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anorexia nervosa treatment

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https://www.readbyqxmd.com/read/29781302/does-continuing-family-based-treatment-for-adolescent-anorexia-nervosa-improve-outcomes-in-those-not-remitted-after-20-sessions
#1
Andrew Wallis, Jane Miskovic-Wheatley, Sloane Madden, Colleen Alford, Paul Rhodes, Stephen Touyz
OBJECTIVE: Our aim was to investigate the benefit of ongoing family-based treatment (FBT) sessions for adolescent anorexia nervosa if remission criteria were not met at session 20. METHOD: Participants were 69 medically unstable adolescents with Diagnostic and Statistical Manual of Mental Disorders (4th ed; DSM-IV) anorexia nervosa from a randomized controlled trial investigating length of hospital admission prior to outpatient FBT. Participants were divided post hoc into those meeting remission criteria at session 20 ( n = 16), those that had not remitted but continued with FBT ( n = 39) and those who ceased FBT undertaking alternative treatments ( n = 14)...
May 1, 2018: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/29779813/negative-role-of-malnutrition-in-cell-mediated-immune-response-pneumocystis-jirovecii-pneumonia-pcp-in-a-severely-malnourished-hiv-negative-patient-with-anorexia-nervosa
#2
Mouna Hanachi, Vanessa Bohem, Pauline Bemer, Nadja Kayser, Pierre de Truchis, Jean-Claude Melchior
It is generally acknowledged that malnutrition is a propensity factor for secondary infections in different clinical situations (malnutrition-associated infections in hospitalized patients and malnourished children in developing countries). However, it is not clear how malnutrition might facilitate the development of opportunistic infections in human immunodeficiency virus (HIV)-negative patients without a definite etiology (disease or treatment) of impaired cell-mediated immune response. We report here on a case of Pneumocystis jirovecii pneumonia in an HIV-negative patient suffering from anorexia nervosa with extreme malnutrition, which had a favorable outcome despite the severity of her respiratory failure...
June 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29774515/eating-disorder-or-oesophageal-achalasia-during-adolescence-diagnostic-difficulties
#3
REVIEW
Aurélie Letranchant, Bénédicte Pigneur, Martine Flament, Nathalie Godart
Marine was a fourteen and a half-year-old adolescent female hospitalized for an eating disorder (ED) of the anorexic type with purging behaviors. She has had a complicated life course, made up of disruptions and discontinuities, both family and school. Since the age of five, Marine had been intermittently treated in psychiatry for a diagnosis of oppositional defiant disorder. The current illness started with spontaneous and induced vomiting associated with major weight loss (body mass index, 15.27 kg m-2 )...
May 17, 2018: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/29765338/psychotherapeutic-treatment-for-anorexia-nervosa-a-systematic-review-and-network-meta-analysis
#4
REVIEW
Almut Zeeck, Beate Herpertz-Dahlmann, Hans-Christoph Friederich, Timo Brockmeyer, Gaby Resmark, Ulrich Hagenah, Stefan Ehrlich, Ulrich Cuntz, Stephan Zipfel, Armin Hartmann
Background: The aim of the study was a systematic review of studies evaluating psychotherapeutic treatment approaches in anorexia nervosa and to compare their efficacy. Weight gain was chosen as the primary outcome criterion. We also aimed to compare treatment effects according to service level (inpatient vs. outpatient) and age group (adolescents vs. adults). Methods: The data bases PubMed, Cochrane Library, Web of Science, Cinahl, and PsychInfo were used for a systematic literature search (until Feb 2017)...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29761754/pathways-to-recovery-development-and-evaluation-of-a-cognitive-behavioural-therapy-in-patient-treatment-programme-for-adults-with-anorexia-nervosa
#5
Andrea Brown, Richard Jenkinson, Julia Coakes, Annette Cockfield, Tish O'Brien, Louise Hall
Aims and methodA cognitive-behavioural therapy in-patient treatment model for adults with severe anorexia nervosa was developed and evaluated, and outcomes were compared with the previous treatment model and other published outcomes from similar settings. RESULTS: This study showed the Pathways to Recovery outcomes were positive in terms of improvements in body mass index and psychopathology.Clinical implicationsAdults with anorexia nervosa can achieve good outcomes despite longer illness duration and comorbidities...
June 2018: BJPsych Bulletin
https://www.readbyqxmd.com/read/29760916/treatment-outcome-reporting-in-anorexia-nervosa-time-for-a-paradigm-shift
#6
EDITORIAL
Stuart B Murray, Katharine L Loeb, Daniel Le Grange
No abstract text is available yet for this article.
2018: Journal of Eating Disorders
https://www.readbyqxmd.com/read/29758472/contributions-of-depression-and-body-mass-index-to-body-image
#7
Nadine P G Paans, Mariska Bot, Ingeborg A Brouwer, Marjolein Visser, Brenda W J H Penninx
Depression and body mass index (BMI) are known to be associated with body image, however, their independent or joint effects on body image in adults are largely unknown. Therefore, we studied associations of depression diagnosis, severity, and BMI with perceptual body size (PBS) and body image dissatisfaction (BID). Cross-sectional data from 882 remitted depressed patients, 242 currently depressed patients and 325 healthy controls from the Netherlands Study of Depression and Anxiety were used. Depressive disorders (DSM-IV based psychiatric interview), standardized self-reported depressive symptoms (Inventory of Depressive Symptomatology) and BMI were separately and simultaneously related to body image (the Stunkard Figure Rating scale) using linear regression analyses...
May 7, 2018: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/29756987/can-pediatricians-recognize-eating-disorders-a-case-study-of-early-onset-anorexia-nervosa-in-a-male-child
#8
Emel Ataş Berksoy, Gonca Özyurt, Murat Anıl, Özlem Üzüm, Yeliz Çağan Appak
INTRODUCTION: this article examines a boy who was diagnosed with anorexia nervosa at eight years old. Pediatricians and family physicians encountered difficulties during the diagnosis and treatment stages due to the fact that early onset of the disease is rare. CASE REPORT: a boy aged eight years and four months presented with bradicardia, malnutrition and dehydration as far away from the preliminary diagnosis of anorexia nervosa investigated for possible organic pathologies at the pediatric ward...
February 27, 2018: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29756232/differences-in-emotion-regulation-difficulties-among-adults-and-adolescents-across-eating-disorder-diagnoses
#9
Leslie K Anderson, Kimberly Claudat, Anne Cusack, Tiffany A Brown, Julie Trim, Roxanne Rockwell, Tiffany Nakamura, Lauren Gomez, Walter H Kaye
OBJECTIVE: Although much empirical attention has been devoted to emotion regulation (ER) in individuals with eating disorders, little is known about ER across a wide age range and among different ED subtypes. The current study sought to examine ER in a sample of eating disorder patients. METHOD: A total of 364 adults and adolescents with anorexia nervosa restricting subtype (AN-R), anorexia nervosa binge/purge subtype (AN-BP), or bulimia nervosa (BN) were assessed with the Difficulties in Emotion Regulation Scale (DERS)...
May 13, 2018: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29737942/starvation-symptoms-in-patients-with-anorexia-nervosa-a-longitudinal-study
#10
Simona Calugi, Elisa Chignola, Marwan El Ghoch, Riccardo Dalle Grave
OBJECTIVE: The aim of this study was to evaluate the change in starvation symptoms over time and their role as potential predictors of change in eating disorder and general psychopathology in patients with anorexia nervosa treated by means of intensive enhanced cognitive behavioral therapy (ICBT-E). METHOD: Ninety adult female patients with anorexia nervosa (63 restricting type and 27 binge-eating/purging type) were recruited. Body mass index (BMI), Eating Disorder Examination (EDE) interview, Eating Disorder Examination Questionnaire (EDE-Q), Brief Symptom Inventory (BSI) and Starvation Symptoms Inventory (SSI) scores were recorded at admission, at the end of treatment, and at 6-month follow-up...
May 8, 2018: Eating Disorders
https://www.readbyqxmd.com/read/29734468/relationship-between-desired-weight-constructs-and-eating-disorder-severity-following-treatment-for-anorexia-nervosa
#11
Hope K Boyd, Lindsay P Bodell, Karen M Jennings, Andrea K Graham, Ross D Crosby, Jennifer E Wildes
BACKGROUND: Desired weight is an indicator of illness severity in youth with anorexia nervosa (AN), but its impact on eating disorder symptoms over time and in adults is unknown. This study examined longitudinal associations between two desired weight constructs (desired weight percentage, weight difference percentage) and eating disorder severity and body mass index (BMI) in patients aged 16-62 years old with AN presenting for inpatient or day hospital treatment. METHOD: Participants (N = 160) completed the Eating Disorder Examination and measures of height and weight at treatment admission, discharge, and 3, 6, and 12 months post-discharge...
May 7, 2018: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/29722047/the-acceptability-feasibility-and-possible-benefits-of-a-neurobiologically-informed-5-day-multifamily-treatment-for-adults-with-anorexia-nervosa
#12
Christina E Wierenga, Laura Hill, Stephanie Knatz Peck, Jason McCray, Laura Greathouse, Danika Peterson, Amber Scott, Ivan Eisler, Walter H Kaye
OBJECTIVE: Novel treatments for adults with anorexia nervosa (AN) are lacking. Recent scientific advances have identified neurobiologically-driven temperament contributors to AN symptoms that may guide development of more effective treatments. This preliminary study evaluates the acceptability, feasibility and possible benefits of a multicenter open trial of an intensive 5-day neurobiologically-informed multifamily treatment for adults with AN and their supports (SU). The temperament-focused treatment combines psychoeducation of AN neurobiology and SU involvement to develop skills to manage traits contributing to disease chronicity...
May 2, 2018: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/29700970/executive-functioning-and-central-coherence-in-anorexia-nervosa-pilot-investigation-of-a-neurocognitive-endophenotype
#13
Melanie Brown, Katharine L Loeb, Robert E McGrath, Lana Tiersky, Nancy Zucker, Amanda Carlin
A neurocognitive profile characterized by problems in set shifting, executive functioning, and central coherence may pre-date and maintain anorexia nervosa (AN). To test this pattern as a possible endophenotype for AN, 10 youth with current AN, 14 healthy youth, and their biological parents, participated in a neuropsychological battery. Youth with AN demonstrated significantly weaker central coherence, related to enhanced detail-focused processing. Youth with AN and their parents demonstrated significantly greater psychopathology relative to controls, and youth-parent scores were significantly correlated...
April 27, 2018: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/29697710/symptom-severity-and-its-clinical-correlates-in-kleptomania
#14
Jon E Grant, Samuel R Chamberlain
BACKGROUND: Kleptomania (compulsive stealing) remains poorly understood, with limited data regarding its underlying pathophysiology and appropriate treatment choices. METHODS: Participants (N = 112) age 18 to 65 with a primary, current diagnosis of kleptomania were assessed for the severity of their stealing behavior and urges to steal, as well as related mental health symptoms. To identify clinical and demographic measures associated with variation in disease severity, we utilized the statistical technique of partial least squares...
May 2018: Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists
https://www.readbyqxmd.com/read/29693747/core-psychopathology-in-anorexia-nervosa-and-bulimia-nervosa-a-network-analysis
#15
Lauren N Forrest, Payton J Jones, Shelby N Ortiz, April R Smith
OBJECTIVE: The cognitive-behavioral theory of eating disorders (EDs) proposes that shape and weight overvaluation are the core ED psychopathology. Core symptoms can be statistically identified using network analysis. Existing ED network studies support that shape and weight overvaluation are the core ED psychopathology, yet no studies have estimated AN core psychopathology and concerns exist about the replicability of network analysis findings. The current study estimated ED symptom networks among people with anorexia nervosa (AN) and bulimia nervosa (BN) and among a combined group of people with AN and BN...
April 25, 2018: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/29691947/using-bivariate-latent-basis-growth-curve-analysis-to-better-understand-treatment-outcome-in-youth-with-anorexia-nervosa
#16
Catherine E Byrne, Joseph A Wonderlich, Timothy Curby, Sarah Fischer, James Lock, Daniel Le Grange
OBJECTIVE: This study explored the relation between eating-related obsessionality and weight restoration utilizing bivariate latent basis growth curve modelling. Eating-related obsessionality is a moderator of treatment outcome for adolescents with anorexia nervosa (AN). This study examined the degree to which the rate of change in eating-related obsessionality was associated with the rate of change in weight over time in family-based treatment (FBT) and individual therapy for AN. METHOD: Data were drawn from a 2-site randomized controlled trial that compared FBT and adolescent focused therapy for AN...
April 25, 2018: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/29689516/preoccupation-with-shape-or-weight-fear-of-weight-gain-feeling-fat-and-treatment-outcomes-in-patients-with-anorexia-nervosa-a-longitudinal-study
#17
Simona Calugi, Marwan El Ghoch, Maddalena Conti, Riccardo Dalle Grave
OBJECTIVE: The study aimed to evaluate the trajectories of change over time in body-image concern components in patients with anorexia nervosa treated by means of intensive enhanced cognitive behavioural therapy. Moreover, it aimed to study the role of body-image concern components in changes in eating and general psychopathology as well as work and social functioning. METHOD: Sixty-six adult patients with anorexia nervosa were recruited. Body mass index (BMI); Eating Disorder Examination 'Dietary Restraint' and 'Eating Concern' subscales; Brief Symptom Inventory (BSI); and Work and Social Adjustment Scale (WSAS) scores were recorded at admission, end of treatment, and at 6- and 12-month follow-ups...
April 13, 2018: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/29687578/social-attribution-in-anorexia-nervosa
#18
Anna Oldershaw, Hannah DeJong, David Hambrook, Ulrike Schmidt
People with anorexia nervosa (AN) report socioemotional difficulties; however, measurement has been criticised for lacking ecological validity and the state or trait nature of difficulties remains unclear. Participants (n = 122) were recruited across 3 groups: people who are currently ill with AN (n = 40); people who recovered (RecAN, n = 18); healthy-control participants (n = 64). Participants completed clinical questionnaires and the Social Attribution Task. The Social Attribution Task involves describing an animation of moving shapes, scored for number of propositions offered, accuracy, and social relevance...
May 2018: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/29686286/placental-mir-340-mediates-vulnerability-to-activity-based-anorexia-in-mice
#19
Mariana Schroeder, Mira Jakovcevski, Tamar Polacheck, Yonat Drori, Alessia Luoni, Simone Röh, Jonas Zaugg, Shifra Ben-Dor, Christiane Albrecht, Alon Chen
Anorexia nervosa (AN) is a devastating eating disorder characterized by self-starvation that mainly affects women. Its etiology is unknown, which impedes successful treatment options leading to a limited chance of full recovery. Here, we show that gestation is a vulnerable window that can influence the predisposition to AN. By screening placental microRNA expression of naive and prenatally stressed (PNS) fetuses and assessing vulnerability to activity-based anorexia (ABA), we identify miR-340 as a sexually dimorphic regulator involved in prenatal programming of ABA...
April 23, 2018: Nature Communications
https://www.readbyqxmd.com/read/29683775/-they-don-t-really-get-heard-a-qualitative-study-of-sibling-involvement-across-two-forms-of-family-based-treatment-for-adolescent-anorexia-nervosa
#20
Tanja van Langenberg, Rony E Duncan, J Sabura Allen, Susan M Sawyer, Daniel Le Grange, Elizabeth K Hughes
Little is known about the involvement of siblings in family-based treatment (FBT) for anorexia nervosa (AN). To explore the experience of families, adolescents who had completed FBT, their siblings, and parents were interviewed. Siblings reported that involvement in FBT enhanced their understanding of anorexia and that they supported their family in various ways. While siblings often wished they had attended more sessions, there was no consensus among parents and patients regarding sibling attendance and many were concerned about potential negative impacts on siblings...
April 23, 2018: Eating Disorders
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