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Anorexia nervosa

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https://www.readbyqxmd.com/read/28106920/self-admission-to-inpatient-treatment-for-patients-with-anorexia-nervosa-the-patient-s-perspective
#1
Mattias Strand, Cynthia M Bulik, Yvonne von Hausswolff-Juhlin, Sanna A Gustafsson
The aim of the present study was to explore patients' experiences of participating in a self-admission program at a specialist eating disorders clinic. Sixteen adult program participants with a diagnosis of anorexia nervosa were interviewed at 6 months about their experiences in the self-admission program. A qualitative content analysis approach was applied to identify recurring themes. Four themes were identified: Agency and Flexibility, Functions, Barriers, and Applicability. Participants used self-admission to boost healthy behaviors, to prevent deterioration, to forestall the need for longer periods of hospitalizations, and to get a break from overwhelming demands...
January 20, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28106917/is-there-an-optimal-length-of-psychological-treatment-for-eating-disorder-pathology
#2
Caroline Bell, Glenn Waller, Roz Shafran, Jaime Delgadillo
Treatment guidelines for eating disorders (ED) are unclear about the optimal length of psychological care. We aimed to investigate associations between treatment duration and changes in ED pathology. Data for 164 outpatients accessing psychological interventions for ED were analyzed using MANOVA. We tested associations between number of therapy sessions and pre-post treatment changes in clinical outcomes (EDE-Q global scores, binge eating, purging); adjusting for baseline measures, diagnoses, and treatment type...
January 20, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28106914/classification-of-childhood-onset-eating-disorders-a-latent-class-analysis
#3
Leora Pinhas, Dasha Nicholls, Ross D Crosby, Anne Morris, Richard M Lynn, Sloane Madden
This study tested the hypothesis that latent class analysis (LCA) would successfully classify eating disorder (ED) symptoms in children into categories that mapped onto DSM-5 diagnoses and that these categories would be consistent across countries. Childhood onset ED cases were ascertained through prospective active surveillance by the Australian Paediatric Surveillance Unit, the Canadian Paediatric Surveillance Program, and the British Paediatric Surveillance Unit for 36, 24, and 14 months, respectively. Pediatricians and child psychiatrists reported symptoms of any child aged ≤ 12 years with a newly diagnosed restrictive ED...
January 20, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28095885/symptoms-of-attention-deficit-hyperactivity-disorder-adhd-among-adult-eating-disorder-patients
#4
Nils Erik Svedlund, Claes Norring, Ylva Ginsberg, Yvonne von Hausswolff-Juhlin
BACKGROUND: Very little is known about the prevalence of ADHD symptoms in Bulimia Nervosa and Binge Eating Disorder and even less in other eating disorders. This knowledge gap is of clinical importance since stimulant treatment is proven effective in Binge Eating Disorder and discussed as a treatment possibility for Bulimia Nervosa. The objective of this study was to explore the prevalence and types of self-reported ADHD symptoms in an unselected group of eating disorder patients assessed in a specialized eating disorder clinic...
January 17, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28093835/the-assessment-and-treatment-of-unhealthy-exercise-in-adolescents-with-anorexia-nervosa-a-delphi-study-to-synthesize-clinical-knowledge
#5
Melissa Noetel, Lisa Dawson, Phillipa Hay, Stephen Touyz
This study aimed to explore and synthesize expert clinical knowledge on defining and managing unhealthy exercise in adolescents with AN. The Delphi methodology was used. Clinicians (n = 25) considered experts in the treatment of AN in adolescents were recruited internationally to form the panel. The first round of the questionnaires was comprised of five open-ended questions regarding defining, assessing, and treating unhealthy exercise in adolescents with AN. Statements were derived from this data using content analysis, and included as Likert-based items in two subsequent rounds, in which panellists were required to rate their level of agreement for each item...
January 17, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28093790/a-case-series-of-family-based-treatment-for-adolescents-with-atypical-anorexia-nervosa
#6
Elizabeth K Hughes, Daniel Le Grange, Andrew Court, Susan M Sawyer
The aim of this case series was to examine engagement in and outcomes of family-based treatment (FBT) for adolescents with DSM-5 atypical AN, that is, adolescents who were not underweight at presentation. Consecutive referrals for FBT of adolescents with atypical AN to a specialist child and adolescent eating disorder program were examined. Engagement in treatment (i.e., dose of treatment, completion rate), and changes in psychological symptomatology (i.e., eating disorder symptoms, depressive symptoms, self-esteem, obsessive compulsiveness), weight, and menstrual function were examined...
January 17, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28093506/the-tyrosine-kinase-receptor-tyro3-enhances-lifespan-and-neuropeptide-y-npy-neuron-survival-in-the-mouse-anorexia-anx-mutation
#7
Dennis Y Kim, Joanna Yu, Ryan K Mui, Rieko Niibori, Hamza Bin Taufique, Rukhsana Aslam, John W Semple, Sabine P Cordes
Severe appetite and weight loss define the eating disorder anorexia nervosa, and can also accompany the progression of some neurodegenerative disorders, such as amyotrophic lateral scelerosis (ALS). While acute loss of hypothalamic neurons that produce appetite-stimulating neuropeptide Y (Npy) and agouti related peptide (AgRP) in adult mice or in mice homozygous for the anorexia (anx) mutation causes aphagia, our understanding of the factors that help maintain appetite regulatory circuitry is limited. Here we identify a mutation that converts an arginine to a tryptophan (R7W) in the Tyrosine receptor kinase 3 (Tyro3) gene, which resides within the anx critical interval, as contributing to the severity of anx phenotypes...
January 12, 2017: Disease Models & Mechanisms
https://www.readbyqxmd.com/read/28092875/gelatinous-transformation-of-the-bone-marrow-from-anorexia-nervosa
#8
Kristian T Schafernak
No abstract text is available yet for this article.
March 10, 2016: Blood
https://www.readbyqxmd.com/read/28089925/food-portion-size-area-mediates-energy-effects-on-expected-anxiety-in-anorexia-nervosa
#9
Musya Herzog, Christopher R Douglas, Harry R Kissileff, Jeff M Brunstrom, Katherine Halmi
A study in which adolescent patients with anorexia nervosa (n = 24) rated their expected food-anxiety in response to images of portions of food (potatoes, rice pizza, and M&Ms) showed that lower energy-dense foods elicited higher expected anxiety per kilocalorie than higher energy-dense foods. However, the area of the portion sizes could be an unmeasured variable driving the anxiety response. To test the hypothesis that area mediates the effects of energy content on expected anxiety, the same images of portions were measured in area (cm(2)), and standardized values of expected anxiety were regressed from standardized values of energy and area of portions...
January 12, 2017: Appetite
https://www.readbyqxmd.com/read/28087266/assessment-of-sex-differences-in-body-composition-among-adolescents-with-anorexia-nervosa
#10
Jason M Nagata, Neville H Golden, Rebecka Peebles, Jin Long, Stuart B Murray, Mary B Leonard, Jennifer L Carlson
PURPOSE: To compare deficits in fat mass (FM) and lean body mass (LM) among male and female adolescents with anorexia nervosa (AN) and to identify other covariates associated with body composition. METHODS: We retrospectively reviewed electronic medical records of all subjects aged 9-20 years with a Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition diagnosis of AN and dual-energy x-ray absorptiometry scans after initial evaluation at Stanford between March 1997 and February 2011...
January 11, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28078085/comparing-effects-a-reanalysis-of-two-studies-on-season-of-birth-bias-in-anorexia-nervosa
#11
Eirin Winje, Anne-Kari Torgalsbøen, Cathrine Brunborg, Kristin Stedal
BACKGROUND: Outcomes from studies on season of birth bias in eating disorders have been inconsistent. This inconsistency has been explained by differences in methodologies resulting in different types of effect sizes. The aim of the current study was to facilitate comparison by using the same methodology on samples from two studies with differing conclusions. METHODS: The statistical analyses used in each study were applied to the samples from the other study and the resulting effect sizes, Cramêr's V and odds ratio (OR), were compared and discussed...
2017: Journal of Eating Disorders
https://www.readbyqxmd.com/read/28076675/low-fasting-oxytocin-levels-are-associated-with-psychopathology-in-anorexia-nervosa-in-partial-recovery
#12
Yuliya Afinogenova, Cindy Schmelkin, Franziska Plessow, Jennifer J Thomas, Reitumetse Pulumo, Nadia Micali, Karen K Miller, Kamryn T Eddy, Elizabeth A Lawson
OBJECTIVE: Anorexia nervosa (AN), a psychiatric disorder characterized by restriction of food intake despite severe weight loss, is associated with increased comorbid anxiety and depression. Secretion of oxytocin, an appetite-regulating neurohormone with anxiolytic and antidepressant properties, is abnormal in AN. The link between oxytocin levels and psychopathology in AN has not been well explored. METHODS: We performed a cross-sectional study of 79 women aged 18-45 years (19 AN, 26 AN in partial recovery [ANPR], and 34 healthy controls [HC]) investigating the relationship between basal oxytocin levels and disordered eating psychopathology, anxiety, and depressive symptoms...
November 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28071712/independent-aftereffects-of-fat-and-muscle-implications-for-neural-encoding-body-space-representation-and-body-image-disturbance
#13
Daniel Sturman, Ian D Stephen, Jonathan Mond, Richard J Stevenson, Kevin R Brooks
Although research addressing body size misperception has focused on socio-cognitive processes, such as internalization of the "ideal" images of bodies in the media, the perceptual basis of this phenomenon remains largely unknown. Further, most studies focus on body size per se even though this depends on both fat and muscle mass - variables that have very different relationships with health. We tested visual adaptation as a mechanism for inducing body fat and muscle mass misperception, and assessed whether these two dimensions of body space are processed independently...
January 10, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28068524/enzyme-activities-in-parotid-saliva-of-patients-with-the-restrictive-type-of-anorexia-nervosa
#14
Elzbieta Paszynska, Agnieszka Slopien, Monika Dmitrzak-Weglarz, Christian Hannig
OBJECTIVE: In patients with anorexia nervosa (AN) specific signs may occur in the oral cavity, but there are conflicting reports about their significance, especially concerning changes in salivary composition. The aim of this clinical study was to evaluate the resting parotid flow rate (PFR) and the activity of the following enzymes in parotid saliva: amylase, aspartate amino transferase (AST), lysozyme, peroxidase, serine and acidic proteases in the acute phase of the restrictive type of AN and to compare the findings with those in healthy controls...
December 29, 2016: Archives of Oral Biology
https://www.readbyqxmd.com/read/28064060/a-current-view-on-contactin-4-5-and-6-implications-in-neurodevelopmental-disorders
#15
REVIEW
Oguro-Ando Asami, Amila Zuko, Kristel T E Kleijer, J Peter H Burbach
Contactins (Cntns) are a six-member subgroup of the immunoglobulin cell adhesion molecule superfamily (IgCAMs) with pronounced brain expression and function. Recent genetic studies of neuropsychiatric disorders have pinpointed contactin-4 (CNTN4), contactin-5 (CNTN5) and contactin-6 (CNTN6) as candidate genes in neurodevelopmental disorders, particularly in autism spectrum disorders (ASDs), but also in intellectual disability, schizophrenia (SCZ), attention-deficit hyperactivity disorder (ADHD), bipolar disorder (BD), alcohol use disorder (AUD) and anorexia nervosa (AN)...
January 4, 2017: Molecular and Cellular Neurosciences
https://www.readbyqxmd.com/read/28060877/heightened-olfactory-sensitivity-in-young-females-with-recent-onset-anorexia-nervosa-and-recovered-individuals
#16
Mette Bentz, Johanne Guldberg, Signe Vangkilde, Tine Pedersen, Kerstin Jessica Plessen, Jens Richardt Moellegaard Jepsen
INTRODUCTION: Olfaction may be related to food restriction and weight loss. However, reports regarding olfactory function in individuals with anorexia nervosa (AN) have been inconclusive. OBJECTIVE: Characterize olfactory sensitivity and identification in female adolescents and young adults with first-episode AN and young females recovered from AN. METHODS: We used the Sniffin' Sticks Odor Threshold Test and Odor Identification Test to assess 43 participants with first-episode AN, 27 recovered participants, and 39 control participants...
2017: PloS One
https://www.readbyqxmd.com/read/28060579/a-comparison-of-the-metabolic-complications-and-hospital-course-of-severe-anorexia-nervosa-by-binge-purge-and-restricting-subtypes
#17
Melanie Rylander, John T Brinton, Allison L Sabel, Philip S Mehler, Jennifer L Gaudiani
This study examines adult patients with severe, life-threatening anorexia nervosa who were admitted to an inpatient, medical stabilization unit between October 1, 2008 and December 31, 2014. Specifically, the study compares anorexia nervosa, binge purge subtype (AN-BP) and anorexia nervosa, restricting subtype (AN-R) on admission measures, hospital course, and outcomes. Of the 232 patients, 46% (N = 108) had AN-BP. Patients with AN-R manifested a higher frequency of underweight-mediated medical complications, including bone marrow dysfunction, hepatic dysfunction, and hypoglycemia...
January 6, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28058799/impact-of-asd-traits-on-treatment-outcomes-of-eating-disorders-in-girls
#18
Catherine S Stewart, Fiona S McEwen, Anna Konstantellou, Ivan Eisler, Mima Simic
Evidence links high levels of Autism Spectrum Disorder Traits in women with chronicity of anorexia nervosa. This study reports through clinical audit the impact of ASD traits on treatment outcomes of girls who were referred for treatment in a specialist eating disorder service. Presence of current, but not early childhood, ASD traits was elevated in comparison with previously reported community samples. Current ASD traits were correlated with emotional disorders and with need for treatment augmentation (psychiatric inpatient or day patient admission), but this relationship was not significant after the contribution of depression had been controlled for...
January 6, 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28058633/acute-retropharyngeal-abscess-in-a-patient-with-anorexia-nervosa
#19
Alexia Kleisoura, Ioannis Michopoulos, Anna Karavia, Rossetos Gournellis, Dimitrios Lefantzis, Athanasios Douzenis
No abstract text is available yet for this article.
January 5, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28056812/relationship-of-body-weight-with-gastrointestinal-motor-and-sensory-function-studies-in-anorexia-nervosa-and-obesity
#20
Sena Bluemel, Dieter Menne, Gabriella Milos, Oliver Goetze, Michael Fried, Werner Schwizer, Mark Fox, Andreas Steingoetter
BACKGROUND: Whether gastrointestinal motor and sensory function is primary cause or secondary effect of abnormal body weight is uncertain. Moreover, studies relating continuous postprandial sensations of satiation to measurable pathology are scarce. This work assessed postprandial gastrointestinal function and concurrent sensations of satiation across a wide range of body weight and after weight change. METHODS: Patients with anorexia nervosa (AN) and obesity (OB) were investigated in reference to normal weight controls (HC)...
January 5, 2017: BMC Gastroenterology
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