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Conclusions The case study suggests that it is possible to perform normally cognitively despite extreme and chronic malnutrition though set-shifting ability may be affected. This opens for discussion whether patients with anorexia nervosa can maintain neuropsychological performance in spite of extreme underweight and starvation. Trial registration ClinicalTrials.gov, NCT02502617. Registered 20 July 2015.Background The burden of depression in prisoners is increasing and factors such as co-existence of medical illness, lack of social sup