Diagnostic Issues in Primary Anorexia Nervosa

1982 ◽  
Vol 11 (3) ◽  
pp. 235-244 ◽  
Author(s):  
Larry Kirstein
Keyword(s):  
Weight Loss ◽  
Body Image ◽  
Anorexia Nervosa ◽  
Literature Review ◽  
Clinical Case ◽  
Eating Patterns ◽  
Case Presentation ◽  
Body Image Disturbances

A literature review and clinical case presentation approach are employed to highlight unresolved diagnostic issues in Primary Anorexia Nervosa. The material is examined and discussed along a multidimensional list of variables considered important for the diagnosis, including definitions of weight loss, associated biological symptoms, eating patterns and body image disturbances.

Decreased self-face recognition: A new evidence of body image disturbances in anorexia nervosa

2013 ◽  
Vol 28 (S2) ◽  
pp. 24-24 ◽  
Author(s):  
F. Hirot ◽  
D. Guardia ◽  
M. Lesage ◽  
P. Thomas ◽  
O. Cottencin
Keyword(s):  
Weight Loss ◽  
Body Image ◽  
Anorexia Nervosa ◽  
Face Recognition ◽  
Massive Weight Loss ◽  
The Body ◽  
Significant Difference ◽  
Body Image Disturbances ◽  
Image Position ◽  
Body Concerns

ObjectiveBody image disturbances are core symptoms of Anorexia Nervosa (AN). This study investigated self-face recognition in cases of AN, and the influence of others factors associated with AN, such as massive weight loss.MethodFifteen anorexic female patients and 15 matched Healthy Controls (HC) performed a self-face recognition task. Participants viewed digital morphs between their own face and a gender-matched, unfamiliar other face presented in a random sequence (Fig. 1). For each stimulus, subjects were asked if they recognized their own face, and respond by selectively pressing a button on a computer. Participants’ self-face recognition failures, cognitive flexibility, body concerns and eating habits were assessed, respectively, with the Self-Face Recognition Questionnaire (SFRQ), the Trail Marking Task (TMT), the Body Shape Questionnaire (BSQ) and the Eating Disorder Inventory-2 (EDI-2).Fig. 1Examples of stimulus. For each subject, a photograph of an unfamiliar face was digitally morphed into a photograph of the subject's face in 10% increments.resultsAnorexic patients showed a significantly greater difficulty than healthy control in identifying their own face (P = 0.028, Fig. 2). No significant difference was observed between the two groups for TMT (all P > 0.1). However, analysis did not reveal significant correlations between behavioral data and the EDI-2 or BSQ (all P > 0.1). A correlation analysis revealed a significant, negative correlation with BMI (P < 0.001) and the SFRQ “self-face recognition” subscale (P = 0.015). Fig. 2Self response rates per stimulus ranked in increasing order of familiarity (other to self) in both groups.DiscussionWe observed a decrease in self-face recognition, correlated with BMI, suggesting this disturbance could be linked to massive weight loss. It thus supports the theory of a lack of ability to update body image by the central nervous system, underlying self-images distortion in AN patients.

Body Image in Anorexia Nervosa

1981 ◽  
Vol 26 (4) ◽  
pp. 224-227 ◽  
Author(s):  
David M. Garner
Keyword(s):  
Body Image ◽  
Anorexia Nervosa ◽  
Body Satisfaction ◽  
Body Part ◽  
The Body ◽  
Size Perception ◽  
Whole Body ◽  
Size Estimation ◽  
Psychological Disturbance ◽  
Body Image Disturbances

Despite much recent interest in the objective measurement of body image in anorexia nervosa, many questions remain regarding basic mechanisms responsible for the findings as well as their meaning in the disorder. It is unclear if “whole body” measures assess the same underlying phenomena as the “body part” method, and it is unclear if body image disturbances are etiologic or a byproduct of anorexia nervosa. The possible association between self-esteem and body satisfaction and the relationship of the latter variable to actual size estimation supports the hypothesis that size perception may be closely tied to satisfaction with non-physical aspects of self. Finally it must be determined if over estimation is a function of a general psychological disturbance or of a deficit of specific interest in this disorder. Despite these questions, the way in which anorexic patients see themselves as well as the cognitive and affective responses to this perception remains an interesting and potentially fruitful area of study with this disorder.

scholarly journals Distorted body image in women and men suffering from Anorexia Nervosa – a literature review

2019 ◽  
Vol 21 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Barbara Kostecka ◽  
Katarzyna Kordyńska ◽  
Sławomir Murawiec ◽  
Katarzyna Kucharska
Keyword(s):  
Body Image ◽  
Anorexia Nervosa ◽  
Literature Review ◽  
Distorted Body Image

scholarly journals Safety of 8-h time restricted feeding in adults with obesity

2019 ◽  
Vol 44 (1) ◽  
pp. 107-109 ◽  
Author(s):  
Kelsey Gabel ◽  
Kristin K. Hoddy ◽  
Krista A. Varady
Keyword(s):  
Weight Loss ◽  
Body Image ◽  
Disordered Eating ◽  
Blood Count ◽  
Complete Blood Count ◽  
Eating Patterns ◽  
Restricted Feeding ◽  
Image Perception ◽  
Obese Adults ◽  
Disordered Eating Patterns

This study examines the safety of time restricted feeding (TRF; 8-h feeding window/16-h fasting window daily) in obese adults. Twenty-three subjects participated in an 8-h TRF intervention for 12 weeks. Self-reported adverse events, body image perception, complete blood count, and disordered eating patterns did not change from baseline to week 12. These findings suggest that consuming food within an 8-h window can safely facilitate weight loss in subjects with obesity.

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.

Cotard’s Syndrome: Clinical Case Presentation and Literature Review

2014 ◽  
Vol 2 (6) ◽  
pp. 348-355 ◽  
Author(s):  
Alessandro Carano ◽  
Domenico Berardis ◽  
Marilde Cavuto ◽  
Carla Ortolani ◽  
Giampaolo Perna ◽  
...  
Keyword(s):  
Literature Review ◽  
Clinical Case ◽  
Case Presentation

Body-Image Disturbances in Patients with Anorexia Nervosa

1982 ◽  
Vol 51 (3) ◽  
pp. 715-722 ◽  
Author(s):  
Mirja Kalliopuska
Keyword(s):  
Body Image ◽  
Factor Analysis ◽  
Anorexia Nervosa ◽  
Ego Identity ◽  
The Body ◽  
Body Image Disturbance ◽  
Control Group ◽  
Identity Problem ◽  
Body Image Disturbances ◽  
Image Projections

Body-image disturbances are studied by the Draw-A-Person test given to the anorexia nervosa group of 32 and a control group of 30. The Machover scoring system was used. Two new scales were also constructed, the index of disturbed body image and the unity index of the body image. Machover's method differentiated groups from each other statistically significantly including the new ones: the unity index of body image made by Kalliopuska and Siimes in 1980 and Kalliopuska's index of disturbed body image in 1981. Factor analysis of items gave six factors: severe body-image disturbance, body-image adequacy, hostility, regression, unsureness and faltering in body image, and ego-identity problem. Body-image projections varied greatly as the nature of anorexia nervosa is multidimensional.

scholarly journals Pituitary Adenoma Presenting as Anorexia Nervosa: A Case Report

2017 ◽  
Vol 4 (1) ◽  
pp. 57-59
Author(s):  
S. Dhungana ◽  
S.P. Ojha ◽  
M. Chapagai ◽  
P. Tulachan
Keyword(s):  
Eating Disorders ◽  
Weight Loss ◽  
Body Image ◽  
Anorexia Nervosa ◽  
Case Report ◽  
Pituitary Adenoma ◽  
Severe Weight Loss ◽  
Intracranial Lesions ◽  
Almost All ◽  
Distorted Body Image

Anorexia nervosa is a syndrome characterized by severe weight loss and preoccupation of distorted body image with resulting complications due to starvation. In most of the typical cases of anorexia nervosa, neuroimaging is not done. However, with increasing evidence of intracranial lesions associated with eating disorders including anorexia nervosa, neuroimaging is indicated in almost all cases. We present a case of a 17-year-old female who was admitted initially with the diagnosis of anorexia nervosa (restricting type) and later found to have pituitary adenoma.

The Perceptual and Affective Components of Body Image Disturbances in Anorexic and Normal Females

1996 ◽  
Vol 26 (4) ◽  
pp. 236-242 ◽  
Author(s):  
Debbie C. Uys ◽  
Douglas R. Wassenaar
Keyword(s):  
Body Image ◽  
Anorexia Nervosa ◽  
Body Satisfaction ◽  
Normal Weight ◽  
The Body ◽  
Size Perception ◽  
White Female ◽  
Body Image Disturbances ◽  
Affective Components ◽  
Perceptual Aspect

The literature is inundated with studies reporting the body image experiences of anorexia nervosa patients and normal weight people. Such studies have not, however, yielded consistent results. The present study reinvestigated the issue bearing in mind the theoretical and methodological limitations of previous research. The perceptual and affective aspects of body image were investigated in 11 white, female anorexic patients and 51 white, female psychology undergraduate university students. A combination of the movable caliper technique and image-marking procedure was used to assess body size perception, that is, the perceptual aspect, and the Body Cathexis scale was used to assess body satisfaction, that is, the affective aspect. It was found that anorexic females overestimate the width of their waist and thighs significantly more than normal females ( p < 0.05) and that they have a significantly lower body satisfaction ( p < 0.001). It was concluded that the DSM IV criterion of a disturbance in body image has specific diagnostic relevance in anorexia nervosa.

scholarly journals Body image disturbances, fear and associations with the amygdala in anorexia nervosa

2019 ◽  
Vol 131 (3-4) ◽  
pp. 61-67
Author(s):  
Nathalie T. Burkert ◽  
Karl Koschutnig ◽  
Franz Ebner ◽  
Wolfgang Freidl
Keyword(s):  
Body Image ◽  
Anorexia Nervosa ◽  
Body Image Disturbances
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