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anorexia nervosa treatment

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https://www.readbyqxmd.com/read/28644568/treatment-of-avoidant-restrictive-food-intake-disorder-in-a-cohort-of-young-patients-in-a-partial-hospitalization-program-for-eating-disorders
#1
Rollyn M Ornstein, Jamal H Essayli, Terri A Nicely, Emily Masciulli, Susan Lane-Loney
OBJECTIVE: Avoidant/restrictive food intake disorder (ARFID) is a recently named condition to classify patients who present with restricted nutritional intake without body image distortion or fear of weight gain. We sought to compare treatment outcomes of patients with ARFID in a family-centered partial hospital program (PHP) to those with other eating disorders (ED). METHODS: A retrospective chart review of 130 patients 7 to 17 years of age admitted to the program from 2008 to 2012 was performed...
June 23, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28644530/long-term-outcome-of-anorexia-nervosa-results-from-a-large-clinical-longitudinal-study
#2
Manfred Maximilian Fichter, Norbert Quadflieg, Ross D Crosby, Sonja Koch
OBJECTIVE: Assessment of the long-term outcome of anorexia nervosa (AN) in a very large sample of inpatients (N = 1,693) and identification of predictors for poor outcome. METHOD: Over 25 years (mean 10 years), consecutively admitted inpatients of a specialized hospital were followed. A subsample of 112 patients with 20-year follow-up was defined. Bivariate comparisons and logistic regression analysis identified risk factors of poor outcome. RESULTS: Body mass index (BMI) increased during the follow-up period...
June 23, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28643289/recovery-from-eating-disorder-1%C3%A2-year-after-start-of-treatment-is-related-to-better-mentalization-and-strong-reduction-of-sensitivity-to-others
#3
Greet S Kuipers, Sandra den Hollander, L Andries van der Ark, Marrie H J Bekker
PURPOSE: To investigate whether recovery from an eating disorder is related to pre-treatment attachment and mentalization and/or to improvement of attachment and mentalization during treatment. METHOD: For a sample of 38 anorexia nervosa (AN) and bulimia nervosa (BN) patients receiving treatment the relations between attachment security, mentalization, comorbidity and recovery status after 12 months (not recovered or recovered), and after 18 months (persistently ill, relapsed, newly recovered, or persistently recovered) were investigated...
June 22, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28630708/what-happens-after-treatment-a-systematic-review-of-relapse-remission-and-recovery-in-anorexia-nervosa
#4
REVIEW
Sahib S Khalsa, Larissa C Portnoff, Danyale McCurdy-McKinnon, Jamie D Feusner
BACKGROUND: Relapse after treatment for anorexia nervosa (AN) is a significant clinical problem. Given the level of chronicity, morbidity, and mortality experienced by this population, it is imperative to understand the driving forces behind apparently high relapse rates. However, there is a lack of consensus in the field on an operational definition of relapse, which hinders precise and reliable estimates of the severity of this issue. The primary goal of this paper was to review prior studies of AN addressing definitions of relapse, as well as relapse rates...
2017: Journal of Eating Disorders
https://www.readbyqxmd.com/read/28623853/the-validity-of-dsm-5-severity-specifiers-for-anorexia-nervosa-bulimia-nervosa-and-binge-eating-disorder
#5
Kathryn E Smith, Jo M Ellison, Ross D Crosby, Scott G Engel, James E Mitchell, Scott J Crow, Carol B Peterson, Daniel Le Grange, Stephen A Wonderlich
OBJECTIVE: The DSM-5 includes severity specifiers (i.e., mild, moderate, severe, extreme) for anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED), which are determined by weight status (AN) and frequencies of binge-eating episodes (BED) or inappropriate compensatory behaviors (BN). Given limited data regarding the validity of eating disorder (ED) severity specifiers, this study examined the concurrent and predictive validity of severity specifiers in AN, BN, and BED...
June 17, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28615982/family-based-treatment-of-eating-disorders-in-adolescents-current-insights
#6
REVIEW
Renee D Rienecke
Eating disorders are serious illnesses associated with significant morbidity and mortality. Family-based treatment (FBT) has emerged as an effective intervention for adolescents with anorexia nervosa, and preliminary evidence suggests that it may be efficacious in the treatment of adolescents with bulimia nervosa. Multifamily therapy for anorexia nervosa provides a more intensive experience for families needing additional support. This review outlines the three phases of treatment, key tenets of family-based treatment, and empirical support for FBT...
2017: Adolescent Health, Medicine and Therapeutics
https://www.readbyqxmd.com/read/28606779/2-arachidonoylglycerol-as-a-possible-treatment-for-anorexia-nervosa-in-animal-model-in-mice
#7
Y Avraham, I Paturski, I Magen, L Vorobiev, E M Berry
We have investigated the effects of 0.001mg/kg 2-arachidonoylglycerol (2-AG) administered in combination with compounds present in the body alongside 2-AG like 2-palmitoylglycerol and 2-linoleylglycerol (also termed "entourage"), on cognitive function,food intake, and neurotransmitter levels in the hippocampus and hypothalamus of mice under diet restriction. Young female Sabra mice were treated with vehicle, 2-AG, 2-AG + entourage, 2-AG + entourage + 5-(4-Chlorophenyl)-1-(2,4-dichloro-phenyl)- 4-methyl-N-(piperidin-1-yl)-1H-pyrazole-3-carboxamide (SR141716A, a CB1 antagonist) and SR141716A...
June 9, 2017: Brain Research
https://www.readbyqxmd.com/read/28604943/adipokine-profile-in-patients-with-anorexia-nervosa
#8
Agnieszka Baranowska-Bik, Bogusława Baranowska, Lidia Martyńska, Anna Litwiniuk, Małgorzata Kalisz, Jan Kochanowski, Wojciech Bik
INTRODUCTION: Anorexia nervosa (AN) is an eating disorder characterised with extremely low weight. Adipokines are adipose tissue-derived substances that show a wide spectrum of biological activities. We aimed to assess selected adipokine levels in women with AN before and after nutritional intervention. We also sought to examine whether BMI is the only confounding factor influencing adipokine assessment in AN. MATERIAL AND METHODS: Sixty-five women participated in the study: 20 individuals with AN before any treatment, 18 AN patients after nutritional intervention lasting for at least six months, and 27 women as controls...
June 12, 2017: Endokrynologia Polska
https://www.readbyqxmd.com/read/28593655/vitamin-d-levels-strongly-influence-bone-mineral-density-and-bone-turnover-markers-during-weight-gain-in-female-patients-with-anorexia-nervosa
#9
Alessandro Giollo, Luca Idolazzi, Cristian Caimmi, Angelo Fassio, Francesco Bertoldo, Riccardo Dalle Grave, Marwan El Ghoch, Simona Calugi, Paola Vittoria Bazzani, Ombretta Viapiana, Maurizio Rossini, Davide Gatti
OBJECTIVE: The aim of the study was to investigate a potential role for vitamin D status on bone mineral density (BMD) during weight gain in patients with anorexia nervosa (AN). METHOD: Spine and hip BMD assessed by dual-energy X-ray absorptiometry (DXA), serum vitamin D (25-OH-D), N-propeptide of type I collagen (P1NP), C-terminal telopeptide of type I collagen (CTX), and intact parathyroid hormone (PTH) were measured before and after a 20-week intensive weight-restoration program in ninety-one female patients with AN and secondary amenorrhoea...
June 7, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28589469/examining-a-momentary-mediation-model-of-appearance-related-stress-anxiety-and-eating-disorder-behaviors-in-adult-anorexia-nervosa
#10
Tyler B Mason, Jason M Lavender, Stephen A Wonderlich, Ross D Crosby, Scott G Engel, James E Mitchell, Scott J Crow, Daniel Le Grange, Carol B Peterson
PURPOSE: Appearance-related stress may result from appearance-focused events such as seeing one's reflection, seeing media images, and shopping for clothes. The purpose of this study was to examine the prospective association between momentary appearance-related stress and eating disorder (ED) behaviors (i.e., binge eating and vomiting) among women with anorexia nervosa (AN) using ecological momentary assessment (EMA). We hypothesized that appearance-related stress at Time 1 would predict binge eating and vomiting at Time 2, and that this prospective association would be mediated by momentary anxiety at Time 2 (controlling for anxiety at Time 1)...
June 6, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28587552/anorexia-nervosa-and-bulimia-nervosa-a-psychotherapeutic-cognitive-constructivist-approach
#11
Cristiano Nabuco de Abreu, Raphael Cangelli Filho
Of the eating disorders, anorexia nervosa and bulimia nervosa are the ones that have made adolescent patients-often females and aged younger and younger-seek for help. This help is provided through a multidisciplinary treatment involving psychiatrists, psychologists and dietists. Psychotherapy has shown to be an efficient component for these patients' improvement. The present article aims at presenting a proposal of psychotherapeutic treatment based on a cognitive-constructivist approach.
June 2017: International Review of Psychiatry
https://www.readbyqxmd.com/read/28586943/oxytocin-and-its-relationship-to-body-composition-bone-mineral-density-and-hip-geometry-across-the-weight-spectrum
#12
Melanie Schorr, Dean A. Marengi, Reitumetse Pulumo, Elaine Yu, Kamryn T. Eddy, Anne Klibanski, Karen K. Miller, Elizabeth A. Lawson
Context: Oxytocin (OXT), an anorexigenic hypothalamic hormone anabolic to bone, may reflect energy availability. Basal serum OXT levels are lower in anorexia nervosa (AN, state of energy deficit) than healthy controls (HC) and negatively associated with spine bone density (BMD). However, reports are conflicting regarding OXT levels in overweight/obesity (OB, state of energy excess). Furthermore, relationships between OXT and BMD in OB and hip geometry across the weight spectrum are unknown...
May 10, 2017: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28584660/mental-capacity-to-consent-to-treatment-and-the-association-with-outcome-a-longitudinal-study-in-patients-with-anorexia-nervosa
#13
Isis F F M Elzakkers, Unna N Danner, Lot C Sternheim, Daniel McNeish, Hans W Hoek, Annemarie A van Elburg
BACKGROUND: Relevance of diminished mental capacity in anorexia nervosa (AN) to course of disorder is unknown. AIMS: To examine prognostic relevance of diminished mental capacity in AN. METHOD: A longitudinal study was conducted in 70 adult female patients with severe AN. At baseline, mental capacity was assessed by psychiatrists, and clinical and neuropsychological data (decision-making) were collected. After 1 and 2 years, clinical and neuropsychological assessments were repeated, and remission and admission rates were calculated...
May 2017: BJPsych Open
https://www.readbyqxmd.com/read/28581536/schizophrenia-and-anorexia-nervosa-reciprocal-relationships-a-literature-review
#14
REVIEW
Justyna Morylowska-Topolska, Rafał Ziemiński, Agnieszka Molas, Jacek Gajewski, Marta Flis, Ewa Stelmach, Hanna Karakuła-Juchnowicz
Although schizophrenia and anorexia nervosa are seemingly very distinct psychiatric disorders, their symptoms are connected by various types of relationships. The present article reviews the literature and recapitulates the views of various authors on the links between these two disorders. Symptoms of anorexia may 1) precede the onset of psychosis; 2) evolve in its active phase or more rarely manifest in remission; and, conversely, 3) psychotic symptoms may occur transiently in the course of anorexia nervosa...
April 30, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/28581534/bone-mineralization-and-densitometric-evaluation-of-vertebral-fractures-in-women-6-21-years-after-the-onset-of-anorexia-nervosa-symptoms
#15
Gabriela Jagielska, Jerzy Przedlacki, Zbigniew Bartoszewicz, Agnieszka Kondracka, Agnieszka Butwicka, Ewa Racicka, Olgierd Rowiński, Rafał Brzewski, Tomasz Wolańczyk, Celina Tomaszewicz-Libudzic, Urszula Szymańska
OBJECTIVES: We attempted to assess bone mineralization and the frequency of fractures occurrence in women with a history of treatment of anorexia nervosa (AN) in adolescence. METHODS: 47 women (age 20-36.8 years) were re-examined 6.33-21,2 years after the onset of AN symptoms. Bone mineral density (BMD) of total body, lumbar spine, femoral neck, total hip (DXA) and densitometric Vertebral Fracture Assessment (VFA) were performed on 46 of women and BAP, P1NP, CTX, estradiol, testosterone, cortisol, IGF-1, leptin, DHEA-S on 45 of women entered for the current study...
April 30, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/28581532/outcome-comorbidity-and-prognosis-in-anorexia-nervosa
#16
REVIEW
Gabriela Jagielska, Iwona Kacperska
Anorexia nervosa (AN) is a relatively common disorder, especially in adolescent and young adult women. The lifetime prevalence of AN in females ranges from 1.2 to 2.2%. The prevalence in males is 10-times lower. The condition is associated with a high risk of chronic course and poor prognosis in terms of treatment and the risk of death. Longer follow-up periods seemed to correspond with increased improvement rates and increased mortality. Onset of the disorder during adolescence is associated with better prognosis...
April 30, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/28580715/parental-guided-self-help-family-based-treatment-for-adolescents-with-anorexia-nervosa-a-feasibility-study
#17
James Lock, Alison Darcy, Kathleen Kara Fitzpatrick, Molly Vierhile, Shiri Sadeh-Sharvit
OBJECTIVE: Family Based Treatment (FBT) is an evidenced based treatment for adolescent Anorexia Nervosa (AN), but many families cannot access it. This study evaluated feasibility, acceptability, and preliminary treatment effects of a parental guided self-help (GSH) version of FBT for adolescent AN. METHOD: This was a case-series design. Parents of medically stable adolescents (11-18 years) with DSM-5 AN were recruited over 12 months. Parents received online training in parental GSH FBT and 12 20-30 min GSH sessions by phone or online over 6 months...
June 5, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28576908/increase-body-weight-to-treat-superior-mesenteric-artery-syndrome
#18
Miguel Nico Albano, Carlos Costa Almeida, João Mendes Louro, Guillermo Martinez
INTRODUCTION: Superior mesenteric artery (SMA) syndrome is a rare cause of duodenal obstruction resulting from vascular compression of the third part of the duodenum in the angle between the abdominal aorta and SMA. CASE PRESENTATION: A 19-year-old woman with anorexia nervosa with upper gastrointestinal obstruction symptoms resorted to the emergency department. A diagnosis of SMA syndrome was made. Symptoms were solved with conservative treatment aimed at increase body weight...
June 2, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28573705/evidence-for-cognitive-remediation-therapy-in-young-people-with-anorexia-nervosa-systematic-review-and-meta-analysis-of-the-literature
#19
REVIEW
Kate Tchanturia, Lucia Giombini, Jenni Leppanen, Emma Kinnaird
Cognitive remediation therapy (CRT) for eating disorders has demonstrated promising findings in adult age groups, with randomised treatment trials and systematic reviews demonstrating medium to large effect sizes in improved cognitive performance. In recent years, several case series have been conducted for young people with anorexia nervosa, but these findings have not been synthesised in the form of a systematic review. This systematic review aimed to evaluate the evidence for the efficacy of CRT in child and adolescent age groups...
July 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28569604/adaptation-and-implementation-of-family-based-treatment-enhanced-with-dialectical-behavior-therapy-skills-for-anorexia-nervosa-in-community-based-specialist-clinics
#20
Erin C Accurso, Ellen Astrachan-Fletcher, Setareh O'Brien, Susan F McClanahan, Daniel Le Grange
Although family-based therapy (FBT) is a well-established treatment for anorexia nervosa, its implementation and effectiveness in clinical settings has been neglected. A group of seven therapists at a community-based eating disorders clinic were trained in skills-enhanced FBT and provided treatment to 11 youth with anorexia nervosa. Family-based skills training, which borrowed heavily from dialectical behavior therapy, was introduced in four additional sessions and then integrated throughout the remainder of FBT...
June 1, 2017: Eating Disorders
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