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Bulimia nervosa

Mario Miniati, Antonella Benvenuti, Elena Bologna, Alessandra Maglio, Biagio Cotugno, Gabriele Massimetti, Simona Calugi, Mauro Mauri, Liliana Dell'Osso
PURPOSE: To investigate the presence of mood spectrum signs and symptoms in patients with anorexia nervosa, restricting subtype (AN-R) or bulimia nervosa (BN). METHOD: 55 consecutive female patients meeting DSM-IV criteria for eating disorders (EDs) not satisfying DSM-IV criteria for Axis I mood disorders were evaluated with the Lifetime Mood Spectrum Self-Report (MOODS-SR) and the Mini-International Neuropsychiatric Interview (MINI). The MOODS-SR explored the subthreshold comorbidity for mood spectrum symptoms in patients not reaching the threshold for a mood disorder Axis I diagnosis...
October 20, 2016: Eating and Weight Disorders: EWD
Jaime A Coffino, Natalia C Orloff, Julia M Hormes
Binge eating is characteristic of eating and weight-related disorders such as binge eating disorder, bulimia nervosa, and obesity. In light of data suggest impulsivity is associated with overeating specifically in restrained eaters, this study sought to elucidate the exact nature of the associations between these variables, hypothesizing that the relationship between impulsivity and binge eating is mediated by restrained eating. We further hypothesized that the role of dietary restraint as a mediator would be moderated by body mass index (BMI)...
2016: Frontiers in Psychology
Katie M O'Brien, Denis R Whelan, Dale P Sandler, Clarice R Weinberg
BACKGROUND: Eating disorders such as anorexia nervosa and bulimia nervosa affect overall and reproductive health and may also affect breast cancer risk. We studied the association between self-reported eating disorders and breast cancer risk in a prospective cohort study. METHODS: In 2003-2009, the Sister Study enrolled women aged 35-74 who had a sister with breast cancer but had never had it themselves. Using data from 47,813 women, we estimated adjusted hazard ratios (HR) and 95% confidence intervals for the association between eating disorders and invasive breast cancer over a median of 5...
October 18, 2016: Cancer Epidemiology, Biomarkers & Prevention
Gustavo A Constaín, María de Los Ángeles Rodríguez-Gázquez, Guillermo Andrés Ramírez Jiménez, Gloria María Gómez Vásquez, Laura Mejía Cardona, Jonathan Cardona Vélez
OBJECTIVE: To establish the diagnostic validity and usefulness of Eating Attitudes Test-26 (EAT-26) for the risk assessment of eating disorders in a male population. DESCRIPTION: Observational validation study questionnaire. SETTING: Performed in Medellin city at a community care level of mixed (public and private) psychiatric clinics. SUBJECTS: The study included 21 male subjects aged ≥14 with DSM-IV-TR diagnostic criteria for anorexia nervosa, bulimia nervosa, and Eating Disorder Not Otherwise Specified (EDNOS), and 93 controls without ED...
October 10, 2016: Atencion Primaria
Manuela Caslini, Cristina Crocamo, Antonios Dakanalis, Martina Tremolada, Massimo Clerici, Giuseppe Carrà
Stigmatizing attitudes toward eating disorders (EDs) may lead to reduced treatment seeking. We aimed to estimate the prevalence of stigmatizing trends and beliefs related to anorexia nervosa (AN) and bulimia nervosa (BN), and the associations with the experiential knowledge of the problem, in a large sample of Italian undergraduates. A total of 2109 participants completed an online survey including questionnaires related to stigmatizing beliefs toward AN and BN, and personal contacts with people with EDs. Undergraduates reported almost overlapping low levels of stigmatizing trends for AN and BN, apart from personal responsibility and social distance...
October 12, 2016: Journal of Nervous and Mental Disease
Elizabeth Claydon, Stephanie Zerwas, Laura Callinan, Megan V Smith
OBJECTIVE: Reflective Functioning is a vital aspect of parental aptitude and its absence, especially in the presence of psychopathology, can impair attachment. This study sought to clarify the relationship of parental RF among mothers with eating disorder symptomatology. METHOD: We assessed 59 mothers for ED symptomatology using the Eating Disorder Examination Questionnaire (EDE-Q) and RF through the Parental Reflective Functioning Questionnaire (PRFQ). Bivariate and multivariate analyses compared PRFQ subscales between symptomatic and asymptomatic mothers, using a clinical cutoff score of 4 on the EDE-Q subscales...
September 14, 2016: Eating Behaviors
Beate Steinfeld, Anika Bauer, Manuel Waldorf, Nicole Engel, Karsten Braks, Thomas J Huber, Silja Vocks
Body-related checking behavior, as a behavioral manifestation of a disturbed body image, fosters the development and maintenance of eating disorders. The Body Checking Questionnaire (BCQ) is the most commonly used questionnaire for measuring body-related checking behavior internationally. To date, validation studies are only available for adult populations. Therefore, the aim of this study was to statistically test the German-language version of the BCQ in adolescents. A total of N=129 female adolescents were examined, comprising n=57 with Anorexia Nervosa, n=24 with Bulimia Nervosa, and n=48 healthy female adolescents...
October 6, 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
Eric Stice, Jeff M Gau, Paul Rohde, Heather Shaw
Because no single report has examined risk factors that predict future onset each type of eating disorder and core symptom dimensions that crosscut disorders, we addressed these aims to advance knowledge regarding risk factor specificity. Data from 3 prevention trials that targeted young women with body dissatisfaction (N = 1,272; Mage = 18.5, SD = 4.2) and collected annual diagnostic interview data over 3-year follow-up were combined to identify predictors of subthreshold/threshold anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and purging disorder (PD)...
October 6, 2016: Journal of Abnormal Psychology
Kaoru Seike, Michiko Nakazato, Hisashi Hanazawa, Toshiyuki Ohtani, Tomihisa Niitsu, Shin-Ichi Ishikawa, Atsuko Ayabe, Ryoko Otani, Kentaro Kawabe, Fumie Horiuchi, Shizuo Takamiya, Ryoichi Sakuta
BACKGROUND: The lowering of the age of onset and chronicity have been key problems related to eating disorders (EDs). As the proportion of teens in the estimated onset ages has increased, it has become important to detect students with EDs and to clarify how they can be supported. Though epidemiological surveys of Yogo teachers (school nurse/health science teachers) have been conducted to inquire about the number of such students, none of these were done according to ED type based on DSM-5...
2016: BioPsychoSocial Medicine
Jana Zmolikova, Dita Pichlerova, Petr Bob, Denisa Schückova, Jitka Herlesova, Petr Weiss
BACKGROUND: Splitting represents a defense mechanism that describes fragmentation of conscious experience that may occur in various psychopathological conditions. The purpose of this study was to examine the relationship of splitting with disturbed cognitive and affective functions related to impulsivity and intimate partnerships in a group of obese patients indicated for bariatric treatment and compare the results with other obese patients and patients with bulimia nervosa. METHODS: In this clinical study, we assessed 102 young women...
2016: Neuropsychiatric Disease and Treatment
Antonella Piazza, Paola Rucci, Massimo Clo, Dino Gibertoni, Lucia Camellini, Marinella Di Stani, Maria Pia Fantini, Mila Ferri, Angelo Fioritti
PURPOSE: To estimate the treated prevalence of eating disorders (ED) in Emilia-Romagna, Italy, and to compare health services utilization among age groups and geographical areas. METHODS: The study cohort consists of patients aged 12-64 years with a primary or secondary ED diagnosis, treated in regional healthcare facilities in 2012. Patients were followed up for 1 year from the first contact. Data were extracted from regional administrative databases. RESULTS: The study cohort included 1550 cases, 36...
September 29, 2016: Eating and Weight Disorders: EWD
Timo Brockmeyer, Ulrike Schmidt, Hans-Christoph Friederich
BACKGROUND: The core symptoms of bulimia nervosa (BN) and binge eating disorder (BED) are recurrent episodes of binge eating. Despite negative psychological and physical consequences, BN/BED patients show uncontrollable approach tendencies towards food. This cognitive bias occurs at an early stage of information processing. Cognitive bias modification (CBM) directly targets such biases and has been shown to be effective in treating several mental disorders. In alcohol addiction, automatic action tendencies towards alcohol cues and relapse rates were successfully reduced by a specific form of CBM, termed approach bias modification...
September 26, 2016: Trials
Tyler B Mason, Jason M Lavender, Stephen A Wonderlich, Ross D Crosby, Scott G Engel, Timothy J Strauman, James E Mitchell, Scott J Crow, Daniel Le Grange, Marjorie H Klein, Tracey L Smith, Carol B Peterson
This study examined self-discrepancy, a construct of theoretical relevance to eating disorder (ED) psychopathology, across different types of EDs. Individuals with anorexia nervosa (AN; n = 112), bulimia nervosa (BN; n = 72), and binge eating disorder (BED; n = 199) completed semi-structured interviews assessing specific types of self-discrepancies. Results revealed that actual:ideal (A:I) discrepancy was positively associated with AN, actual:ought (A:O) discrepancy was positively associated with BN and BED, and self-discrepancies did not differentiate BN from BED...
September 27, 2016: European Eating Disorders Review: the Journal of the Eating Disorders Association
Anna Keski-Rahkonen, Linda Mustelin
PURPOSE OF REVIEW: Eating disorders - anorexia nervosa, bulimia nervosa, and binge eating disorder - affect numerous Europeans. This narrative review summarizes European studies on their prevalence, incidence, comorbidity, course, consequences, and risk factors published in 2015 and the first half of 2016. RECENT FINDINGS: Anorexia nervosa is reported by <1-4%, bulimia nervosa <1-2%, binge eating disorder <1-4%, and subthreshold eating disorders by 2-3% of women in Europe...
November 2016: Current Opinion in Psychiatry
Annika Helgadóttir Davidsen, William T Hoyt, Stig Poulsen, Mette Waaddegaard, Marianne Lau
PURPOSE: The aim was to examine duration of illness and body mass index as possible moderators of the relationship between eating disorder severity and functional impairment, as well as psychological distress as a possible mediator of this relationship. METHODS: The study included 159 patients diagnosed with bulimia nervosa, binge eating disorder or eating disorder not otherwise specified. Regression analysis was applied to assess the effect of the hypothesized moderators and mediators...
September 22, 2016: Eating and Weight Disorders: EWD
Antonios Dakanalis, Massimo Clerici, Giuseppe Riva, Giuseppe Carrà
PURPOSE: This study tested the new DSM-5 severity criterion for bulimia nervosa (BN) based on the frequency of inappropriate weight compensatory behaviors in a treatment-seeking sample. METHODS: Participants were 345 adults with DSM-5 BN presenting for treatment. They were sub-grouped based on DSM-5 severity levels and compared on a range of variables of clinical interest and demographics. RESULTS: Based on DSM-5 severity definitions, 27.2 % of the sample was categorized with mild, 26...
September 21, 2016: Eating and Weight Disorders: EWD
Marisol Perez, Tara K Ohrt, Hans W Hoek
PURPOSE OF REVIEW: We reviewed the recent literature on prevalence rates, and application of evidence-based treatments for eating disorders among Hispanics/Latinos residing in the United States. RECENT FINDINGS: Lifetime prevalence rates of anorexia nervosa are lower among Hispanic/Latinos than non-Hispanic Whites. There are comparable rates of bulimia nervosa and binge eating disorder (BED) among Hispanic/Latinos and non-Hispanic Whites. BED is the most common eating disorder among Hispanic/Latinos...
November 2016: Current Opinion in Psychiatry
David B Sarwer, Heather M Polonsky
Dissatisfaction with physical appearance and body image is a common psychological phenomena in Western society. Body image dissatisfaction is frequently reported by those who have excess body weight, but also is seen in those of normal body weight. For both groups of individuals, this dissatisfaction impacts self-esteem and quality of life. Furthermore, it is believed to be the motivational catalyst to a range of appearance-enhancing behaviors, including weight loss efforts and physical activity. Body image dissatisfaction is also believed to play a role in the decision to seek the wide range of body contouring procedures offered by aesthetic physicians...
October 2016: Aesthetic Surgery Journal
Aurelia Gay, Isabelle Jaussent, Torrance Sigaud, Stephane Billard, Jerome Attal, Maude Seneque, Bogdan Galusca, Frederique Van Den Eynde, Catherine Massoubre, Philippe Courtet, Sebastien Guillaume
Studies suggest that stimulation of the left dorsolateral prefrontal cortex (DLPFC) reduces food craving in bulimic patients, but evidence supporting repetitive transcranial magnetic stimulation (rTMS) as a therapeutic tool is lacking. We investigated the safety and therapeutic efficacy of an adjunct high-frequency rTMS programme targeting the left DLPFC. Forty-seven women with bulimia nervosa were randomised to a real or sham stimulation group. The real group underwent 10 rTMS sessions, each consisting of 20 trains of 5 seconds with 55-second intervals between trains, at a frequency of 10 Hz...
September 15, 2016: European Eating Disorders Review: the Journal of the Eating Disorders Association
Jessi Litmanen, Sari Fröjd, Mauri Marttunen, Rasmus Isomaa, Riittakerttu Kaltiala-Heino
BACKGROUND: A debate concerns whether eating disorders are increasing in prevalence. The role of socio-economic status (SES) for adolescent eating disorders (ED) is another matter of debate. AIMS: To ascertain whether self-reported eating disorders or their symptoms have increased in prevalence in adolescent population from the early 2000s to early 2010s. METHODS: A person-identifiable classroom survey, Adolescent Mental Health Cohort study, was carried out among the 9th graders in comprehensive schools in Tampere, Finland, during academic year 2002-2003, and replicated among then 9th graders during academic years 2012-2013...
September 14, 2016: Nordic Journal of Psychiatry
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