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https://www.readbyqxmd.com/read/28933969/psychopharmacological-advances-in-eating-disorders
#1
Hubertus Himmerich, Janet Treasure
Anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED) are the primary eating disorders (EDs). The only psychopharmacological treatment options for EDs with approval in some countries include fluoxetine for BN and lisdexamfetamine for BED. Given the high comorbidity and genetic correlations with other psychiatric disorders, it seems possible that novel medications for these conditions might also be effective in EDs. Areas Covered: The current scientific literature has increased our understanding of how medication could be beneficial for patients with EDs on a molecular, functional and behavioral level...
September 21, 2017: Expert Review of Clinical Pharmacology
https://www.readbyqxmd.com/read/28916025/oral-manifestations-of-nutritional-disorders
#2
Stanislav N Tolkachjov, Alison J Bruce
Nutritional deficiencies occur when body metabolic requirements are not matched by intake and absorption. Reasons for this discrepancy are numerous, but often social, economic, medical, and even psychiatric factors may play a role. Vitamins and minerals are required for appropriate rapid cell turnover of the oral mucosa. The oral cavity is a unique anatomic environment that may manifest early signs of nutritional disorders as well as other indicators of systemic disease. Knowledge of these oral manifestations and associated findings will allow a practitioner to consider a nutritional disorder when evaluating oral changes and, in turn, initiate appropriate therapy...
September 2017: Clinics in Dermatology
https://www.readbyqxmd.com/read/28874196/eating-behavior-and-psychological-profile-associations-between-daughters-with-distinct-eating-disorders-and-their-mothers
#3
Verónica Vázquez-Velázquez, Martha Kaufer-Horwitz, Juan Pablo Méndez, Eduardo García-García, Lucy María Reidl-Martínez
BACKGROUND: Associations of eating behaviors and psychological profile between mothers and daughters with eating disorders exist, but it is important to dissect the influence of the mother in each specific disorder since all eating disorders must be seen or treated not as one entity. The aim of the present study was to evaluate the association of eating behavior and psychological profile between mothers and daughters with different eating disorders and a control group. METHODS: The study group included young girls with anorexia nervosa (AN, n = 30), bulimia nervosa (BN, n = 30), binge eating disorder (BED, n = 19), and a control group of women (Non-ED, n = 54) together with their mothers...
September 6, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28868945/social-phobia-depression-and-eating-disorders-during-middle-adolescence-longitudinal-associations-and-treatment-seeking
#4
Klaus Ranta, Juha Väänänen, Sari Fröjd, Rasmus Isomaa, Riittakerttu Kaltiala-Heino, Mauri Marttunen
BACKGROUND: Longitudinal associations between social phobia (SP), depression and eating disorders (EDs), and the impact of antecedent SP and depression on subsequent treatment seeking for EDs have rarely been explored in prospective adolescent population studies. AIM: We aimed to examine these associations in a large-scale follow-up study among middle adolescents. METHOD: We surveyed 3278 Finnish adolescents with a mean age of 15 years for these disorders...
September 4, 2017: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/28862585/oral-health-considerations-in-anorexia-and-bulimia-nervosa-2-multidisciplinary-management-and-personalized-dental-care
#5
Mohamed A Bassiouny, Elizabeth Tweddale
This article outlines a comprehensive, multidisciplinary strategy for treatment of patients with anorexia and bulimia nervosa. In this approach, primary medical intervention and emergency dental care are followed by the staging of treatment phases that integrate medical care, psychotherapy, nutritional counseling, and dental management, which may encompass various treatment options for repair of damaged dentition. Emphasis is placed on prevention of further tissue damage during all phases of management and following completion of the treatment course...
September 2017: General Dentistry
https://www.readbyqxmd.com/read/28857236/the-impact-of-dsm-5-on-the-diagnosis-and-severity-indicator-of-eating-disorders-in-a-treatment-seeking-sample
#6
Yoshikatsu Nakai, Kazuko Nin, Shun'ichi Noma, Satoshi Teramukai, Kei Fujikawa, Stephen A Wonderlich
OBJECTIVE: To examine the impact of the DSM-5 on the diagnoses and severity indicators of eating disorders, we conducted a comparative study on the classification of eating disorders including subtypes of anorexia nervosa (AN) between the DSM-IV and DSM-5 criteria. In addition, we studied the association of the DSM-5 severity criteria and clinical variables. METHOD: Participants were 304 outpatients, aged 16-45 years, with eating disorders, diagnosed using semi-structured clinical interviews and the eating disorder examination questionnaire (EDE-Q)...
August 31, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28853004/sex-specific-issues-in-eating-disorders-a-clinical-and-psychopathological-investigation
#7
Stefano Valente, Giulia Di Girolamo, Martina Forlani, Anna Biondini, Paolo Scudellari, Diana De Ronchi, Anna Rita Atti
OBJECTIVE: To highlight the characteristics of eating disorders (ED) in males, with particular attention to sex-related clinical features and psychiatric co-morbidities. METHOD: Out of 280 persons, referred to our outpatients ED clinic between January 2011 and June 2014, 267 with complete information were included in this retrospective observational study. RESULTS: The men/women ratio was one to five (male 16.5% vs female 83.5%) with an increasing proportion of male patients over the years...
August 29, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28851577/anorexia-nervosa-and-bulimia-nervosa-a-meta-analysis-of-executive-functioning
#8
REVIEW
Rayna B Hirst, Charlotte L Beard, Katrina A Colby, Zoe Quittner, Brent Mills, Jason M Lavender
OBJECTIVE: Research investigating the link between eating disorder (ED) diagnosis and executive dysfunction has had conflicting results, yet no meta-analyses have examined the overall association of ED pathology with executive functioning (EF). METHOD: Effect sizes were extracted from 32 studies comparing ED groups (27 of anorexia nervosa, 9 of bulimia nervosa) with controls to determine the grand mean effect on EF. Analyses included effects for individual EF measures, as well as an age-based subgroup analysis...
August 26, 2017: Neuroscience and Biobehavioral Reviews
https://www.readbyqxmd.com/read/28846988/emotional-reactivity-in-a-clinical-sample-of-patients-with-eating-disorders-and-nonsuicidal-self-injury
#9
Kathryn E Smith, Nicole A Hayes, Denise M Styer, Jason J Washburn
Emotional reactivity is theorized to contribute to both eating disorders (ED) and nonsuicidal self-injury (NSSI). Although EDs and NSSI frequently co-occur, no study has examined emotional reactivity in individuals with both conditions. This study examined the following hypotheses in a large clinical sample (N = 648): (1) patients with co-occurring ED and NSSI would report higher emotional reactivity and more severe clinical characteristics; (2) among those with EDs, patients with bulimia nervosa (BN) would be more likely to report NSSI and evidence higher emotional reactivity compared to those with anorexia nervosa (AN); and (3) higher emotional reactivity would be associated with worse treatment outcomes...
August 12, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28846874/eating-disorders-and-suicidality-what-we-know-what-we-don-t-know-and-suggestions-for-future-research
#10
REVIEW
April R Smith, Kelly L Zuromski, Dorian R Dodd
Suicide is the second leading cause of death among individuals with anorexia nervosa (AN), and suicidal behavior is elevated in bulimia nervosa (BN) and binge eating disorder (BED) relative to the general population. This paper reviews the suicidality literature within each ED, as well as theoretical explanations for the elevated risk for suicidality among those with EDs. Approximately one-quarter to one-third of people with AN, BN, or BED have thought about suicide, and one-quarter to one-third of people with AN and BN have attempted suicide...
August 12, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28846801/increased-illness-burden-in-women-with-comorbid-bipolar-and-premenstrual-dysphoric-disorder-data-from-1-099-women-from-step-bd-study
#11
A Slyepchenko, B N Frey, B Lafer, A A Nierenberg, G S Sachs, R S Dias
BACKGROUND: The impact of comorbid premenstrual dysphoric disorder (PMDD) in women with bipolar disorder (BD) is largely unknown. AIMS: We compared illness characteristics and female-specific mental health problems between women with BD with and without PMDD. MATERIALS & METHODS: A total of 1 099 women with BD who participated in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) were studied. Psychiatric diagnoses and illness characteristics were assessed using the Mini International Neuropsychiatric Interview...
August 28, 2017: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/28845864/-attenzione-per-i-dettagli-in-genitori-di-nazionalit%C3%A3-italiana-di-donne-affette-da-anoressia-nervosa-uno-studio-comparativo
#12
Alessandro Chinello, Luigi Zappa, Miriam Pastori, Cristina Crocamo, Paola Ricciardelli, Massimo Clerici, Giuseppe Carrà
RIASSUNTO. Scopo. È noto come l'anoressia nervosa (AN) e il disturbo dello spetto autistico (ASD) condividano alcuni tratti, come la rigidità mentale e l'attenzione per i dettagli, che potrebbero essere diffusi a livello familiare. Questo studio ha lo scopo di confrontare la distribuzione di tratti autistici in genitori con figlie affette da disturbo alimentare ED (anoressia - AN o bulimia nervosa - BN) con genitori appartenenti a un gruppo di controllo. Metodi. Sono stati coinvolti 40 genitori con figlie affette da disturbo alimentare (60% con anoressia, 40% con bulimia nervosa) e 33 genitori di controllo...
July 2017: Rivista di Psichiatria
https://www.readbyqxmd.com/read/28842966/autonomy-support-and-autonomous-motivation-in-the-outpatient-treatment-of-adults-with-an-eating-disorder
#13
Howard Steiger, Jeanne Sansfaçon, Lea Thaler, Niamh Leonard, Danaëlle Cottier, Esther Kahan, Emilie Fletcher, Erika Rossi, Mimi Israel, Lise Gauvin
OBJECTIVE: Across diverse clinical problems, therapists' autonomy support has been found to increase patients' autonomous motivation for change. Being self-motivated has, in turn, been linked to superior treatment response. In people undergoing outpatient eating disorder (ED) treatment, we examined associations among ratings of autonomy support received from therapists and other carers, self-reported engagement in therapy, and clinical outcomes. METHOD: Ninety-seven women with anorexia nervosa, bulimia nervosa, or a related ED provided measures of motivational status and clinical symptoms at the beginning and end of time-limited (12-16 weeks) segments of specialized treatment...
September 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28838248/the-relevance-of-personality-traits-in-impulsivity-related-disorders-from-substance-use-disorders-and-gambling-disorder-to-bulimia-nervosa
#14
Amparo Del Pino-Gutiérrez, Susana Jiménez-Murcia, Fernando Fernández-Aranda, Zaida Agüera, Roser Granero, Anders Hakansson, Ana B Fagundo, Ferran Bolao, Ana Valdepérez, Gemma Mestre-Bach, Trevor Steward, Eva Penelo, Laura Moragas, Neus Aymamí, Mónica Gómez-Peña, Assumpta Rigol-Cuadras, Virginia Martín-Romera, José M Menchón
Background and aims The main aim of this study was to analyze and describe the clinical characteristics and shared personality traits in different impulsivity-compulsivity spectrum disorders: substance use disorders (SUD), gambling disorder (GD), and bulimia nervosa (BN). The specific aims were to compare personality differences among individuals with pure SUD, BN with and without SUD, and GD with and without SUD. In addition, we assessed the differential predictive capacity of clinical and personality variables in relation to diagnostic subtype...
August 25, 2017: Journal of Behavioral Addictions
https://www.readbyqxmd.com/read/28837950/meta-analytic-review-of-the-effects-of-a-single-dose-of-intranasal-oxytocin-on-threat-processing-in-humans
#15
REVIEW
Jenni Leppanen, Kah Wee Ng, Youl-Ri Kim, Kate Tchanturia, Janet Treasure
BACKGROUND: Heightened threat sensitivity is a transdiagnostic feature in several psychiatric disorders. The neuropeptide oxytocin has been shown to reduce fear related behaviours and facilitated fear extinction in animals. These findings have led to increasing interest to explore the effects of intranasal oxytocin on threat processing in humans. METHODS: The review included 26 studies (N = 1173), nine of which included clinical populations (N = 234). The clinical groups included were people with borderline personality disorder (BPD), anorexia nervosa, bulimia nervosa, depression, anxiety, and alcohol dependence disorder...
August 17, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28833314/rapid-improvements-in-emotion-regulation-predict-intensive-treatment-outcome-for-patients-with-bulimia-nervosa-and-purging-disorder
#16
Danielle E MacDonald, Kathryn Trottier, Marion P Olmsted
OBJECTIVE: Rapid and substantial behavior change (RSBC) early in cognitive behavior therapy (CBT) for eating disorders is the strongest known predictor of treatment outcome. Rapid change in other clinically relevant variables may also be important. This study examined whether rapid change in emotion regulation predicted treatment outcomes, beyond the effects of RSBC. METHOD: Participants were diagnosed with bulimia nervosa or purging disorder (N = 104) and completed ≥6 weeks of CBT-based intensive treatment...
August 18, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28831684/distinct-and-untamed-articulating-bulimic-identities
#17
Karin Eli
Bulimia nervosa and anorexia nervosa are inextricably linked, with substantial clinical and epidemiological overlaps. Yet, while anorexia has been analyzed extensively in medical anthropology, bulimia remains under-theorized. This is, perhaps, because, compared to self-starvation, binge eating presents a logic of practice that is difficult to reconcile with culturally reified notions of self-control, transcendence, and hard work. Thus, although anthropologists have analyzed anorexic subjectivities as imbued with a sense of cleanliness and purity, moral superiority, and heroics, similar analyses have not been extended to bulimic subjectivities; instead, bulimia has been subsumed, as a tangential disorder, into analyses of anorexia...
August 22, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28825608/eating-disorders-and-disordered-eating-symptoms-in-adolescents-with-type-1-diabetes
#18
REVIEW
Giada Toni, Maria Giulia Berioli, Laura Cerquiglini, Giulia Ceccarini, Ursula Grohmann, Nicola Principi, Susanna Esposito
Eating problems in adolescents with type 1 diabetes (T1D) can be divided into two groups. The first includes the diagnosed eating disorders (EDs), i.e., diseases specifically identified by defined signs and symptoms for which a degree of severity has been established, such as anorexia nervosa, bulimia nervosa, binge-eating disorder, pica, and rumination. The second is the group of disordered eating symptoms (DES), which include behaviors such as dieting for weight loss, binge eating, self-induced vomiting, excessive exercise, and laxative or diuretic use; these behaviors cannot be categorized as complete diseases, and, although apparently mild, they must be closely evaluated because they can evolve into true EDs...
August 19, 2017: Nutrients
https://www.readbyqxmd.com/read/28818670/depictive-and-metric-body-size-estimation-in-anorexia-nervosa-and-bulimia-nervosa-a-systematic-review-and-meta-analysis
#19
REVIEW
Simone Claire Mölbert, Lukas Klein, Anne Thaler, Betty J Mohler, Chiara Brozzo, Peter Martus, Hans-Otto Karnath, Stephan Zipfel, Katrin Elisabeth Giel
A distorted representation of one's own body is a diagnostic criterion and core psychopathology of both anorexia nervosa (AN) and bulimia nervosa (BN). Despite recent technical advances in research, it is still unknown whether this body image disturbance is characterized by body dissatisfaction and a low ideal weight and/or includes a distorted perception or processing of body size. In this article, we provide an update and meta-analysis of 42 articles summarizing measures and results for body size estimation (BSE) from 926 individuals with AN, 536 individuals with BN and 1920 controls...
August 10, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28815666/dorsomedial-prefrontal-cortex-repetitive-transcranial-magnetic-stimulation-treatment-of-posttraumatic-stress-disorder-in-eating-disorders-an-open-label-case-series
#20
D Blake Woodside, Patricia Colton, Eileen Lam, Katharine Dunlop, Julia Rzeszutek, Jonathan Downar
Posttraumatic stress disorder (PTSD) is a common comorbid condition in anorexia nervosa (AN) and bulimia nervosa (BN), and may be associated with reduced response to treatment. We report on a case series employing repetitive transcranial magnetic stimulation (rTMS) with a novel target, the dorsomedial prefrontal cortex (DMPFC). Fourteen subjects with eating disorders and comorbid PTSD received 20-30 neuronavigated DMPFC-rTMS treatments on an open-label basis. PTSD symptoms were assessed pretreatment and posttreatment with the PTSD checklist-Civilian (PCL-C) and the Difficulties in Emotional Regulation Scale (DERS)...
August 16, 2017: International Journal of Eating Disorders
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