A glance into psychiatric comorbidity in adolescents with anorexia nervosa

2021 ◽  
Vol 72 (6) ◽  
Author(s):  
Gennaro CATONE ◽  
Simone PISANO ◽  
Giulia MUZZO ◽  
Giuseppina CORRADO ◽  
Katia RUSSO ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Psychiatric Comorbidity

scholarly journals Children in Need—Diagnostics, Epidemiology, Treatment and Outcome of Early Onset Anorexia Nervosa

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1932 ◽  
Author(s):  
Herpertz-Dahlmann ◽  
Dahmen
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Psychological Assessment ◽  
Psychiatric Comorbidity ◽  
State Of The Art ◽  
Psychological Treatment ◽  
Young Patients ◽  
Treatment Strategies ◽  
Specific Treatment ◽  
Restrictive Eating

Knowledge of anorexia nervosa (AN) in childhood is scarce. This review gives a state-of-the-art overview on the definition, classification, epidemiology and etiology of this serious disorder. The typical features of childhood AN in comparison to adolescent AN and avoidant restrictive eating disorder (ARFID) are described. Other important issues discussed in this article are somatic and psychiatric comorbidity, differential diagnoses and medical and psychological assessment of young patients with AN. Special problems in the medical and psychological treatment of AN in children are listed, although very few studies have investigated age-specific treatment strategies. The physical and mental outcomes of childhood AN appear to be worse than those of adolescent AN, although the causes for these outcomes are unclear. There is an urgent need for ongoing intensive research to reduce the consequences of this debilitating disorder of childhood and to help patients recover.

scholarly journals Psychiatric comorbidity as a risk factor for mortality in people with anorexia nervosa

2018 ◽  
Vol 269 (3) ◽  
pp. 351-359 ◽  
Author(s):  
Hubertus Himmerich ◽  
Matthew Hotopf ◽  
Hitesh Shetty ◽  
Ulrike Schmidt ◽  
Janet Treasure ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Risk Factor ◽  
Psychiatric Comorbidity

scholarly journals Advances in Diagnosis and Treatment of Anorexia Nervosa and Bulimia Nervosa*

1992 ◽  
Vol 37 (5) ◽  
pp. 309-315 ◽  
Author(s):  
Sidney H. Kennedy ◽  
Paul E. Garfinkel
Keyword(s):  
Substance Abuse ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Psychiatric Comorbidity ◽  
High Rate ◽  
Obsessive Compulsive ◽  
Related Disorder ◽  
Compulsive Disorder ◽  
Cognitive Behavioural

This paper reviews four areas of research into anorexia nervosa (AN) and bulimia nervosa (BN). First, in terms of diagnosis, the psychological concerns about weight and shape are now addressed in BN, bringing it more in line with the related disorder, anorexia nervosa. Second, studies of psychiatric comorbidity confirm the overlap between eating disorders and depression, obsessive compulsive disorder, substance abuse, and personality disorder. Nevertheless, there are reasons to accept the distinct qualities of each syndrome, and eating disorders are not merely a variant of these other conditions. Third, treatment advances in BN involve mainly cognitive-behavioural or interpersonal psycho-therapies and pharmacotherapies primarily with antidepressants. The effect of combining more than one approach is beginning to be addressed. Finally, outcome studies involving people with both AN and BN have shown that the disorders “cross over” and that both conditions have a high rate of relapse. A renewed interest in the treatment of AN is needed.

2138 – Psychiatric comorbidity and mortality in women with anorexia nervosa

2013 ◽  
Vol 28 ◽  
pp. 1
Author(s):  
J. Kask ◽  
L. Ekselius ◽  
L. Brandt ◽  
A. Ekbom ◽  
F.C. Papadopoulos
Keyword(s):  
Anorexia Nervosa ◽  
Psychiatric Comorbidity

Should Amenorrhoea be Necessary for the Diagnosis of Anorexia Nervosa?

1996 ◽  
Vol 168 (4) ◽  
pp. 500-506 ◽  
Author(s):  
Paul E. Garfinkel ◽  
E. Lin ◽  
P. Goering ◽  
C. Spegg ◽  
D. Goldbloom ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Psychiatric Comorbidity ◽  
Composite International Diagnostic Interview ◽  
Epidemiological Survey ◽  
Diagnostic Interview ◽  
Diagnostic Features ◽  
Early Experiences ◽  
Multi Stage ◽  
Relevant Variables ◽  
Diagnostic Criterion

BackgroundThis study compares the characteristics of women with anorexia nervosa with those of women who have all the diagnostic features of that disorder except amenorrhoea.MethodThe study uses data from a large community epidemiological survey of the mental health status of household residents in Ontario, Canada. A multi-stage stratified sampling design generated a sample of 4285 females aged 15–64. DSM–III–R diagnoses were made using the Composite International Diagnostic Interview.ResultsEighty-four out of 4285 female respondents met full or partial-syndrome criteria for anorexia nervosa. Comparison of these two groups revealed few statistically significant differences in terms of demographics, psychiatric comorbidity, family history or early experiences.ConclusionsAmenorrhoea did not discriminate between women with anorexia nervosa and women with all the features except amenorrhoea across a number of relevant variables. The authors question the utility of amenorrhoea as a diagnostic criterion.

Prospective 10‐year Follow‐up in Adolescent Anorexia Nervosa—Course, Outcome, Psychiatric Comorbidity, and Psychosocial Adaptation

2001 ◽  
Vol 42 (5) ◽  
pp. 603-612 ◽  
Author(s):  
Beate Herpertz‐Dahlmann ◽  
Bodo Müller ◽  
Sabine Herpertz ◽  
Nicole Heussen ◽  
Johannes Hebebrand ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Psychiatric Comorbidity ◽  
Psychosocial Adaptation ◽  
Adolescent Anorexia Nervosa

scholarly journals Suicidality in Adolescents With Onset of Anorexia Nervosa: From the Conceptualization of the Symptom to Clinical Practice

2021 ◽  
Author(s):  
Alberta Mereu ◽  
Teresa Fantoni ◽  
Saverio Caini ◽  
Francesca Monzali ◽  
Elena Roselli ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Diagnostic Criteria ◽  
Psychiatric Comorbidity ◽  
The Body ◽  
Continuous Variables ◽  
Level Of Evidence ◽  
Exact Test ◽  
Dsm 5 ◽  
European Guidelines ◽  
Percentile Curves

Abstract Purpose: Anorexia nervosa (AN) is an eating disorder (ED) that is divided in a restrictive (R-AN) and atypical (A-AN) form depending on the body mass index (BMI). In 100 adolescents with AN, we reviewed the diagnosis (R-AN and A-AN) in relation to different diagnostic criteria (absolute BMI, DSM-5 criteria, European Guidelines and Cacciari percentile curves) and we studied the prevalence of suicidality (suicidal thoughts and behaviours). We also observed the association between suicidality and severity of AN symptoms and psychiatric comorbidities.Methods: We subdivided AN in R-AN and A-AN, considering the four diagnostic criteria previously described. We used the Fisher’s exact test and the Mann-Whitney test for categorical and continuous variables, and we applied multivariate analysis of variance and covariance. Results: Thirty-one % of patients changed diagnosis from R-AN to A-AN depending on which diagnostic criteria was used. Twenty-seven % of patients presented suicidality and they showed greater severity of specific AN psychopathology.Conclusions: Categorization of the AN in childhood can change depending on the diagnostic criteria used. Suicidality is independent from BMI, and seems to be related to specific ED psychopathology and psychiatric comorbidity. These data confirm the need to conceptualize the pathology in a different way and improve the therapeutic intervention. Our findings also highlight the importance of screening for suicidality among children and adolescents at onset of AN to prevent suicide.Level of evidence: level IV

Sign in / Sign up

Export Citation Format

Share Document