Adapting treatment in an eating disorder program to meet the needs of patients with ARFID: Three case reports

2019 ◽  
Vol 25 (2) ◽  
pp. 293-303
Author(s):  
Renee D Rienecke ◽  
Amy Drayton ◽  
Rebekah L Richmond ◽  
Kathleen A Mammel
Keyword(s):  
Eating Disorder ◽  
Parental Involvement ◽  
Case Reports ◽  
Partial Hospitalization ◽  
First Line ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Outpatient Program ◽  
Partial Hospitalization Program ◽  
Family Based

Avoidant/restrictive food intake disorder (ARFID) was introduced in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders. Three different subtypes of ARFID are described: individuals who seem disinterested in eating, those who avoid certain foods because of a sensitivity to specific characteristics of the food, and those who are concerned about an aversive experience associated with eating. There is currently no first-line treatment for ARFID. Three case studies are presented of patients with ARFID who participated in a family-based partial hospitalization program/intensive outpatient program for eating disorders. A description of the course of treatment is included, as well as ways in which the eating disorder program adapted treatment to more closely meet the unique needs of these patients. An approach with emphasis on parental involvement seems promising, although research is needed to investigate this more fully.

The Classification of Eating Disorders

2010 ◽  
pp. 7-24 ◽  
Author(s):  
Kathryn H. Gordon ◽  
Jill M. Holm-Denoma ◽  
Ross D. Crosby ◽  
Stephen A. Wonderlich
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Latent Class ◽  
Minority Groups ◽  
Statistical Manual ◽  
Text Revision ◽  
Diagnostic And Statistical Manual ◽  
Key Issues ◽  
Dsm Iv

The purpose of the chapter is to elucidate the key issues regarding the classification of eating disorders. To this end, a review of nosological research in the area of eating disorders is presented, with a particular focus on empirically based techniques such as taxometric and latent class analysis. This is followed by a section outlining areas of overlap between the current Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition, Text Revision (DSM-IV-TR; American Psychiatric Association, 2000) eating disorder categories and their symptoms. Next, eating disorder classification models that are alternatives to the DSM-IV-TR are described and critically examined in light of available empirical data. Finally, areas of controversy and considerations for change in next version of the DSM (i.e., the applicability of DSM criteria to minority groups, children, males; the question of whether clinical categories should be differentiated from research categories) are discussed.

An Uncontrolled Pilot Study of an Integrated Family-Based Partial Hospitalization Program for Youth With Mood Disorders

2017 ◽  
Vol 2 (3-4) ◽  
pp. 150-164 ◽  
Author(s):  
Jarrod M. Leffler ◽  
Ashley N. Junghans-Rutelonis ◽  
Emily A. McTate ◽  
Jennifer Geske ◽  
Honore M. Hughes
Keyword(s):  
Pilot Study ◽  
Mood Disorders ◽  
Partial Hospitalization ◽  
Partial Hospitalization Program ◽  
Family Based

Eating Disorders

2014 ◽  
pp. 391-409
Author(s):  
Robyn Sysko ◽  
G. Terence Wilson
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
American Psychiatric Association ◽  
Behavioral Therapy ◽  
Future Research ◽  
Pharmacological Treatments ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Not Otherwise Specified ◽  
Dsm Iv

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) describes two eating disorder diagnoses, anorexia nervosa (AN) and bulimia nervosa (BN). Provisional criteria are also provided in DSM-IV for binge eating disorder (BED), which is an example of an eating disorder not otherwise specified. This chapter presents a summary and synthesis of research related to the clinical features and treatment of AN, BN, and BED, including studies of prevalence, common comorbidities, and treatment efficacy. Both psychological and pharmacological treatments are reviewed, including cognitive-behavioral therapy, interpersonal psychotherapy, family therapy, and the use of antidepressant medications. Recommendations are made for future research across the eating disorders.

scholarly journals Binge eating disorder in men. A review of the relevant variables in the literature

Salud Mental ◽  
2018 ◽  
Vol 41 (2) ◽  
pp. 91-100
Author(s):  
Héctor Julián Velázquez López ◽  
◽  
Rosalía Vázquez Arévalo ◽  
Juan Manuel Mancilla Díaz
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Male Population ◽  
Female Population ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Relevant Variables ◽  
Ideal Body ◽  
Dsm Iv

Background. Although binge eating disorder (BED) formally appeared in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), after nearly two decades of research, it is still considered understudied in men. Objective. To carry out a literature review with the variables that have been relevant in research on BED in men, from 1994 to 2015. Method. The article search was conducted in Medline and PsycINFO databases. Results. Twenty-eight articles were analyzed, none specifically investigated male population. Men engage less in restrictive dieting than women (29.8% and 57.3%, respectively). Regarding body image, both men and women are prone to body dissatisfaction, although the ideal body is not necessarily the same. Regarding comorbidity, anxiety disorders are the most common ones in men with BED, in addition to the fact that they are more susceptible to substance abuse. Discussion and conclusion. Investigation on BED has mainly been conducted on female population, which suggests the need for more research on men that provides more empirical evidence.

An epidemiological study on eating disorders in two high schools in Naples

1997 ◽  
Vol 12 (7) ◽  
pp. 342-344 ◽  
Author(s):  
P Cotrufo ◽  
V Barretta ◽  
P Monteleone
Keyword(s):  
High School ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
High School Girls ◽  
School Girls ◽  
Dsm Iv

SummaryIn this study, we investigated the prevalence of full syndrome (FS), partial syndrome (PS) and subclinical syndrome (SCS) eating disorders in a sample of 356 high school girls. We identified two cases of anorexia nervosa (0.56%), 14 of bulimia nervosa (3.94%) and one of binge eating disorder (0.28%) according to Diagnostic and Statistical Manual (DSM)-IV. Moreover, 17 girls (4.77%) were recognized as PS cases and 49 (13.7%) as SCS cases. A follow-up is now ongoing to explore the clinical evolution of partial and subclinical syndromes.

scholarly journals Nosographic considerations on obsessive-compulsive disorder occurring exclusively during the menstrual phase

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Hicham Laaraj ◽  
◽  
Mina Ouhamou ◽  
Omar El Omari ◽  
Jalal Doufik ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Obsessive Compulsive Disorder ◽  
Case Reports ◽  
Menstrual Phase ◽  
Obsessive Compulsive ◽  
Statistical Manual ◽  
Obsessive Compulsive Symptoms ◽  
Compulsive Disorder ◽  
Diagnostic And Statistical Manual ◽  
The Relationship

The relationship between the menstrual cycle and mood disturbances has been described in the literature and is linked to changes in the secretion of sex hormones. Rare studies have reported the exacerbation of obsessions during menstruation, while no case reports the onset of premenstrual Obsessive-Compulsive Disorder (OCD). Nosographically, obsessive symptoms are not part of premenstrual syndrome, and no specification of the menstrual cycle for obsessive disorders was mentioned in DSM 5 (Diagnostic and Statistical Manual of Mental Disorders). We report a 39-year-old patient followed for panic disorder since adolescence, and who currently presents for obsessive symptoms that meet the diagnostic criteria for an obsessive-compulsive disorder, and which have the particularity of occurring exclusively during menstruation. Our case emphasizes the importance of establishing a new nosographic framework that takes into account the development of obsessive-compulsive symptoms related to the menstrual cycle. Keywords: Obsessive-compulsive disorder; menstruation cycle; nosography.

Do We Need Another Eating Disorder?

2020 ◽  
pp. 3-20
Author(s):  
Pamela K. Keel
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Purging Disorder

Most people know about anorexia and some know about bulimia, but very few have ever heard of purging disorder. Purging disorder is an eating disorder characterized by self-induced vomiting or misuse of laxatives, diuretics, or other medications to influence weight or shape in individuals who are not underweight and who do not have large binges. This chapter describes how and when purging disorder was first identified, placing it in the context of the identification of other eating disorders and the factors that determine whether a condition should be considered a new mental disorder. It describes how purging disorder came to be included as an “other specified feeding or eating disorder” in the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders.

The Treatment of Eating Disorder Clients in a Community-Based Partial Hospitalization Program

2003 ◽  
Vol 25 (2) ◽  
pp. 140-151 ◽  
Author(s):  
John L. Levitt ◽  
Randy A. Sansone
Keyword(s):  
Mental Health ◽  
Eating Disorder ◽  
Community Mental Health ◽  
Psychological Treatment ◽  
Partial Hospitalization ◽  
Community Based ◽  
Partial Hospital ◽  
Partial Hospital Program ◽  
Partial Hospitalization Program ◽  
Mental Health Hospital

The provision of psychological treatment within the community is becoming increasingly important as time and resources become more scarce. Nowhere is this challenge greater than when undertaking the treatment of eating disorder clients in a community mental health setting. In this paper, we outline a multi-faceted treatment approach to eating disorders within a partial hospital program that is affiliated with a community mental health hospital. Although empirical confirmation is not currently available, initial clinical impressions indicate that the program is facilitating the recovery of these difficult-to-treat individuals.

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