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Anorexia nervosa

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https://www.readbyqxmd.com/read/28230911/interventions-to-reduce-the-stigma-of-eating-disorders-a-systematic-review-and-meta-analysis
#1
REVIEW
Joanna R Doley, Laura M Hart, Arthur A Stukas, Katja Petrovic, Ayoub Bouguettaya, Susan J Paxton
Stigma is a problem for individuals with eating disorders (EDs), forming a barrier to disclosure and help-seeking. Interventions to reduce ED stigma may help remove these barriers; however, it is not known which strategies (e.g., explaining etiology to reduce blame, contact with a person with an ED, or educating about ED) are effective in reducing stigma and related outcomes. This review described effectiveness of intervention strategies, and identified gaps in the literature. A search of four databases was performed using the terms (eating disorder* OR bulimi* OR anorexi* OR binge-eating disorder) AND (stigma* OR stereotyp* OR beliefs OR negative attitudes) AND (program OR experiment OR intervention OR education), with additional texts sought through LISTSERVs...
February 23, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28224178/the-role-of-body-weight-on-bone-in-anorexia-nervosa-a-hr-pqct-study
#2
Jacob Frølich, Stinus Hansen, Laura Al-Dakhiel Winkler, Andreas K Andresen, Anne Pernille Hermann, René K Støving
Anorexia nervosa (AN) is associated with decreased bone mineral density and increased risk of fracture. The aim of this study was to assess bone geometry, volumetric bone mineral density (vBMD), trabecular microarchitecture and estimated failure load in weight-bearing vs. non-weight-bearing bones in AN. We included twenty-five females with AN, and twenty-five female controls matched on age and height. Bone geometry, vBMD and trabecular microarchitecture were assessed using high-resolution peripheral quantitative computed tomography of the distal radius and tibia...
February 21, 2017: Calcified Tissue International
https://www.readbyqxmd.com/read/28222705/orthorexia-and-anorexia-nervosa-two-distinct-phenomena-a-cross-cultural-comparison-of-orthorexic-behaviours-in-clinical-and-non-clinical-samples
#3
C Gramaglia, A Brytek-Matera, R Rogoza, P Zeppegno
BACKGROUND: Orthorexia nervosa (ON) is defined as pathological healthful eating. The aim of this study was to investigate whether there is any difference in orthorexic behaviours between clinical and non-clinical groups, and in different cultural contexts. . METHODS: Recruitment involved both female patients with anorexia nervosa (AN) and healthy controls (HC) from Italy and Poland (N = 23 and N = 35 AN patients; and N = 39 and N = 39 HCs, in Italy and Poland, respectively)...
February 21, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28221058/concurrent-and-prognostic-utility-of-subtyping-anorexia-nervosa-along-dietary-and-negative-affect-dimensions
#4
Kelsie T Forbush, Kelsey E Hagan, Rachel H Salk, Jennifer E Wildes
: Bulimia nervosa can be reliably classified into subtypes based on dimensions of dietary restraint and negative affect. Community and clinical studies have shown that dietary-negative affect subtypes have greater test-retest reliability and concurrent and predictive validity compared to subtypes based on the Diagnostic and Statistical Manual of Mental Disorders (DSM). Although dietary-negative affect subtypes have shown utility for characterizing eating disorders that involve binge eating, this framework may have broader implications for understanding restrictive eating disorders...
March 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28217881/is-overestimation-of-body-size-associated-with-neuropsychological-weaknesses-in-anorexia-nervosa
#5
Maria Øverås, Hilde Kapstad, Cathrine Brunborg, Nils Inge Landrø, Øyvind Rø
BACKGROUND: Recent research indicates some evidence of neuropsychological weaknesses in visuospatial memory, central coherence and set-shifting in adults with anorexia nervosa (AN). The growing interest in neuropsychological functioning of patients with AN is based upon the assumption that neuropsychological weaknesses contribute to the clinical features of the illness. However, due to a paucity of research on the connection between neuropsychological difficulties and the clinical features of AN, this link remains hypothetical...
March 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28217880/follow-up-assessment-of-cognitive-remediation-therapy-in-adolescent-anorexia-nervosa-a-pilot-study
#6
Laura Herbrich, Betteke van Noort, Ernst Pfeiffer, Ulrike Lehmkuhl, Sibylle Winter, Viola Kappel
OBJECTIVE: Cognitive remediation therapy (CRT) is a specialized treatment approach targeting cognitive weaknesses in anorexia nervosa (AN). Regarding follow-up effects of CRT, there are only few studies available; for adolescents, there are no data. METHODS: Forty-eight adolescents with AN were assigned to receive either CRT and treatment as usual (TAU) or TAU alone. Assessments were performed at baseline (n = 48) and compared with assessments at a 6-month follow-up (n = 33)...
March 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28217879/affective-responses-in-different-stages-of-anorexia-nervosa-results-from-a-startle-reflex-paradigm
#7
Laurence Erdur, Cora Weber, Frank Zimmermann-Viehoff, Matthias Rose, Hans-Christian Deter
OBJECTIVE: There is an evolving debate about pathological affective responses in patients with anorexia nervosa (AN). We examined startle responses in different stages of AN. METHODS: We applied a startle reflex paradigm with standardized visual stimuli (International Affective Pictures System; food and body pictures) in 64 female participants (17 acute AN, 16 chronically ill AN, 15 long-term recovered AN, 16 healthy controls). We measured subjective ratings of valence and anxiety, and electromyographic startle responses...
March 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28214436/impact-of-child-maltreatment-on-meaning-in-life-in-psychiatric-patients
#8
Sébastien Weibel, Sonia Vidal, Emilie Olié, Roland Hasler, Catherine Torriani, Paco Prada, Philippe Courtet, Sébastien Guillaume, Nader Perroud, Philippe Huguelet
Child maltreatment (CM) worsens prognosis and quality of life in several psychiatric conditions. Meaning in life is a construct which relates to the sense of purpose that one can perceive in life, and is a key aspect of recovery in psychiatric patients. The lasting impact of CM on meaning in life and its mediating variables have not been studied in patients with chronic persistent psychiatric conditions. One hundred and sixty-six patients with bipolar disorder (N=35), psychotic disorder (N=73), anorexia nervosa (N=30) or borderline personality disorder (N=28) were assessed for meaning in life (revised version of the Life Regard Index (LRI-R)), for CM (Childhood Trauma Questionnaire (CTQ)) and for internalized/externalized psychopathology...
February 13, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28213045/identification-of-the-causes-for-chronic-hypokalemia-importance-of-urinary-sodium-and-chloride-excretion
#9
Kun-Lin Wu, Chih-Jen Cheng, Chih-Chen Sung, Ming-Hua Tseng, Yu-Juei Hsu, Sung-Sen Yang, Tom Chau, Shih-Hua Lin
BACKGROUND: Uncovering the correct diagnosis of chronic hypokalemia with potassium (K(+)) wasting from the kidneys or gut can be fraught with challenges. We identified clinical and laboratory parameters helpful for differentiating the causes of chronic hypokalemia. METHODS: Normotensive patients referred to our tertiary academic medical center for the evaluation of chronic hypokalemia were prospectively enrolled over five years. Clinical features, laboratory examinations-including blood and spot urine electrolytes, acid-base status, biochemistries and hormones-as well as genetic analysis were determined...
February 14, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28203082/the-parental-bonding-in-families-of-adolescents-with-anorexia-attachment-representations-between-parents-and-offspring
#10
Laura Balottin, Stefania Mannarini, Maura Rossi, Giorgio Rossi, Umberto Balottin
INTRODUCTION: The attachment theory is widely used in order to explain anorexia nervosa origin, course and treatment response. Nevertheless, very little literature specifically investigated parental bonding in adolescents with anorexia, as well as the parents' own bonding and intergenerational transmission within the family. PURPOSE: This study aims to identify any specific pattern of parental bonding in families of adolescents newly diagnosed with restricting-type anorexia, comparing them to the families of the control group...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/28198813/increased-anterior-cingulate-cortex-response-precedes-behavioural-adaptation-in-anorexia-nervosa
#11
Daniel Geisler, Franziska Ritschel, Joseph A King, Fabio Bernardoni, Maria Seidel, Ilka Boehm, Franziska Runge, Thomas Goschke, Veit Roessner, Michael N Smolka, Stefan Ehrlich
Patients with anorexia nervosa (AN) are characterised by increased self-control, cognitive rigidity and impairments in set-shifting, but the underlying neural mechanisms are poorly understood. Here we used functional magnetic resonance imaging (fMRI) to elucidate the neural correlates of behavioural adaptation to changes in reward contingencies in young acutely ill AN patients. Thirty-six adolescent/young adult, non-chronic female AN patients and 36 age-matched healthy females completed a well-established probabilistic reversal learning task during fMRI...
February 13, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28196794/simpler-therapy-may-successfully-treat-adolescents-with-anorexia-nervosa
#12
Stewart Agras
No abstract text is available yet for this article.
February 14, 2017: Evidence-based Mental Health
https://www.readbyqxmd.com/read/28193620/fifteen-minute-consultation-a-structured-approach-to-the-management-of-children-and-adolescents-with-medically-unstable-anorexia-nervosa
#13
Elizabeth Allison, Nicola Dawson, Jane Phillips, Catherine Lynch, Jacinta Coleman
Assessing and managing children who are underweight is an integral part of paediatric practice. Young people with anorexia nervosa (AN) are mainly cared for in the community by specialist eating disorder services. However, increasing numbers require admission to paediatric wards with medical instability due to the complications of starvation. Despite recommendations published in the junior MARSIPAN report in 2012, many paediatricians still feel poorly equipped to care for these high-risk patients. This article aims to provide a safe and structured approach to the assessment and management of children and adolescents with medically unstable AN...
February 13, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28191004/ghrelin-reactive-immunoglobulins-in-conditions-of-altered-appetite-and-energy-balance
#14
REVIEW
Sergueï O Fetissov, Nicolas Lucas, Romain Legrand
Part of circulating ghrelin is bound to immunoglobulins (Ig) protecting it from degradation and preserving its functional activity. This review summarizes the data on ghrelin- and desacyl-ghrelin-reactive IgG in conditions of altered appetite and energy balance. Plasma levels and affinity kinetics of such IgG were compared in patients with obesity and anorexia nervosa (AN) and in animal models of obesity including ob/ob mice, high-fat diet-induced obese mice, and obese Zucker rats as well as in mice after chronic food restriction and activity-based anorexia and in rats with methotrexate-induced anorexia...
2017: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/28188643/will-i-get-fat-22-year-weight-trajectories-of-individuals-with-eating-disorders
#15
Helen B Murray, Nassim Tabri, Jennifer J Thomas, David B Herzog, Debra L Franko, Kamryn T Eddy
OBJECTIVE: For some, fat phobia or fear of uncontrollable weight gain is diagnostic of eating disorders, often inhibiting treatment engagement and predicting symptom relapse. Prior research has reported weight changes at infrequent or long intervals, but rate, shape, and magnitude of long-term changes remain unknown. Our study examined 22-year longitudinal trajectories of body mass index (BMI) in women with anorexia nervosa (AN) and bulimia nervosa (BN). METHOD: Participants were followed over 10 years (N = 225) and at 22-year follow-up (N = 175)...
February 11, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28186654/weight-gain-trajectories-in-hospital-based-treatment-of-anorexia-nervosa
#16
Saniha H Makhzoumi, Janelle W Coughlin, Colleen C Schreyer, Graham W Redgrave, Steven C Pitts, Angela S Guarda
Weight gain is a primary treatment goal for anorexia nervosa (AN); however little is known about heterogeneity in weight gain pattern during treatment. Preliminary evidence suggests weight gain trajectory is associated with treatment outcome. This study grouped patients using mixture modeling into weight gain trajectories, and compared predictors and treatment outcomes between trajectory groups. Women diagnosed with AN or subthreshold AN (N = 211) completed self-report measures at admission and six-months after discharge from an integrated inpatient (IP)-partial hospitalization (PH) behavioral specialty eating disorders program...
February 10, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28186317/diagnostic-distribution-of-eating-disorders-comparison-between-dsmiv-tr-and-dsm-5
#17
Eduardo Serrano-Troncoso, Laura Cañas, Xavier Carbonell, Marta Carulla, Carolina Palma, Josep Matalí, Montse Dolz
INTRODUCTION: The fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes a significant revision of Eating Disorders (ED). The objective of this study is to compare the distribution of diagnosis of ED in adolescents according to DSM-VI-TR and DSM-5 criteria. A second objective is to study the psychopathological differences between patients with ED (based on DSM-IV-TR) and those whose diagnosis changed by applying DSM-5 criteria. METHODOLOGY: One hundred and one adolescents diagnosed with ED (mean: 14...
January 2017: Actas Españolas de Psiquiatría
https://www.readbyqxmd.com/read/28183091/emotional-expression-predicts-treatment-outcome-in-focal-psychodynamic-and-cognitive-behavioural-therapy-for-anorexia-nervosa-findings-from-the-antop-study
#18
Hans-Christoph Friederich, Timo Brockmeyer, Beate Wild, Gaby Resmark, Martina de Zwaan, Andreas Dinkel, Stephan Herpertz, Markus Burgmer, Bernd Löwe, Sefik Tagay, Eva Rothermund, Almut Zeeck, Stephan Zipfel, Wolfgang Herzog
No abstract text is available yet for this article.
2017: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/28173811/marrow-adipocytes-inhibit-the-differentiation-of-mesenchymal-stem-cells-into-osteoblasts-via-suppressing-bmp-signaling
#19
Basem M Abdallah
BACKGROUND: Reduced bone formation is associated with increased bone marrow fat in many bone-loss related diseases including aging, post-menopause, and anorexia nervosa. Several lines of evidence suggested the regulation of osteogenesis and adipogenesis of the bone marrow-derived mesenchymal (skeletal) stem cells (BMSCs) by paracrine mediators. This study aimed to investigate the impact of adipocytes-secreted factors on the cell proliferation and osteoblast differentiation of BMSCs. METHODS: Serum free conditioned medium (CM-Adipo) was collected from stromal ST2 cells-derived adipocytes...
February 7, 2017: Journal of Biomedical Science
https://www.readbyqxmd.com/read/28170116/anorexia-nervosa-with-massive-pulmonary-air-leak-and-extraordinary-propagation
#20
V M Jensen, R K Støving, P E Andersen
A rare case combining pneumothorax, pneumomediastinum, pneumopericardium, pneumoperitoneum, pneumorrhachis, air in retroperitoneum and extensive subcutaneous emphysema simultaneously in a severely anorectic male with BMI 9.2 (22.8 kg) and multiple vomitings is presented. This unusual condition was treated successfully with conservative medical approach in a specialized somatic unit for anorexia nervosa.
February 7, 2017: International Journal of Eating Disorders
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