Anorexia Nervosa and Related Conditions in Schoolchildren

1987 ◽  
Vol 4 (4) ◽  
pp. 217-225 ◽  
Author(s):  
Paula H. Salmons

The clinical features of anorexia nervosa and the prevalence of the eating orders in different societies is described. The role of physiological, cultural and biological factors in the aetiology of eating are reviewed. Finally ways of preventing eating disorders are considered.

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Nobuyuki Sudo

AbstractAnorexia nervosa (AN), an eating disorder, is characterized by extreme weight loss and fear of weight gain. Psychosocial factors are thought to play important roles in the development and progression of AN; however, biological factors also presumably contribute to eating disorders. Recent evidence has shown that the gut microbiota plays an important role in pathogenesis of neuropsychiatric disorders including AN. In this article, we describe the possible role of the gut microbiota in the development and persistence of AN, based on the latest research works, including those of our group.


Author(s):  
Alexandra Keyes ◽  
David Veale

Some individuals with specific phobia of vomiting (SPOV) (emetophobia) may present with disordered eating, including food restriction and weight loss. Such cases may be misdiagnosed as anorexia nervosa (AN), thus complicating case conceptualization, formulation, and treatment. This chapter outlines the clinical features of SPOV, including those that overlap with AN and other disorders. Treatment approaches and their evidence base are discussed, and a clinical case example of an individual with SPOV and disordered eating is presented. More research is needed to address the overlap between eating disorders and SPOV in order to better distinguish overlaps in presentation and to develop treatments that effectively target the central fears in these cases.


Author(s):  
Chris Fairburn ◽  
Rebecca Murphy

This chapter describes the three main eating disorders (anorexia nervosa, bulimia nervosa, and binge eating disorder), together with other similar related states. It explains how they are classified and describes their clinical features, development, and course. It is noted that the eating disorders have many features in common and that people move between them over time. These two observations support adopting a transdiagnostic perspective on these conditions.


1985 ◽  
Vol 146 (6) ◽  
pp. 653-656 ◽  
Author(s):  
Joseph P. Thomas ◽  
George I. Szmukler

SummaryRecently there has been an increase in the number of reports of anorexia nervosa in non-Caucasian subjects. This paper describes three patients of Afro-Caribbean extraction with anorexia nervosa and/or bulimia nervosa seen at a specialist eating disorders clinic at the Maudsley Hospital between 1981 and 1983. No cases had been seen prior to this. The key clinical features were found to be, in the main, typical.


Metabolites ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. 191 ◽  
Author(s):  
Diana Santos Ferreira ◽  
Christopher Hübel ◽  
Moritz Herle ◽  
Mohamed Abdulkadir ◽  
Ruth Loos ◽  
...  

Eating disorders are severe illnesses characterized by both psychiatric and metabolic factors. We explored the prospective role of metabolic risk in eating disorders in a UK cohort (n = 2929 participants), measuring 158 metabolic traits in non-fasting EDTA-plasma by nuclear magnetic resonance. We associated metabolic markers at 7 years (exposure) with risk for anorexia nervosa and binge-eating disorder (outcomes) at 14, 16, and 18 years using logistic regression adjusted for maternal education, child’s sex, age, body mass index, and calorie intake at 7 years. Elevated very low-density lipoproteins, triglycerides, apolipoprotein-B/A, and monounsaturated fatty acids ratio were associated with lower odds of anorexia nervosa at age 18, while elevated high-density lipoproteins, docosahexaenoic acid and polyunsaturated fatty acids ratio, and fatty acid unsaturation were associated with higher risk for anorexia nervosa at 18 years. Elevated linoleic acid and n-6 fatty acid ratios were associated with lower odds of binge-eating disorder at 16 years, while elevated saturated fatty acid ratio was associated with higher odds of binge-eating disorder. Most associations had large confidence intervals and showed, for anorexia nervosa, different directions across time points. Overall, our results show some evidence for a role of metabolic factors in eating disorders development in adolescence.


2021 ◽  
Vol 11 (5) ◽  
pp. 32-34
Author(s):  
Cristina Munteanu ◽  
Anamaria Ciubara

Although there is no universally recognized protocol for the evaluation of eating disorders, all specialists agree that a broad-spectrum evaluation is needed, given the multidetermined nature of this pathology. Therapeutic intervention, supportive psychotherapy and CBT, have as main objective cognitive restructuring, identifying and addresing psychological causes that cause, precede and trigger eating disorders - anorexia nervosa. Aim: To identify the role of psychotherapy and the entire interdisciplinary team in the treatment of anorexia nervosa. Case description: We present a case report of a 15-yearold girl diagnosed with anorexia nervosa, where I applied CBT. This case confirms by the objectives achieved, that CBT has a primordial role, in interrupting the vicious circle, somatic symptom- psychic-pseudo somatic symptom and to restore the emotional balance of the patient diagnosed with anorexia nervosa. Conclusion: Compliance with psychiatric treatment increases, by addressing psychotherapy, as a clinical intervention, in the treatment of this complex condition.


2021 ◽  
Author(s):  
N. Seijo

Eating disorders are considered some of the most difficult to treat and have the highest mortality rate of all mental disorders (Agras, 2001). Among them, anorexia nervosa is one of the psychiatric diagnoses with the highest mortality rate (Arcelus et al., 2011). In a longitudinal study conducted by Bulkin et al. (2007) from 1980 to 2005, it was found that – 80 – General question of world science applying medication and working with behavior yielded inconclusive results (Openshaw, et al. 2004). If eating disorders were solely dependent on food, it would make sense that changing eating behaviors makes it easier to get out of the disorder. Unfortunately, however, this is often not the case. The clinical case presented here is a clear example of the relationship between eating disorders and trauma, particularly sexual, emotional, power, and physical abuse.


2021 ◽  
Vol 29 (1) ◽  
pp. 184-191

The current digest focuses on the psychological aspects of therapy in anorexia nervosa. It reviews publications considering both recognized and novel methods of psychotherapy for anorexia, the role of psychological variables in treatment outcome assessment, the issue of exhausting physical exercising in eating disorders, and the impact of COVID-19 on vulnerable individuals. (Translated by Elena Mozhaeva)


1993 ◽  
Vol 38 (9) ◽  
pp. 606-610 ◽  
Author(s):  
Gilbert Vila ◽  
Chantal Nollet-Clemencon ◽  
Luis Vera ◽  
Héléne Crosnier ◽  
Jean-Jacques Robert ◽  
...  

The existence of a relationship between Insulin-Dependent Diabetes and eating disorders has recently been observed, but its prevalence and impact on somatic functioning remain poorly understood. These dimensions were evaluated in a population of 52 insulin-dependent diabetic adolescent girls and compared with evaluations of matched subjects from the general population. Results showed that the occurence of anorexia nervosa is rare, the occurence of unspecified eating disorders is frequent (35%) and the occurence of bulimia nervosa is nearly six percent. Poor metabolic control as reflected in blood levels of glycosylated hemoglobin (HBA1C) was found in bulimic subjects and a tendency to be overweight was found in subjects with an unspecified eating disorder. Since such disorders frequently involve dietary restrictions, the role of a restrictive pattern in the occurence of eating disorders is raised.


1997 ◽  
Vol 42 (2) ◽  
pp. 168-175 ◽  
Author(s):  
Caroline Davis

Objective: To review the eating disorder research investigating the psychobiological connections between self-starvation and high-level exercising, including both animal experimentation and clinical field studies. In recent years it has been proposed that physical activity plays a central role in the pathogenesis and progression of the eating disorders—in particular, anorexia nervosa. Method: A review of research from animal experimentation and from clinical field studies investigating the biological and psychological implications of physical activity and starvation in the pathogenesis of eating disorders. Results: Animal research indicates that physical activity and starvation seem to potentiate one another and that alterations in the serotonergic system may underlie this process. Similar behavioural results have been found in recent clinical studies with eating-disordered patients, which suggests that physical activity plays a more central role in the development and maintenance of the eating disorders than had previously been thought. Conclusions: The emerging picture is that psychosocial factors seem to provide the most compelling factors in the etiology and onset of the disorder, while biological factors—in most cases induced by severe malnutrition and strenuous overexercising—predominate in the maintenance of the disorder.


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