Eating Disorders and Sexuality: A Complex Relationship

2017 ◽  
Vol 41 (S1) ◽  
pp. S36-S37
Author(s):  
V. Ricca ◽  
G. Castellini ◽  
L. Lelli ◽  
F. Rotella ◽  
A.M. Monteleone ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Sexual Function ◽  
Sexual Functioning ◽  
Recovery Process ◽  
Behavioural Therapy ◽  
Eating Disorder Examination ◽  
Regular Menses ◽  
Competing Interest ◽  
One Year

IntroductionThe relationships between Eating Disorders (EDs) and sexuality are complex, and of interest for researchers and clinicians.ObjectiveTo identify psychopathological and clinical factors associated with restoration of regular menses and sexual function in EDs patients.AimsTo evaluate the role of sexuality as a moderator of the recovery process after an individual Cognitive Behavioural Therapy (CBT).Methods39 Anorexia Nervosa (AN) and 40 Bulimia Nervosa (BN) female patients were evaluated by means of a face-to-face interview, self-reported questionnaires, including Eating Disorder Examination Questionnaire and Female Sexual Function Index, and blood sample for hormonal levels and biomarkers. The assessments were repeated at baseline, at one year follow up, and at three years follow up.ResultsAfter CBT, both AN and BN patients showed a significant improvement of sexual functioning, which was associated with a reduction of core psychopathology. AN patients who recovered regular menses demonstrated a better improvement across time of psychopathological and clinical features, and were more likely to maintain these improvements at follow up. Recovery of regular menses and improvement of sexuality at the end of CBT were associated with a higher probability to have a full recovery at three years follow up.ConclusionsThese results challenge a concept of recovery in EDs exclusively based on weight restoration or behavioral changes. An assessment including sexual functioning and core psychopathology might identify the residual pathological conditions, and it is able to provide information regarding the long term recovery process.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Impulsivity and Eating Disorders

1993 ◽  
Vol 162 (2) ◽  
pp. 193-197 ◽  
Author(s):  
Thomas Fahy ◽  
Ivan Eisler
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Treatment Trial ◽  
Eating Disturbance ◽  
Distinct Subgroup ◽  
Impulsive Behaviour ◽  
Poor Treatment ◽  
One Year ◽  
Poor Treatment Response

Sixty-seven patients with bulimia nervosa and 29 patients with anorexia nervosa completed the Impulsiveness Questionnaire and questionnaires detailing severity of eating disorder. Bulimic patients had higher impulsivity scores than anorexic patients. Bulimics with high impulsivity scores did not have more severe eating disorders than low scorers. When 39 bulimics and 25 anorexics were interviewed about other impulsive behaviour, 51 % of bulimics and 28% of anorexics reported at least one other impulsive behaviour. Patients with so-called ‘multiimpulsive’ bulimia reported more severe eating disturbance, but this was not reflected on more reliable measures of symptoms. Thirty-nine bulimics entered an eight-week treatment trial and their progress was assessed at eight weeks, 16 weeks and one year. ‘Non-impulsive’ bulimics had a more rapid response than ‘impulsives' during treatment, but there was no difference at follow-up. There was no evidence of an association between high impulsivity trait scores and poor treatment response. It is concluded that impulsivity may shape the expression of eating disorders, but that ‘multi-impulsives' do not constitute a categorically distinct subgroup of bulimics.

Use of atomoxetine in eating disorders. A case report

2017 ◽  
Vol 41 (S1) ◽  
pp. S554-S555
Author(s):  
R. Landera Rodríguez ◽  
M. Juncal Ruiz ◽  
L. Sánchez Blanco ◽  
G. Pardo de Santayana Jenaro ◽  
O. Porta Olivares ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Positive Impact ◽  
Public Health Problem ◽  
Behavioural Therapy ◽  
Eating Behaviours ◽  
Important Public Health Problem ◽  
Restrictive Eating ◽  
Cognitive Behavioural ◽  
Competing Interest ◽  
Comorbid Adhd

IntroductionEating disorders (EDs) are an important public health problem and not all patients respond adequately to psychotherapy. In the last decade, researchers report a significant comorbidity of EDs and attention-deficit/hyperactivity disorder (ADHD), especially binge eating disorder and bulimia nervosa. Some studies postulate the hypothesis of a common neurobiological substrate, such as noradrenergic pathways among others.ObjectivesTo revise the possible use of atomoxetine, a highly selective noradrenergic reuptake inhibitor, for the treatment of EDs.MethodsWe describe the effect of atomoxetine in a young woman with purging disorder and history of ADHD in childhood added to cognitive behavioural therapy (CBT).Resultspatient had selective/restrictive eating behaviours, daily purges and occasional binges for last five years. At age 14 she was diagnosed with ADHD by impulsivity/aggressiveness and poor school performance, but she did not take drugs and left medical consultations. She came to our specific unit of EDs in november-2015. Her BMI was 24.88 kg/m2. We initiated CBT and atomoxetine (80 mg/day). In this first year of treatment binges and purges have disappeared and exposure to new foods and body image have improved partially. We found clear improvement in mood, motivation and attention/concentration in relation with introduction of atomoxetine. These facts have positive impact on the clinical evolution. Her current BMI is 26.90 kg/m2.ConclusionsIdentify comorbid ADHD to assess the use of specific drugs for this disorder could be beneficial in the treatment and prognosis of EDs. However, more studies are needed to determine effectivenes, particularly of non-stimulant drugs.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Epigenetics in the Remission of Anorexia Nervosa: A Follow-up Study of Whole-genome Methylation Profiles

2017 ◽  
Vol 41 (S1) ◽  
pp. S102-S102 ◽  
Author(s):  
N. Ramoz ◽  
S. Guillaume ◽  
P. Courtet ◽  
P. Gorwood
Keyword(s):  
Anorexia Nervosa ◽  
Whole Genome ◽  
Biological Processes ◽  
Methylation Of Dna ◽  
Genome Methylation ◽  
The Difference ◽  
Competing Interest ◽  
One Year ◽  
Epigenetic Signatures

IntroductionAnorexia nervosa (AN) is a severe psychiatric disorder. The epigenetic regulations are strongly suggested in AN. We and other groups have performed a whole-genome methylation study (methylome) in AN. We found that the differentially methylated CpG sites are located around genes involved in biological processes in link with embryonic morphogenesis, brain development and its plasticity, in particular adhesion and axon guidance. Here, we study an independent group of 40 AN patients. Furthermore, we have done a follow-up during more than one year, to compare the methylation profiles in subjects that evolve to the remission.ObjectivesOur work is to replicate the methylome study in an independent AN cohort and to characterize profiles of methylation at two times for the same subjects to compare the AN patients that convert to remitters.AimsOur goal is to identify diagnostic and prognostic epigenetic signatures for AN.MethodsOf the 40 AN patients, 18 evolved to remission. Furthermore, the blood samples of the subjects from the 2 times will be investigated, like this, each subject is its own control. Methylation of DNA is measured by using the Infinium HumanMethylation450 BeadChip technology.ResultsComparisons of AN to controls showed similar profiles of methylation involving the same biological processes as previously identified. We are comparing now the difference of methylation between the 18 remitters and the 18 actual AN, taking into account of the two times of samples.ConclusionsWe expect to characterize specific methylation signature of the prognostic of the AN remission.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Male eating disorders and therapy: A controlled pilot study with one year follow-up

2009 ◽  
Vol 40 (3) ◽  
pp. 479-486 ◽  
Author(s):  
Fernando Fernández-Aranda ◽  
Isabel Krug ◽  
Susana Jiménez-Murcia ◽  
Roser Granero ◽  
Araceli Núñez ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Pilot Study ◽  
Male Eating Disorders ◽  
One Year

Cognitive behavioural therapy for obesity: One-year follow-up in a clinical setting

2003 ◽  
Vol 8 (3) ◽  
pp. 188-193 ◽  
Author(s):  
N. Melchionda ◽  
L. Besteghi ◽  
S. Di Domizio ◽  
F. Pasqui ◽  
C. Nuccitelli ◽  
...  
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Clinical Setting ◽  
Behavioural Therapy ◽  
Cognitive Behavioural ◽  
One Year

A case report highlights the neglect problem of pregnancy denial

2017 ◽  
Vol 41 (S1) ◽  
pp. s901-s901
Author(s):  
E. Di Giacomo ◽  
M. Calabria ◽  
F. Colmegna ◽  
B. Pucci ◽  
M. Clerici
Keyword(s):  
Partner Violence ◽  
Home Delivery ◽  
Psychiatric Evaluation ◽  
Childhood Trauma Questionnaire ◽  
Mother And Child ◽  
Entire Pregnancy ◽  
Competing Interest ◽  
One Year ◽  
Pregnancy Denial

Pregnancy denial was observed in a patient after her second delivery. Contrary to the first pregnancy, she denied weight gain, body changes and baby movements. She reported using a contraceptive pill throughout the entire pregnancy. After a short home delivery without assistance, she was admitted to obstetrical department and referred for psychiatric evaluation. Mrs. T. accepted psychiatric follow-up appointments and was followed up for 6 months. She was initially assessed using the SCID II Interview, beck anxiety and depression interview, WHOQOL (WHO quality of life), and childhood trauma questionnaire. She denied pregnancy concealment and during the period of assessment and follow-up there was no evidence of intimate partner violence. Her female newborn was healthy without consequences of oestrogen/progesteron absorption (hypoplastic left heart syndrome, gastroschisis, hypospadias or congenital urinary trait anomalies) in one year follow up. The patient was discharged after 6 months of clinical outpatient follow-up. This case stresses and emphasizes the health and risk outcomes for both mother and child linked to an underestimated but serious phenomenon such as the denial of pregnancy.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Cognitive behaviour therapy for adolescents with eating disorders: An effective alternative to the disease-based treatments

IJEDO ◽  
2022 ◽  
Vol 4 ◽  
pp. 1-5
Author(s):  
Riccardo Dalle Grave ◽  
Simona Calugi
Keyword(s):  
Eating Disorders ◽  
Cognitive Behaviour Therapy ◽  
Disease Model ◽  
Young Patients ◽  
Recovery Process ◽  
External Control ◽  
Behaviour Therapy ◽  
Psychological Mechanisms ◽  
Cognitive Behaviour

Several clinical services offer eclectic multidisciplinary treatments with no evidence of efficacy and effectiveness for adolescents with eating disorders. These treatments are usually based on the ‘disease model’ of eating disorders. The model postulates that eating disorders are the result of a specific disease (i.e., anorexia nervosa, bulimia nervosa or other eating disorders), and patients are considered not to have control of their illness. Therefore, they need the external control of parents and/or health professionals. In this model, the patients adopt a passive role in the treatment. On the contrary, enhanced cognitive behaviour therapy (CBT-E) for adolescents is based on a ‘psychological model’ of eating disorders. Patients are helped to understand the psychological mechanisms that maintain their eating disorder and are ‘actively’ involved in the recovery process. Clinical studies showed that more than 60% of adolescent patients who complete the treatment achieve a full response at 12-month follow-up. The treatment is well accepted by young people and their parents, and its collaborative nature is well suited to ambivalent young patients who may be particularly concerned about control issues and for parents who cannot participate in all treatment sessions.

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