The management of anorexia nervosa

1975 ◽  
Vol 13 (12) ◽  
pp. 45-46
Keyword(s):  
Anorexia Nervosa ◽  
Adolescent Girls ◽  
Specific Treatment ◽  
Normal Weight ◽  
Metabolic Disturbance ◽  
Food Refusal ◽  
Female Patients

There is no specific treatment for anorexia nervosa1 but management aims to preserve life and health by correcting the patient’s malnutrition and metabolic disturbance caused by food refusal, and sometimes also by self-induced vomiting and excessive purgation. It is also important to modify the psychological attitudes that make the patient avoid food. The fear not only of obesity but also of normal weight is usually marked. The patient may need supervision for months or years because of the risk of relapses, and in female patients (the illness most commonly affects adolescent girls), an attempt should be made to restore cyclical menstruation if this is justified by general progress.

scholarly journals Suboptimal bone microarchitecure in adolescent girls with obesity compared to normal-weight controls and girls with anorexia nervosa

Bone ◽  
2019 ◽  
Vol 122 ◽  
pp. 246-253 ◽  
Author(s):  
Vibha Singhal ◽  
Smriti Sanchita ◽  
Sonali Malhotra ◽  
Amita Bose ◽  
Landy Paola Torre Flores ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Adolescent Girls ◽  
Normal Weight

The psychosexual histories of adolescent girls and young women with anorexia nervosa

1981 ◽  
Vol 11 (1) ◽  
pp. 131-140 ◽  
Author(s):  
P. J. V. Beumont ◽  
Suzanne F. Abraham ◽  
Kathleen G. Simson
Keyword(s):  
Weight Loss ◽  
Anorexia Nervosa ◽  
Sexual Activity ◽  
Adolescent Girls ◽  
Young Women ◽  
Sexual Behaviour ◽  
Sexual Interest ◽  
Wide Spectrum ◽  
Sexual Knowledge ◽  
Female Patients

SYNOPSISComprehensive psychosexual histories were elicited from 31 female patients with anorexia nervosa. The subjects showed a wide spectrum of sexual knowledge, attitudes and behaviour. Some appeared to be markedly inhibited, while others were experienced and assertive in regard to sexual matters. Age at interview appeared to be the major factor determining whether individual patients were sexually experienced or not.A majority of patients felt that a sexual challenge had precipitated their illness, and most reported a decrease in sexual interest and enjoyment following weight loss, particularly when this was severe. The effect of the illness on actual sexual behaviour, however, was variable, some patients decreasing and others increasing their sexual activity.

scholarly journals Overcoming limitations of self-report: an assessment of fear of weight gain in anorexia nervosa and healthy controls using implicit association tests

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Tiana Borgers ◽  
Nathalie Krüger ◽  
Silja Vocks ◽  
Jennifer J. Thomas ◽  
Franziska Plessow ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Weight Gain ◽  
Normal Weight ◽  
Self Report ◽  
Healthy Controls ◽  
Drive For Thinness ◽  
Implicit Association ◽  
Association Tests ◽  
Implicit Assessment ◽  
Fear Of Weight Gain

Abstract Background Fear of weight gain is a characteristic feature of anorexia nervosa (AN), and reducing this fear is often a main target of treatment. However, research shows that 20% of individuals with AN do not report fear of weight gain. Studies are needed that evaluate the centrality of fear of weight gain for AN with a method less susceptible to deception than self-report. Methods We approximated implicit fear of weight gain by measuring implicit drive for thinness using implicit association tests (IATs). We asked 64 participants (35 AN, 29 healthy controls [HCs]) to categorize statements as pro-dieting vs. non-dieting and true vs. false in a questionnaire-based IAT, and pictures of underweight vs. normal-weight models and positive vs. negative words in a picture-based IAT using two response keys. We tested for associations between implicit drive for thinness and explicitly reported psychopathology within AN as well as group differences between AN and HC groups. Results Correlation analyses within the AN group showed that higher implicit drive for thinness was associated with more pronounced eating disorder-specific psychopathology. Furthermore, the AN group showed a stronger implicit drive for thinness than HCs in both IATs. Conclusion The results highlight the relevance of considering fear of weight gain as a continuous construct. Our implicit assessment captures various degrees of fear of weight gain in AN, which might allow for more individually tailored interventions in the future.

Bone mineral density and oxidative stress in adolescent girls with anorexia nervosa

2021 ◽  
Author(s):  
Alžbeta Čagalová ◽  
Ľubica Tichá ◽  
Alexandra Gaál Kovalčíková ◽  
Katarína Šebeková ◽  
Ľudmila Podracká
Keyword(s):  
Oxidative Stress ◽  
Bone Mineral Density ◽  
Anorexia Nervosa ◽  
Bone Mineral ◽  
Adolescent Girls ◽  
Mineral Density ◽  
And Oxidative Stress

Prevalence of malnutrition among women and adolescent girls: impact of urbanization in rural–urban interface of Bangalore

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Veerabhadrappa Bellundagi ◽  
K.B. Umesh ◽  
B.C. Ashwini ◽  
K.R. Hamsa
Keyword(s):  
Nutritional Status ◽  
Adolescent Girls ◽  
Associated Factors ◽  
Multinomial Logistic Regression ◽  
Wealth Index ◽  
Total Sample ◽  
Normal Weight ◽  
Double Burden ◽  
Content Type ◽  
Multinomial Logistic Regression Analysis

PurposeIndia is facing a double burden of malnutrition, i.e. undernutrition and obesity. Women and adolescent health and nutrition are very relevant issues which have not received much attention it deserves in India, especially in the context of a girl child. Hence, the purpose of this study is to assess malnutrition among women and adolescent girls as well as the associated factors.Design/methodology/approachAn attempt was made to assess malnutrition among women and adolescent girls and associated factors. The required data was collected from the north (616) and south transects (659) sample households of Bangalore constituting a total sample size of 1,275. The data was analyzed by adopting multiple linear regression and multinomial logistic regression analysis using STATA software.FindingsThe effects of this study simply confirmed that, urbanization had an instantaneous effect on dietary repute of women and adolescent girls, while transferring throughout the gradient from rural to urban with the growing significance of weight problems and obese. In adolescent girls, about 31% were underweight followed by normal weight and overweight across rural–urban interface of Bangalore. The factors such as education, consumption of meat and animal products, a dummy for urban, diabetes and blood pressure were significantly and positively influencing the nutritional status (Body Mass Index) of women across rural–urban interface. While consumption of vegetables, wealth index and per capita income had a positive and significant influence on the nutritional status of adolescent girls.Originality/valueWith limited studies and data available in Karnataka, especially in Bengaluru, one of the fastest growing cities in the world. Against this backdrop, the study was conducted to assess the prevalence of malnutrition among women and adolescents and its association with various socio-economic variables.

Body Shape Perception and its Disturbance in Anorexia Nervosa

1984 ◽  
Vol 144 (2) ◽  
pp. 167-171 ◽  
Author(s):  
S. W. Touyz ◽  
P. J. V. Beumont ◽  
J. K. Collins ◽  
M. McCabe ◽  
J. Jupp
Keyword(s):  
Anorexia Nervosa ◽  
Body Shape ◽  
Shape Perception ◽  
Video Monitor ◽  
Normal Body ◽  
Female Patients

SummaryThe perception of body shape was studied in 15 female patients with anorexia nervosa and 15 age matched controls. A lens was used which could be manipulated to cause a horizontal distortion of an image projected onto a video monitor. The patients showed a greater tendency to over- and under-estimate their present body shape than did the controls. Further, the patients' desired body shape was significantly thinner than that of controls, as was their estimation of what constitutes a normal body shape. These findings are discussed in relation to the literature and it is suggested that they may have important implications for treatment.

An Audit of Treatment of Genital Warts: Opening the Feedback Loop

1993 ◽  
Vol 4 (4) ◽  
pp. 226-231 ◽  
Author(s):  
M Reynolds ◽  
M Murphy ◽  
M A Waugh ◽  
C J N Lacey
Keyword(s):  
Specific Treatment ◽  
Genital Warts ◽  
Therapeutic Modality ◽  
First Episode ◽  
Anogenital Warts ◽  
Treatment Protocols ◽  
Female Patients ◽  
General Infirmary ◽  
Male Patients ◽  
Time Of Presentation

An audit of the treatment of patients (100 men and 90 women) presenting with a first episode of anogenital warts to the Genitourinary Medicine Department at Leeds General Infirmary was performed. Treatment of patients was monitored for a period of 6 months from the time of presentation. The management of patients with genital warts lacked a clearly defined strategy and treatment was unselective and poorly monitored. Excluding patients who defaulted, at follow-up 44 (44%) men and 36 (38%) women still had genital warts at 3 months. Of those patients clear of warts at 3 months, the mean time to remission for men and women was 7.1 and 8.3 weeks respectively. Podophyllin 25% in tincture of benzoin was by far the predominant therapeutic modality used. A total of 96 (96%) men and 76 (84%) women received treatment with podophyllin. Both male and female patients had a mean of 5 treatments with podophyllin 25% (range 1–19 and 1–12 respectively). Physical methods of treatment i.e. cryotherapy and electrocautery, were underutilized, both as primary therapies and when topical agents had failed. Patients saw an average of 3 (range 1–7) doctors over the course of their treatment. Patients with warts affecting 2 or more sites, male patients with anal/perianal warts, and female patients with cervical and vaginal warts had higher failure rates from treatment at 3 months. On the basis of these findings, specific treatment protocols for the management of anogenital warts have been devised.

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