Introduction: Problems Occurring in the Assessment and Treatment of Patients with Severe Anorexia Nervosa

2014 ◽  
pp. 1-10
Author(s):  
Paul Robinson ◽  
Dasha Nicholls
Keyword(s):  
Anorexia Nervosa ◽  
Assessment And Treatment

Insufficient assessment and treatment of vitamin D in the medical management of adolescents with anorexia nervosa

2021 ◽  
Vol 60 ◽  
pp. 177-180
Author(s):  
Kendra J. Homan ◽  
Abigail Matthews ◽  
Tammy L. Schmit ◽  
Barbara N. McIlrath ◽  
Jocelyn R. Lebow ◽  
...  
Keyword(s):  
Vitamin D ◽  
Anorexia Nervosa ◽  
Medical Management ◽  
Assessment And Treatment

scholarly journals Excess mortality, causes of death and prognostic factors in anorexia nervosa

2009 ◽  
Vol 194 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Fotios C. Papadopoulos ◽  
Anders Ekbom ◽  
Lena Brandt ◽  
Lisa Ekselius
Keyword(s):  
Anorexia Nervosa ◽  
Prognostic Factors ◽  
Causes Of Death ◽  
Patient Treatment ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Somatic Comorbidity ◽  
Assessment And Treatment ◽  
Mortality Causes ◽  
Almost All

BackgroundAnorexia nervosa is a mental disorder with high mortality.AimsTo estimate standardised mortality ratios (SMRs) and to investigate potential prognostic factors.MethodSix thousand and nine women who had in-patient treatment for anorexia nervosa were followed-up retrospectively using Swedish registers.ResultsThe overall SMR for anorexia nervosa was 6.2 (95% CI 5.5– 7.0). Anorexia nervosa, psychoactive substance use and suicide had the highest SMR. The SMR was significantly increased for almost all natural and unnatural causes of death. The SMR 20 years or more after the first hospitalisation remained significantly high. Lower mortality was found during the last two decades. Younger age and longer hospital stay at first hospitalisation was associated with better outcome, and psychiatric and somatic comorbidity worsened the outcome.ConclusionsAnorexia nervosa is characterised by high lifetime mortality from both natural and unnatural causes. Assessment and treatment of psychiatric comorbidity, especially alcohol misuse, may be a pathway to better long-term outcome.

scholarly journals Amenorrhoea in Anorexia Nervosa: Assessment and Treatment with Clomiphene Citrate

BMJ ◽  
1971 ◽  
Vol 4 (5787) ◽  
pp. 590-592 ◽  
Author(s):  
J. C. Marshall ◽  
T. R. Fraser
Keyword(s):  
Anorexia Nervosa ◽  
Clomiphene Citrate ◽  
Assessment And Treatment

scholarly journals New eating disorder service

1998 ◽  
Vol 22 (12) ◽  
pp. 751-754 ◽  
Author(s):  
Harry R. Millar
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Clinical Care ◽  
Unmet Need ◽  
Referral Rate ◽  
Clinical Implications ◽  
Specialist Service ◽  
Assessment And Treatment ◽  
Atypical Anorexia Nervosa ◽  
Training And Support

Aims and methodThe paper describes the first three years experience of a new out-patient eating disorder service for adults. Clinical data on referrals using standardised assessments are presented.ResultsThe referral rate rapidly rose to over 200 patients per annum. Forty-nine per cent of referrals were bulimic disorders and 26% had either anorexia nervosa or atypical anorexia nervosa. Seventy per cent were directly referred by general practitioners.Clinical implicationsThe creation of a specialist eating disorder service quickly leads to a high referral rate suggesting a previously unmet need. A service based on assessment and treatment by nurse therapists is acceptable and feasible with appropriate training and support from psychiatry, clinical psychology and dietetics. Expectations of a specialist service include teaching, consultation, research and audit as well as the provision of direct clinical care.

Assessment and Treatment of Anorexia Nervosa and Bulimia in School Age Children

1984 ◽  
Vol 13 (2) ◽  
pp. 183-191
Author(s):  
Carole Peters ◽  
Paula Butterfield ◽  
Cabrini S. Swassing ◽  
Garth McKay
Keyword(s):  
Anorexia Nervosa ◽  
School Age Children ◽  
School Age ◽  
Assessment And Treatment

Anorexia nervosa: aetiology, assessment, and treatment

2015 ◽  
Vol 2 (12) ◽  
pp. 1099-1111 ◽  
Author(s):  
Stephan Zipfel ◽  
Katrin E Giel ◽  
Cynthia M Bulik ◽  
Phillipa Hay ◽  
Ulrike Schmidt
Keyword(s):  
Anorexia Nervosa ◽  
Assessment And Treatment

Anorexia Nervosa in ‘Non-White’ Populations

1995 ◽  
Vol 167 (3) ◽  
pp. 385-389 ◽  
Author(s):  
G. M. Soomro ◽  
A.H. Crisp ◽  
D. Lynch ◽  
Duong Tran ◽  
N. Joughin
Keyword(s):  
Anorexia Nervosa ◽  
Weight Gain ◽  
Family Relationship ◽  
Social Characteristics ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
Assessment And Treatment ◽  
Ready Access ◽  
White Patients

BackgroundComparisons were made between two groups of anorectic patients, ‘non-white’ and ‘white‘, on a variety of clinical and social characteristics.MethodThe study is based on a 34-year long database (1960–93) associated with a national tertiary referral centre. Thirty-six non-white patients meeting DSM–III–R criteria for anorexia nervosa (AN) and five with ‘partial syndrome’ are compared with a white group comprising 944 patients with full syndrome.ResultsThe main finding is clinical similarity between the two groups, extending to social class and pathological patterns of family relationship. The non-whites are shorter in stature (P = 0.004) and report earlier menarche (P = 0.004); they are younger at presentation (P < 0.001), somewhat less emaciated, and practice veganism slightly more commonly; they less often acknowledge sensitivity to ‘fatness’ (P < 0.003). This sensitivity was exposed later whenever treatment involved substantial weight gain. The proportion of non-white cases accepted for assessment has not changed in respect of year of onset (around 6%) for the last 20 years, or year of presentation (around 6–7%) over the last 15 years. There was a tendency for non-white patients to be referred earlier in their illness.ConclusionsThe clinical and background profiles of non-white and white anorectics are generally similar. The numbers arising and presenting have not changed recently. Non-white patients apparently have as ready access as white patients to assessment and treatment by us.

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