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Lucie Gailledrat, Morgane Rousselet, Jean-Luc Venisse, Sylvain Lambert, Bruno Rocher, Manon Remaud, Alice Guilleux, Anne Sauvaget, Emeline Eyzop, Marie Grall-Bronnec
Concerns about body shape and weight are core diagnostic criteria for eating disorders although intensity varies between patients. Few studies have focused on the clinical differences relative to the intensity of these concerns. Nonetheless, they might have a prognostic value. This study was aimed at identifying the characteristics associated with marked body shape concerns in patients with an eating disorder. Data was collected from a systematic and standardized clinical assessment of outpatients seeking treatment in our department for eating disorders...
2016: PloS One
Nadia Micali, Camilla Lindvall Dahlgren
No abstract text is available yet for this article.
October 21, 2016: European Child & Adolescent Psychiatry
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
Caitlin B O'Hara, Alexandra Keyes, Bethany Renwick, Katrin E Giel, Iain C Campbell, Ulrike Schmidt
In anorexia nervosa (AN), motivational salience is attributed to illness-compatible cues (e.g., underweight and active female bodies) and this is hypothesised to involve dopaminergic reward circuitry. We investigated the effects of reducing dopamine (DA) transmission on the motivational processing of AN-compatible cues in women recovered from AN (AN REC, n = 17) and healthy controls (HC, n = 15). This involved the acute phenylalanine and tyrosine depletion (APTD) procedure and a startle eye-blink modulation (SEM) task...
2016: PloS One
Julia Depa, Jenny Schweizer, Sandra-Kristin Bekers, Carolin Hilzendegen, Nanette Stroebele-Benschop
PURPOSE: Orthorexia nervosa (ON) describes the constant pathological preoccupation with "healthy" nutrition. The current results regarding the prevalence of ON differ widely possibly because of invalid measurement tools. This study aimed to investigate ON prevalence in a sample of German students and to examine age, gender, semester, and nutritional knowledge as potential predictors of ON by comparing nutrition science (NS) with economics (ES) students. METHODS: A total of 446 university students participated in the survey (NS 188, ES 268)...
October 19, 2016: Eating and Weight Disorders: EWD
Keiji Tasaka, Kousaku Matsubara, Shizuo Takamiya, Shin-Ichi Ishikawa, Aya Iwata, Hiroyuki Nigami
BACKGROUND: Information on long-term follow-up of childhood-onset anorexia nervosa is scarce. This study aimed to show long-term (>10 years) course, outcome and prognostic factors for hospitalized childhood-onset anorexia nervosa-restricting type (ANR). METHODS: Forty-one ANR girls admitted to a single regional center participated. Median age at first admission was 13.3 (range: 8.6-15.6) years. The longitudinal clinical course was retrospectively determined for a median follow-up period of 17...
October 19, 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
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
Crystal D Oberle, Razieh O Samaghabadi, Elizabeth M Hughes
This study investigated whether orthorexia nervosa (ON; characterized by an obsessive fixation on eating healthy) may be predicted from the demographics variables of gender and BMI, and from the personality variables of self-esteem, narcissism, and perfectionism. Participants were 459 college students, who completed several online questionnaires that assessed these variables. A principal components analysis confirmed that the Eating Habits Questionnaire (Gleaves, Graham, & Ambwani, 2013) assesses three internally-consistent ON components: healthy eating behaviors, problems resulting from those behaviors, and positive feelings associated with those behaviors...
October 15, 2016: Appetite
Ursula F Bailer, Julie C Price, Carolyn C Meltzer, Angela Wagner, Chester A Mathis, Anthony Gamst, Walter H Kaye
OBJECTIVE: Individuals with anorexia nervosa (AN) have anxious and inhibited temperaments with high concern for consequences. Studies using either positron emission tomography (PET) or functional magnetic resonance imaging (fMRI) suggest involvement of the middle and dorsal caudate (DC) in individuals recovered (REC) from AN. For example, dopamine (DA) D2/D3 receptor binding in the middle caudate and DC was associated with anxiety and harm avoidance, and blood-oxygen-level-dependent (BOLD) response in the DC was positively related to trait anxiety...
October 18, 2016: International Journal of Eating Disorders
Melanie S Fischer, Donald H Baucom, Brian R Baucom, Jonathan S Abramowitz, Jennifer S Kirby, Cynthia M Bulik
Impaired emotion regulation and maladaptive strategies to manage distress are central to psychopathology, including obsessive-compulsive disorder (OCD) and anorexia nervosa (AN). Emotion regulation can be fostered or thwarted by romantic partners, and the tendency to rely on interpersonally oriented emotion regulation may vary by disorder. This study examined coregulation as a form of interpersonal emotion regulation in OCD and AN. We hypothesized that OCD is associated with exaggerated and AN with diminished coregulation, and that OCD patients have greater overall levels of emotional arousal than AN patients...
October 17, 2016: Journal of Family Psychology: JFP
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
Conxa Perpiñá, Mara Segura, Sergio Sánchez-Reales
OBJECTIVE: The aim of the present study was to compare decision-making and cognitive flexibility in patients with disordered eating and weight, ranging from anorexia nervosa to obesity, and a healthy group. METHOD: Participants were 113 patients (86 with eating disorders and 27 with obesity), and a group of 39 healthy subjects; all completed the Iowa gambling task, the Wisconsin Card Sorting Test and several clinical self-report measures. RESULTS: Eating disordered and obese patients showed impaired performance on the decision-making task, and the obese group showed the worst performance on the set-shifting task...
October 15, 2016: Eating and Weight Disorders: EWD
Elena Tomba, Lucia Tecuta
No abstract text is available yet for this article.
October 15, 2016: Psychotherapy and Psychosomatics
Francesco Demaria, Franco De Crescenzo, Anna Maria Caramadre, Adele D'Amico, Antonella Diamanti, Fabiana Fattori, Maria Pia Casini, Stefano Vicari
Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) is a rare multisystemic autosomal recessive disorder mainly caused by mutations in the nuclear gene TYMP, encoding thymidine phosphorylase. It generally appears in childhood and is clinically characterized by severe gastrointestinal dysmotility, cachexia, ptosis, progressive external ophthalmoplegia, peripheral neuropathy, and diffuse leukoencephalopathy on brain magnetic resonance imaging. The disease is clinically heterogeneous with the main symptoms being gastrointestinal, with an important weight loss...
October 12, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
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
Calum Munro, Louise Randell, Stephen M Lawrie
: The need for novel approaches to understanding and treating anorexia nervosa (AN) is well recognized. The aim of this paper is to describe an integrative bio-psycho-social theory of maintaining factors in AN. We took a triangulation approach to develop a clinically relevant theory with face validity and internal consistency. We developed theoretical ideas from our clinical practice and reviewed theoretical ideas within the eating disorders and wider bio-psycho-social literature. The synthesis of these ideas and concepts into a clinically meaningful framework is described here...
October 13, 2016: Clinical Psychology & Psychotherapy
Katherine N Bachmann, Melanie Schorr, Alexander G Bruno, Miriam A Bredella, Elizabeth A Lawson, Corey M Gill, Vibha Singhal, Erinne Meenaghan, Anu V Gerweck, Meghan Slattery, Kamryn T Eddy, Seda Ebrahimi, Stuart L Koman, James M Greenblatt, Robert J Keane, Thomas Weigel, Madhusmita Misra, Mary L Bouxsein, Anne Klibanski, Karen K Miller
CONTEXT: Areal BMD is lower, particularly at the spine, in low-weight women with anorexia nervosa (AN). However, little is known about vertebral integral volumetric BMD (Int.vBMD) or vertebral strength, across the AN weight spectrum, including "atypical" AN (BMI≥18.5 kg/m(2)). OBJECTIVE: To investigate Int.vBMD and vertebral strength, and their determinants, across the AN weight spectrum. DESIGN: Cross-sectional observational study Setting: Clinical Research Center Participants: 153 women (18-45y): 64 low-weight AN (BMI<18...
October 12, 2016: Journal of Clinical Endocrinology and Metabolism
Olga Pollatos, Beate M Herbert, Götz Berberich, Michael Zaudig, Till Krauseneck, Manos Tsakiris
Background: Interoceptive abilities are known to be affected in anorexia nervosa (AN). Previous studies could show that private self-focus can enhance interoceptive accuracy (IAcc) in healthy participants. As body dissatisfaction is high in AN, confrontation with bodily features such as the own face might have a directly opposed effect in AN. Whether patients with AN can benefit from self-focus in their IAcc and whether this pattern changes over the time-course of cognitive behavioral therapy was investigated in this study...
2016: Frontiers in Human Neuroscience
Kjersti S Gulliksen, Ragnfrid H S Nordbø, Ester M S Espeset, Finn Skårderud, Arne Holte
INTRODUCTION: Studies show that patients' perception of their illness has a direct influence both on their utilization of health services and their adherence to treatment plans. This may be particularly relevant to the treatment of Anorexia Nervosa (AN). Previous studies on AN have typically explored single psycho-social factors that patients with AN relate to the emergence of their illness. There is a need for more coherent systematic descriptions of the complexity of the patients' narratives about how their illness emerged...
October 11, 2016: Clinical Psychology & Psychotherapy
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