scholarly journals No One is on My Side: The Role of Abuse in Eating Disorders

2021 ◽  
Author(s):  
N. Seijo
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Mortality Rate ◽  
Eating Behaviors ◽  
Clinical Case ◽  
General Question ◽  
Psychiatric Diagnoses ◽  
World Science ◽  
The Relationship

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.

scholarly journals No One is on My Side: The Role of Abuse in Eating Disorders

2021 ◽  
Author(s):  
N. Seijo
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Longitudinal Study ◽  
Mortality Rate ◽  
Mental Disorders ◽  
Eating Behaviors ◽  
Clinical Case ◽  
Psychiatric Diagnoses ◽  
The Relationship

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 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.

scholarly journals Relationship Between Sexual Assault and Development of Eating Disorders in Domestic and International College Women [Miami University]

2019 ◽  
Author(s):  
Jessica Lauren Cefalo ◽  
Rose Marie Ward
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Sexual Assault ◽  
Mortality Rate ◽  
College Women ◽  
Online Survey ◽  
Older Students ◽  
Miami University ◽  
International College ◽  
The Relationship

One in four women will experience some form of sexual assault in their lifetime and 0.3-1% of women will experience anorexia nervosa in their lifetime (Hoek, 2006). Compared to other psychiatric disorders, anorexia has been found to have the highest mortality rate (Morris, 2007). Anorexia nervosa has a mortality rate of 10% (Insel, 2012). Additionally, college women seem to be at great risk for both eating disorders and experiencing sexual assault. While a few studies examine the relationship between eating disorder behavior and sexual assault, it is unclear if this risk is different across year in school and for those who are members of sororities. The objective of this study is to extend the literature by examining some groups who might be at higher or lower risk for both sexual assault and disordered eating. Given the higher rates of eating disorders and sexual assault, college women will be the focus of the current study. An anonymous online survey with census sampling was used to obtain the data for this study. It was only distributed to college students around the ages of 18-22. Data collection is ongoing. It is hypothesized that members of sororities and older students will have higher rates of both behaviors. Interventions can utilize the results of this study to target students who might be at a particularly higher risk. Implications will be discussed.

scholarly journals Dissociation and Suicidality in Eating Disorders: The Mediating Function of Body Image Disturbances, and the Moderating Role of Depression and Anxiety

2021 ◽  
Vol 10 (17) ◽  
pp. 4027
Author(s):  
Yael Doreen Lewis ◽  
Shirley Kapon ◽  
Adi Enoch-Levy ◽  
Amit Yaroslavsky ◽  
Eliezer Witztum ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Eating Disorders ◽  
Body Image ◽  
Anorexia Nervosa ◽  
Depression And Anxiety ◽  
Mediating Role ◽  
Body Image Disturbances ◽  
The Relationship ◽  
Moderating Role

In patients with eating disorders (EDs), elevated dissociation may increase the risk of suicide. Bodily related disturbances, depression, and anxiety may intervene in the association between dissociation and suicidality. In this study we aimed to examine the influence of bodily related disturbances, depression, anxiety, severity of ED symptoms, body mass index (BMI), and type and duration of the ED on the relationship between elevated dissociation and elevated suicidality. The study included 172 inpatients: 65 with anorexia nervosa restricting type, 60 with anorexia nervosa binge/purge type, and 37 with bulimia nervosa. Participants were assessed using self-rating questionnaires for dissociation, suicidality, bodily related parameters, and severity of ED symptomatology, depression, and anxiety. We found that dissociation and suicidality were directly associated. In addition, depression and anxiety moderated the mediating role of body image parameters in the association between increased dissociation and increased suicidality. Thus, only in inpatients with high depression and anxiety, i.e., above the median range, body image disturbances were found to mediate the association between dissociation and suicidality. ED-related parameters did not moderate these relationships. Our study demonstrates that in inpatients with EDs, increased dissociation may be significantly associated with increased suicidality, both directly and via the intervening influence of body image, depression, and anxiety.

Leptin Functioning in Eating Disorders

CNS Spectrums ◽  
2004 ◽  
Vol 9 (7) ◽  
pp. 523-529 ◽  
Author(s):  
Palmiero Monteleone ◽  
Antonio DiLieto ◽  
Eloisa Castaldo ◽  
Mario Maj
Keyword(s):  
Physical Activity ◽  
Eating Disorders ◽  
Body Weight ◽  
Eating Behaviors ◽  
Clinical Manifestations ◽  
Immune Functions ◽  
Abnormal Eating ◽  
The Brain

AbstractLeptin is an adipocyte-derived hormone, which is involved predominantly in the long-term regulation of body weight and energy balance by acting as a hunger suppressant signal to the brain. Leptin is also involved in the modulation of reproduction, immune function, physical activity, and some endogenous endocrine axes. Since anorexia nervosa (AN) and bulimia nervosa (BN) are characterized by abnormal eating behaviors, dysregulation of endogenous endocrine axes, alterations of reproductive and immune functions, and increased physical activity, extensive research has been carried out in the last decade in order to ascertain a role of this hormone in the pathophysiology of these syndromes. In this article, we review the available data on leptin physiology in patients with eating disorders. These data support the idea that leptin is not directly involved in the etiology of AN or BN. However, malnutrition-induced alterations in its physiology may contribute to the genesis and/or the maintenance of some clinical manifestations of AN and BN and may have an impact on the prognosis of AN.

Association and Familial Coaggregation of Type 1 Diabetes and Eating Disorders: A Register-Based Cohort Study in Denmark and Sweden

2021 ◽  
Author(s):  
Ashley E. Tate ◽  
Shengxin Liu ◽  
Ruyue Zhang ◽  
Zeynep Yilmaz ◽  
Janne T. Larsen ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Type 1 Diabetes ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Eating Behaviors ◽  
Diabetes Diagnosis ◽  
Disordered Eating Behaviors ◽  
Increased Risk ◽  
Clinical Diagnoses

OBJECTIVE <p>To ascertain the association and co-aggregation of eating disorders and childhood-onset type 1 diabetes in families. </p> <p>RESEARCH DESIGN AND METHODS</p> <p>Using population samples from national registers in Sweden (n= 2 517 277) and Demark (n= 1 825 920) we investigated the within-individual association between type 1 diabetes and EDs, and their familial co-aggregation among full siblings, half-siblings, full cousins, and half-cousins. Based on clinical diagnoses we classified eating disorders (EDs) into: any eating disorder (AED), anorexia nervosa and atypical anorexia nervosa (AN), and other eating disorder (OED). Associations were determined with hazard ratios (HR) with confidence intervals (CI) from Cox regressions. </p> <p>RESULTS</p> <pre>Swedish and Danish individuals with a type 1 diabetes diagnosis had a greater risk of receiving an ED diagnosis (HR [95% CI] Sweden: AED 2.02 [1.80 – 2.27], AN 1.63 [1.36 – 1.96], OED 2.34 [2.07 – 2.63]; Denmark: AED 2.19 [1.84 – 2.61], AN 1.78 [1.36 – 2.33], OED 2.65 [2.20 – 3.21]). We also meta-analyzed the results: AED 2.07 [1.88 – 2.28], AN 1.68 [1.44 – 1.95], OED 2.44 [2.17 – 2.72]. There was an increased risk of receiving an ED diagnosis in full siblings in the Swedish cohort (AED 1.25 [1.07 – 1.46], AN 1.28 [1.04 – 1.57], OED 1.28 [1.07 – 1.52]), these results were non-significant in the Danish cohort.</pre> <p>CONCLUSION</p> <p>Patients with 1 diabetes are at a higher risk of subsequent EDs; however, there is conflicting support for the relationship between having a sibling with type 1 diabetes and ED diagnosis. Diabetes healthcare teams should be vigilant for disordered eating behaviors in children and adolescents with type 1 diabetes. </p>

Eating Disorders and Type 1 Diabetes: a perspective

2021 ◽  
Vol 21 ◽  
Author(s):  
Simonetta Marucci ◽  
Giulia De Iaco ◽  
Giuseppe Lisco ◽  
Francesco Mariano ◽  
Vito Angelo Giagulli ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Type 1 Diabetes ◽  
Management Strategy ◽  
Eating Behaviors ◽  
Psychosocial Issues ◽  
Disordered Eating Behaviors ◽  
Clinical Complexity ◽  
Poor Outcomes ◽  
The Relationship

: Patients with type 1 diabetes (T1D) are at risk of clinical eating disorders (EDs) and disordered eating behaviors (DEBs) than the general population. This burden is related mainly to diabetes-related physical and psychosocial issues especially beginning during childhood. DEBs must be investigated carefully and promptly managed in case of suspicion, as they can evolve into severe clinical EDs over time and are strictly related to poor outcomes. The significant number of scientific articles dealing with the relationship between T1D and DEBs or EDs confirms the complexity of these problems and the difficulties in diagnosis and treatment. This paper examined current scientific literature related to this topic, emphasizing the epidemiological and clinical complexity of the phenomenon and briefly summarizing EDBs management strategy in T1D patients.

Immunology of Eating Disorders

2018 ◽  
pp. 241-250
Author(s):  
Adaliene Versiani Matos Ferreira ◽  
Laís Bhering Martins ◽  
Nayara Mussi Monteze ◽  
Geneviève Marcelin ◽  
Karine Clément
Keyword(s):  
Eating Disorders ◽  
Body Weight ◽  
Anorexia Nervosa ◽  
Immune Cells ◽  
Eating Behaviors ◽  
Viral Infections ◽  
Low Grade ◽  
Obese People ◽  
Obese Subjects ◽  
Low Grade Inflammation

Eating disorders (EDs) are characterized by dysregulation in eating behavior leading to extreme increase or decrease in food intake that, in turn, changes body weight, adiposity, and physical health. Anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) are the three major eating disorders. Peculiar immune abnormalities occur in these conditions. Previous studies have reported a higher number of CD4+ T lymphocytes in patients with AN, which are related to a relative resistance to viral infections, even in the presence of leukopenia. It has also been proposed that a cluster of cytokines is altered in these patients. A chronic low-grade inflammation has been observed in obese people with BED and in patients with AN, but with a different profile in each condition. In this context, antagonist drugs of specific cytokines, such as anti-TNF, showed improvement of AN-related symptoms, but increased weight gain in obese subjects. The identification of specific molecules and/or immune cells that impair neuronal circuits implicated in eating behaviors may contribute to the development of pharmacological strategies for eating disorders.

Eating Disorders

2017 ◽  
pp. 179-186
Author(s):  
Myrna M. Weissman ◽  
John C. Markowitz ◽  
Gerald L. Klerman
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Eating Behaviors ◽  
Negative Mood ◽  
Few Data ◽  
Maladaptive Eating

This chapter provides an overview of the use of IPT for patients with eating disorders. The most common eating disorders are anorexia nervosa, bulimia nervosa, and binge eating disorder. The chapter discusses the adaptations of IPT that have been used for the treatment of eating disorders and evaluates their performance in research studies. The assumption for testing IPT with eating disorders is that they occur in response to distress at poor social and interpersonal functioning and consequent negative mood, to which the patient responds with maladaptive eating behaviors. For anorexia nervosa, few data provide evidence for the benefit of IPT. For bulimia and binge eating disorder, however, IPT is considered a viable option for treatment and is recommended in numerous guidelines. A case example of a woman with bulimia nervosa is provided.

Atypical Eating Disorders and Specific Phobia of Vomiting

2017 ◽  
pp. 270-290
Author(s):  
Alexandra Keyes ◽  
David Veale
Keyword(s):  
Eating Disorders ◽  
Weight Loss ◽  
Anorexia Nervosa ◽  
Disordered Eating ◽  
Clinical Features ◽  
Food Restriction ◽  
Clinical Case ◽  
Evidence Base ◽  
Specific Phobia ◽  
Case Conceptualization

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.

Eating Disorders

2018 ◽  
pp. 541-562
Author(s):  
Robyn Sysko ◽  
Sara Alavi
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Monitoring And Evaluation ◽  
Treatment Monitoring ◽  
Assessment Instruments ◽  
Psychiatric Diagnoses ◽  
Case Conceptualization ◽  
Significant Morbidity ◽  
Scientific Support

In comparison to other psychiatric diagnoses, eating disorders are relatively rare among the population, but are associated with significant morbidity and mortality. This chapter focuses on the assessment of eating disorders in adults and youth, including individuals with anorexia nervosa, bulimia nervosa, and binge eating disorder. It begins with a review of the nature of the disorders, which is followed by a review of clinical assessment instruments designed for the assessment purposes of (a) diagnosis, (b) case conceptualization and treatment planning, and (c) treatment monitoring and evaluation. Recommendations are included for instruments with the greatest scientific support and for assessing eating disorders in a clinically sensitive manner.

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