
        2
      ],
      "name": "Katharina Zwosta",
      "orcid": "0009-0008-4099-3218"
    },
    {
      "affs": [
        3
      ],
      "name": "Veit Roessner",
      "orcid": "0000-0002-1873-7081"
    },
    {
      "affs": [
        2
      ],
      "name": "Uta Wolfensteller",
      "orcid": "0000-0001-9904-8861"
    },
    {
      "affs": [
        2
      ],
      "name": "Hannes Ruge",
      "orcid": "0000-0001-9793-3859"
    },
    {
      "affs": [
        0
      ],
      "name": "Stefan Ehrlich",
      "orcid": "0000-0003-2132-4445"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2nktj58wwxf53.bib",
  "cited_by": 0,
  "doi": "10.1111/jcpp.70204",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13745786/",
  "id": "2nktj58wwxf53",
  "issns": [
    "0021-9630",
    "1469-7610"
  ],
  "landing_url": "https://doi.org/10.1111/jcpp.70204",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Article"
    ],
    [
      "openalex",
      "3203|Eating Disorders and Behaviors"
    ]
  ],
  "openalex": "W7169546668",
  "pdf_url": null,
  "pmcid": "PMC13745786",
  "pmid": "42469174",
  "published": "2026-07-17",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/2nktj58wwxf53.ris",
  "sources": [
    {
      "first_seen": "2026-11-11T12:23:19Z",
      "native_id": "PMC13745786",
      "source": "pmc",
      "url": "https://doi.org/10.1111/jcpp.70204"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3203|Eating Disorders and Behaviors",
      "subfield": "psychiatry"
    }
  ],
  "title": "Avoidance habit learning after recovery from anorexia nervosa: An fMRI study",
  "title_text": "Avoidance habit learning after recovery from anorexia nervosa: An fMRI study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-12T12:22:13Z",
  "url": "https://research.draconitic.com/paper/2nktj58wwxf53",
  "venue": "Journal of Child Psychology and Psychiatry, and Allied Disciplines",
  "versions": []
}