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anorexia nervosa treatment

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https://www.readbyqxmd.com/read/28434177/eating-disorders-and-food-addiction-in-men-with-heroin-use-disorder-a-controlled-study
#1
Fatih Canan, Servet Karaca, Suna Sogucak, Omer Gecici, Murat Kuloglu
PURPOSE: We aimed to determine the prevalence estimates of binge eating disorder, bulimia nervosa, anorexia nervosa, and food addiction in men with heroin use disorder and a matched sample of control participants. METHODS: A group of 100 men with heroin use disorder, consecutively admitted to a detoxification and therapy unit, were screened for DSM-5 eating disorders, along with a group of 100 male controls of similar age, education, and body mass index. The Yale Food Addiction Scale (YFAS), the Barratt Impulsivity Scale-version 11, and the Eating Attitudes Test were used for data collection...
April 22, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28429386/relationship-between-desired-weight-and-eating-disorder-pathology-in-youth
#2
Hope K Boyd, Andrea E Kass, Erin C Accurso, Andrea B Goldschmidt, Jennifer E Wildes, Daniel Le Grange
OBJECTIVE: Individuals with eating disorders (ED), particularly anorexia nervosa (AN), and bulimia nervosa (BN), often wish to reduce their body weight in pursuit of a thin ideal, but no study has examined the relation between desired weight and ED pathology in a clinical population of youth. Given the potential impact of desired weight on normalization of eating patterns and weight restoration, we examined the relation between desired weight and ED pathology in youth with AN or BN. METHODS: Participants were 340 youth presenting to an outpatient ED clinical research program...
April 21, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28420211/cognitive-remediation-therapy-for-adolescents-with-anorexia-nervosa-treatment-satisfaction-and-the-perception-of-change
#3
Camilla Lindvall Dahlgren, Kristin Stedal
Cognitive remediation therapy (CRT) has recently been developed for children and adolescents with anorexia nervosa (AN). It focuses on decreasing rigid cognitions and behaviors, as well as increasing central coherence. Overall, CRT has been proven feasible for young individuals with AN, but little is known regarding the specifics of its feasibility, and the perception of change associated with the intervention. Consequently, the aim of the current study was to explore service users' perspective on CRT with a specific focus on treatment delivery, treatment content, and perceived change...
April 18, 2017: Behavioral Sciences
https://www.readbyqxmd.com/read/28417276/assessing-asd-in-adolescent-females-with-anorexia-nervosa-using-clinical-and-developmental-measures-a-preliminary-investigation
#4
Heather Westwood, William Mandy, Mima Simic, Kate Tchanturia
The aim of this study was to use standardised, clinical assessment tools to explore the presence of Autism Spectrum Disorder (ASD) symptoms in a sample of adolescent females with Anorexia Nervosa (AN), receiving either day-patient or inpatient treatment for their eating disorder and to determine whether any such symptoms were present during the early developmental period, a requirement for a diagnosis of ASD. Using a cross-sectional design, 40 females aged between 12 and 18 were recruited from inpatient and day-patient eating disorder services...
April 17, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28417002/motivation-to-change-coping-and-self-esteem-in-adolescent-anorexia-nervosa-a-validation-study-of-the-anorexia-nervosa-stages-of-change-questionnaire-ansocq
#5
Dagmar Pauli, Marcel Aebi, Christa Winkler Metzke, Hans-Christoph Steinhausen
BACKGROUND: Understanding motivation to change is a key issue in both the assessment and the treatment of eating disorders. Therefore, sound instruments assessing this construct are of great help to clinicians. Accordingly, the present study analysed the psychometric properties of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ), including its relation to coping style and self-esteem. METHODS: N = 92 adolescents referred to an eating disorders outpatient clinic meeting criteria for anorexia nervosa gave written informed consent to participate in this study and completed the ANSOCQ, the Eating Disorder Inventory, the Eating Attitudes Test, the Body Image Questionnaire, two questionnaires measuring Self-Related Cognitions and the Coping Across Situations Questionnaire...
2017: Journal of Eating Disorders
https://www.readbyqxmd.com/read/28402070/evaluation-of-the-dsm-5-severity-indicator-for-anorexia-nervosa
#6
Paulo P P Machado, Carlos M Grilo, Ross D Crosby
OBJECTIVE: This study tested the new DSM-5 severity criterion for anorexia nervosa (AN) based on proposed body mass index (BMI) cut-points. METHOD: Participants were a clinical sample of 201 treatment-seeking patients diagnosed with DSM-5 AN in Portugal. Participants were categorised based on DSM-5 severity levels and were compared on demographic and clinical variables assessed with the Eating Disorder Examination-Questionnaire. RESULTS: Based on DSM-5 severity definitions for AN, 73 (36...
May 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28402069/anorexia-nervosa-theory-and-treatment-where-are-we-35%C3%A2-years-on-from-hilde-bruch-s-foundation-lecture
#7
REVIEW
Janet Treasure, Valentina Cardi
Hilde Bruch's foundation lecture in 1982 is a milestone from which to survey current theory and treatment for anorexia nervosa. Bruch described problems in body perception, emotion processing and interpersonal relationships as core theoretical aspects of the illness and built her theory of psychopathology on these aspects, as well as on animal studies on attachment. She also noted that many psychological problems result as consequence of starvation. In the first part of this paper, we parse Bruch's clinical descriptions into elements of psychopathology (disturbances in body perception, attachment, emotion expression, perception and regulation, social comparison, interpersonal, and family and therapeutic relationships), in order to assemble and update the theoretical evidence for a model of the illness...
May 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28394647/creating-an-opportunity-to-reflect-ear-acupuncture-in-anorexia-nervosa-inpatients-experiences
#8
Siiri Hedlund, Kajsa Landgren
The aim of this study was to elucidate the meaning of receiving acupuncture as a complement in the treatment of anorexia nervosa at a specialist unit. Nine inpatients were interviewed, one to three times. The sixteen interviews were analysed with a phenomenological hermeneutic method. The main theme found was "Creating a pause, a framework for rest and reflection." The participants described acupuncture to be an attractive part of the treatment, offering a pause in a very stressful situation. The relaxing effect was palpable...
April 10, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28393399/decreased-feedback-learning-in-anorexia-nervosa-persists-after-weight-restoration
#9
Karin Foerde, Joanna E Steinglass
OBJECTIVE: Anorexia Nervosa (AN) is a serious disorder, with a mortality rate the highest of any psychiatric illness. It is notoriously challenging to treat and mechanisms of illness are not well understood. Reward system abnormalities have been proposed across theoretical models of the persistence of AN. Feedback learning is an important component of how reward systems shape behavior and we hypothesized that individuals with AN would show poorer learning from feedback. METHODS: We administered the acquired equivalence task to measure both learning from incremental feedback and generalization of that learning to novel stimuli...
April 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28393398/parental-strategies-used-in-the-family-meal-session-of-family-based-treatment-for-adolescent-anorexia-nervosa-links-with-treatment-outcomes
#10
Hannah J White, Emma Haycraft, Sloane Madden, Paul Rhodes, Jane Miskovic-Wheatley, Andrew Wallis, Michael Kohn, Caroline Meyer
OBJECTIVE: Examine relationships between parental mealtime strategies used in the family meal session of family-based treatment (FBT) and adolescent outcomes at EOT (session 20). METHOD: Eighteen families with an adolescent receiving FBT-AN participated. Parental strategies during videoed family meals were assessed using a family mealtime coding system. Change scores were calculated for both adolescent %EBW and EDE scores. RESULTS: Increased use of parental direct and non-direct eating prompts during the family meal was associated with greater adolescent weight gain at EOT...
April 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28388511/won-t-stop-or-can-t-stop-food-restriction-as-a-habitual-behavior-among-individuals-with-anorexia-nervosa-or-atypical-anorexia-nervosa
#11
Kathryn A Coniglio, Kendra R Becker, Debra L Franko, Lazaro V Zayas, Franziska Plessow, Kamryn T Eddy, Jennifer J Thomas
Food restriction among individuals with anorexia nervosa (AN) is regarded as a goal-directed behavior. However, Walsh (2013) theorized that, although restriction is initially maintained by operant conditioning (with successful weight loss and external praise as salient rewards), it ultimately becomes a classically conditioned habit, persisting regardless of the presence of these once-salient rewards. Understanding food restriction as a well-ingrained habit may provide insight into treatment resistance. Further, it is not clear whether habitual food restriction is present among individuals with atypical AN (i...
March 22, 2017: Eating Behaviors
https://www.readbyqxmd.com/read/28387426/facets-of-impulsivity-and-compulsivity-in-women-with-anorexia-nervosa
#12
Jason M Lavender, Erica L Goodman, Kristen M Culbert, Stephen A Wonderlich, Ross D Crosby, Scott G Engel, James E Mitchell, Daniel Le Grange, Scott J Crow, Carol B Peterson
This study sought to investigate independent associations of impulsivity and compulsivity with eating disorder (ED) symptoms. Women (N = 81) with full or subthreshold Diagnostic and Statistical Manual of Mental Disorders IV anorexia nervosa (AN) completed a semi-structured interview and self-report questionnaires. Multiple regression analyses were conducted using ED symptoms as dependent variables and facets of impulsivity and compulsivity as predictor variables (controlling for body mass index and AN diagnostic subtype)...
April 7, 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28387105/-starving-to-death-the-paradox-of-anorexia-nervosa
#13
REVIEW
S Moukhaiber, C Piette, J-M Triffaux
Anorexia nervosa is a complex pathology that regularly leads clinicians to a therapeutic impasse. The origin of this disorder is multifactorial. It occurs most often in adolescence and affects mainly women. Paradoxically, hunger is present but dissociated from adequate food function. Somatic and psychological impact can be particularly heavy. The treatment is difficult and requires a multidisciplinary care. An eclectic and integrative approach, moving away from rigid therapeutic methods and integrating the plurality of techniques, seems to be particularly recommended to increase the chances of therapeutic success...
November 2016: Revue Médicale de Liège
https://www.readbyqxmd.com/read/28378620/the-anorexia-nervosa-genetics-initiative-study-description-and-sample-characteristics-of-the-australian-and-new-zealand-arm
#14
Katherine M Kirk, Felicity C Martin, Amy Mao, Richard Parker, Sarah Maguire, Laura M Thornton, Gu Zhu, Kerrie McAloney, Jeremy L Freeman, Phillipa Hay, Sloane Madden, Christine Morgan, Janice Russell, Susan M Sawyer, Elizabeth K Hughes, A Kate Fairweather-Schmidt, Anthea Fursland, Julie McCormack, Fiona Wagg, Jennifer Jordan, Martin A Kennedy, Warren Ward, Tracey D Wade, Cynthia M Bulik, Nicholas G Martin
OBJECTIVES: Anorexia nervosa is a severe psychiatric disorder with high mortality rates. While its aetiology is poorly understood, there is evidence of a significant genetic component. The Anorexia Nervosa Genetics Initiative is an international collaboration which aims to understand the genetic basis of the disorder. This paper describes the recruitment and characteristics of the Australasian Anorexia Nervosa Genetics Initiative sample, the largest sample of individuals with anorexia nervosa ever assembled across Australia and New Zealand...
April 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28373849/deep-brain-stimulation-in-anorexia-nervosa-hope-for-the-hopeless-or-exploitation-of-the-vulnerable-the-oxford-neuroethics-gold-standard-framework
#15
Rebecca J Park, Ilina Singh, Alexandra C Pike, Jacinta O A Tan
Neurosurgical interventions for psychiatric disorders have a long and troubled history (1, 2) but have become much more refined in the last few decades due to the rapid development of neuroimaging and robotic technologies (2). These advances have enabled the design of less invasive techniques, which are more focused, such as deep brain stimulation (DBS) (3). DBS involves electrode insertion into specific neural targets implicated in pathological behavior, which are then repeatedly stimulated at adjustable frequencies...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/28370208/attitudes-toward-orthorexia-nervosa-relative-to-dsm-5-eating-disorders
#16
Courtney C Simpson, Suzanne E Mazzeo
OBJECTIVE: A pattern of disordered eating involving a pathological fixation with healthy food consumption, labeled orthorexia nervosa (ON), has recently generated attention; however, research has not yet investigated perceptions of ON-related behaviors. This study examined potential stigmatization of ON, compared with DSM-5 ED diagnoses. METHOD: Participants (N = 505) were randomly assigned to read a vignette depicting a woman with anorexia nervosa (AN), bulimia nervosa (BN), binge-eating disorder (BED), or ON...
March 28, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28361754/the-medical-risks-of-severe-anorexia-nervosa-during-initial-re-feeding-and-medical-stabilisation
#17
Jennie E Davies, Annette Cockfield, Andrea Brown, Jean Corr, Danielle Smith, Calum Munro
BACKGROUND & AIMS: Objective evidence about the risks associated with anorexia nervosa and how to manage them, is limited. The aim of this study is to describe the medical risk profile, management and outcomes of a cohort of patients with severe anorexia nervosa (sAN) during medical stabilisation treatment. METHODS: Retrospective analysis of case records gathered medical risk data for a 90 day high risk period, on 65 patients with sAN admitted to two specialist services...
February 2017: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/28361739/ghrelin-activation-and-neuropeptide-y-elevation-in-response-to-medium-chain-triglyceride-administration-in-anorexia-nervosa-patients
#18
Keisuke Kawai, Megumi Nakashima, Masayasu Kojima, Sakino Yamashita, Shu Takakura, Miki Shimizu, Chiharu Kubo, Nobuyuki Sudo
BACKGROUND & AIMS: Ghrelin, a peptide found in the stomach, increases appetite and fat-free mass while suppressing energy expenditure. Ghrelin requires modification by medium-chain triglycerides (MCTs) to exert its physiological effects. In this study, we investigated ghrelin activation and the resulting physiological changes following MCT administration. METHODS: Thirty participants were selected from among inpatients diagnosed with anorexia nervosa (AN). The patients were randomly divided into three groups by the MCT content of their nutritional supplement: (1) 'MCT high' (>6 g/day), (2) 'MCT moderate' (1-6 g/day), and (3) 'MCT low' (<1 g/day)...
February 2017: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/28361213/food-addiction-as-a-proxy-for-eating-disorder-and-obesity-severity-trauma-history-ptsd-symptoms-and-comorbidity
#19
REVIEW
Timothy D Brewerton
PURPOSE: Food addiction (FA) is a newly defined yet still controversial condition that has important etiological, developmental, treatment, prevention, and social policy implications. In this review, the case is made that FA (or high scores on the Yale Food Addiction Scale) may be used as a proxy measure for a matrix of interrelated clinical features, including greater eating disorder severity, greater obesity severity, more severe trauma histories, greater symptoms of posttraumatic stress disorder (PTSD), greater psychiatric comorbidity, as well as greater medical morbidity and mortality...
March 30, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28345215/temporal-discounting-and-the-tendency-to-delay-gratification-across-the-eating-disorder-spectrum
#20
Savani Bartholdy, Samantha Rennalls, Hollie Danby, Claire Jacques, Iain C Campbell, Ulrike Schmidt, Owen G O'Daly
Bulimia nervosa (BN) and binge eating disorder (BED) have been associated with poorer reward-related inhibitory control, reflected by a reduced tendency to delay gratification. The opposite has been reported in anorexia nervosa (AN), but differences have not been directly compared across eating disorders (EDs). This study investigated self-reported (Delaying Gratification Inventory) and task-based (temporal discounting) inhibitory control in 66 women with an ED and 28 healthy controls (HCs). Poorer task-based inhibitory control was observed in the BN compared with the AN group and poorer self-reported inhibitory control in the BN and in the BED groups compared with the AN and the HC groups, suggesting that reward-related inhibitory control varies across EDs...
March 27, 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
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