scholarly journals ANOREXIA NERVOSA IN ADOLESCENTS — CASE REPORT

2021 ◽  
Vol 11 (5) ◽  
pp. 32-34
Author(s):  
Cristina Munteanu ◽  
Anamaria Ciubara
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Case Report ◽  
Somatic Symptom ◽  
Psychiatric Treatment ◽  
Clinical Intervention ◽  
Supportive Psychotherapy ◽  
Emotional Balance ◽  
Spectrum Evaluation

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.

scholarly journals Associations between Blood Metabolic Profile at 7 Years Old and Eating Disorders in Adolescence: Findings from the Avon Longitudinal Study of Parents and Children

Metabolites ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. 191 ◽  
Author(s):  
Diana Santos Ferreira ◽  
Christopher Hübel ◽  
Moritz Herle ◽  
Mohamed Abdulkadir ◽  
Ruth Loos ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Fatty Acid ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Metabolic Factors ◽  
Lower Odds

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.

Anorexia Nervosa and Related Conditions in Schoolchildren

1987 ◽  
Vol 4 (4) ◽  
pp. 217-225 ◽  
Author(s):  
Paula H. Salmons
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Clinical Features ◽  
Biological Factors

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.

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 Experience of management of anorexia nervosa patients with extremely severe malnutrition in a transdisciplinary eating disorders inpatient unit

2020 ◽  
Author(s):  
Marie Guinhut ◽  
Jean-Claude Melchior ◽  
Nathalie Godart ◽  
Mouna Hanachi
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Medical Care ◽  
Care Pathway ◽  
Adult Patients ◽  
Severe Malnutrition ◽  
Psychiatric Ward ◽  
Supportive Psychotherapy ◽  
Average Patient ◽  
First Time

Abstract Background: The question of where to hospitalize extremely malnourished patients with anorexia nervosa (AN) is a real dilemma. On one hand, psychiatrists have to deal with severe medical complications that are not within their competences and that justify hospitalization in an internal medicine ward. On the other hand, medical doctors have to face psychic decompensations that would justify admission to a psychiatric ward. In this context, we share our experience of management of severely malnourished AN adult patients in a transdisciplinary specialized eating disorders (ED) unit, referral center for AN associated with somatic severity.Method: First, we described the modalities of care proposed to patients with AN hospitalized in the medical unit. Intensive medical care, both somatic and psychiatric, are provided thanks to a transdisciplinary therapeutic program, where objectives are to: medically stabilize the patient, initiate progressive refeeding and start supportive psychotherapy before being transferred to a psychiatric ED unit. Secondly, we conducted a retrospective descriptive study that included all adult patients with AN admitted for the first time to the unit, between November 1997 and January 2014, for severe malnutrition and/or complications of the ED. Objective was to specify patients characteristics: demographic, nutritional status, history of ED, care pathway. Finally we discussed the value of such a unit.Results: Among a cohort of 386 adult patients with AN (21 males and 365 females) admitted for the first time in the unit, mean age was 29.4 (± 11.5) years, mean BMI was 12.7 (± 2.2) kg/m². Before being supported in the unit, 78.2% of patients had already been hospitalized in other hospitals. Mean length of stay was 35.2 days. Patients were clinically serious and unstable because of life-threatening somatic complications due to a low BMI. During hospital stay, a temporary transfer to medical intensive care unit was necessary for 25.6% of patients. Average patient weight gain was 0.777 kg per week and 81.9% of patients benefited from enteral nutrition.Conclusion: This specialized transdisciplinary unit where physician nutritionists and psychiatrists coordinate medical care together, allow a better understanding and management of extreme malnutrition associated with AN. Thanks to their expertise, care teams are less critical and less rejecting towards patients. Thus, therapeutic alliance could be optimized.

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.

scholarly journals Possible role of the gut microbiota in the pathogenesis of anorexia nervosa

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Nobuyuki Sudo
Keyword(s):  
Eating Disorders ◽  
Weight Loss ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Weight Gain ◽  
Gut Microbiota ◽  
Psychosocial Factors ◽  
Biological Factors ◽  
Fear Of Weight Gain

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.

scholarly journals Psychological Interventions for Anorexia: Current Challenges

2021 ◽  
Vol 29 (1) ◽  
pp. 184-191
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Treatment Outcome ◽  
Outcome Assessment ◽  
Psychological Aspects ◽  
Psychological Interventions ◽  
Psychological Variables ◽  
Novel Methods ◽  
The Impact

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)

Étude des troubles des conduites alimentaires dans une population d'adolescentes souffrant de diabète insulino-dépendant

1993 ◽  
Vol 38 (9) ◽  
pp. 606-610 ◽  
Author(s):  
Gilbert Vila ◽  
Chantal Nollet-Clemencon ◽  
Luis Vera ◽  
Héléne Crosnier ◽  
Jean-Jacques Robert ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Adolescent Girls ◽  
Glycosylated Hemoglobin ◽  
Blood Levels ◽  
Dietary Restrictions ◽  
Insulin Dependent ◽  
Insulin Dependent Diabetic ◽  
Restrictive Pattern

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.

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.

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.

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