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anorexia nervosa treatment

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https://www.readbyqxmd.com/read/28926324/treatment-of-anorexia-nervosa-the-importance-of-disease-progression-in-the-prognosis
#1
Rodrigo Andrade, Manuel Gonçalves-Pinho, António Roma-Torres, Isabel Brandão
INTRODUCTION: Anorexia nervosa is a severe, usually chronic, life-threatening disease of complex etiology characterized by food restriction, overestimation of the importance of body weight and image, intense fear of weight gain and distortion of body image. Anorexia nervosa is associated with high rates of mortality, suicide and decreased quality of life. Our aim is to present an anorexia nervosa treatment program offered in a major university hospital in Portugal, and to determine the impact of illness duration before admission on the outcome...
August 31, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28922078/the-tipping-point-of-change-in-an-qualitative-findings-from-an-online-study
#2
Sarah Fogarty, Lucie M Ramjan
OBJECTIVE: The aim of this study was to understand factors related to treatment and/or recovery from self-reported Anorexia Nervosa, including 'the tipping point of change'. METHOD: An online questionnaire was developed and administered from December 2014 to December 2015 to individuals ≥18 years of age with Anorexia Nervosa in the past or currently who were recruited through eating disorder organizations in Australia and the United Kingdom. Responses to a specific qualitative question on 'the tipping point of change' were analyzed using conventional content analysis...
September 18, 2017: Women & Health
https://www.readbyqxmd.com/read/28915806/family-based-intervention-in-adolescent-restrictive-eating-disorders-early-treatment-response-and-low-weight-suppression-is-associated-with-favourable-one-year-outcome
#3
Ingemar Swenne, Thomas Parling, Helena Salonen Ros
BACKGROUND: Family-based treatments are first-line treatments for adolescents with restrictive eating disorders (ED) but have to be improved since outcome is poor for some. We have investigated the one-year outcome of a family-based intervention programme with defined and decisive interventions at the start of treatment. METHOD: Data pertaining 201 adolescents with restrictive ED with features of anorexia nervosa but not fulfilling the weight criterion starting treatment 2010-2015, had a wide range of body mass index (BMI) and of weight loss at presentation, and completed a one-year follow-up was analysed...
September 15, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28913833/symptom-trajectories-throughout-two-family-therapy-treatments-for-adolescent-anorexia-nervosa
#4
Stuart B Murray, Eva Pila, Daniel Le Grange, Susan M Sawyer, Elizabeth K Hughes
OBJECTIVE: This study aimed to examine the trajectory of symptom remission and affective functioning throughout the course of two family-based treatments for adolescent anorexia nervosa (AN): conjoint family-based treatment (FBT) and parent-focused treatment (PFT). METHOD: Participants were 107 adolescents (Mage  = 15.5 years, SD = 1.5) with a primary diagnosis of AN who participated in a randomized clinical trial comparing FBT (N = 55) and PFT (N = 51)...
September 15, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28898342/-an-update-on-inpatient-treatment-of-anorexia-nervosa-practical-recommendations
#5
Nicole Vásquez, Pascuala Urrejola, Melina Vogel
Anorexia Nervosa (AN) is the psychiatric illness with the highest mortality, especially if it is associated with psychiatric and somatic comorbidity. Medical complications can be multiple and jeopardize the normal development of children and adolescents, even permanently. Although its prevalence is lower compared with other psychiatric disorders, its tendency to chronicity and the severity of its consequences are remarkable. Although outpatient treatment of anorexia is privileged as far as possible, the risks associated with poor response to treatment or lack of adherence of the patient or family, require the possibility of hospitalization at any time of the disease...
May 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/28889819/advances-in-the-treatment-of-anorexia-nervosa-a-review-of-established-and-emerging-interventions
#6
T Brockmeyer, H-C Friederich, U Schmidt
BACKGROUND: Anorexia nervosa (AN) is a disabling, deadly and costly mental disorder. Until recently, treatment recommendations were based on expert opinion and limited evidence. The aim of this systematic review is to synthesise recent evidence on established and emerging AN treatments and to forecast trends for future developments. METHODS: We systematically review trials of established treatments and associated process outcome studies from the last 5 years, published since a previous review in this journal...
September 11, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28878927/themes-arising-in-clinical-consultation-for-therapists-implementing-family-based-treatment-for-adolescents-with-anorexia-nervosa-a-qualitative-study
#7
J Couturier, J Lock, M Kimber, G McVey, M Barwick, A Niccols, C Webb, S Findlay, T Woodford
BACKGROUND: Our study aims to explore and describe themes arising in sessions of clinical consultation with therapists implementing Family-Based Treatment (FBT) for adolescents with Anorexia Nervosa (AN). There is currently no literature describing the content of clinical consultation for FBT. Thus, this knowledge will add to the evidence-base on what therapists need from consultants in ongoing clinical consultation. METHODS: Eight therapists at four sites participated in this study, which spanned a two-year period...
2017: Journal of Eating Disorders
https://www.readbyqxmd.com/read/28878816/a-child-with-anorexia-nervosa-presenting-with-severe-infection-with-cytopenia-and-hemophagocytosis-a-case-report
#8
Masao Suda, Shinichiro Nagamitsu, Masahiro Kinosita, Michiko Matsuoka, Shuichi Ozono, Yasushi Otsu, Yushiro Yamashita, Toyojiro Matsuishi
BACKGROUND: Patients with anorexia nervosa in the acute phase have physical complications, such as infectious disease. Although hemophagocytic syndrome due to infection is a rare complication in anorexia nervosa, early identification for hemophagocytosis is important for avoiding a life-threatening condition. CASE PRESENTATION: We report a case of a 12-year-old girl with anorexia nervosa presenting with infection with cytopenia and hemophagocytosis during initial nutritional therapy...
2017: BioPsychoSocial Medicine
https://www.readbyqxmd.com/read/28874196/eating-behavior-and-psychological-profile-associations-between-daughters-with-distinct-eating-disorders-and-their-mothers
#9
Verónica Vázquez-Velázquez, Martha Kaufer-Horwitz, Juan Pablo Méndez, Eduardo García-García, Lucy María Reidl-Martínez
BACKGROUND: Associations of eating behaviors and psychological profile between mothers and daughters with eating disorders exist, but it is important to dissect the influence of the mother in each specific disorder since all eating disorders must be seen or treated not as one entity. The aim of the present study was to evaluate the association of eating behavior and psychological profile between mothers and daughters with different eating disorders and a control group. METHODS: The study group included young girls with anorexia nervosa (AN, n = 30), bulimia nervosa (BN, n = 30), binge eating disorder (BED, n = 19), and a control group of women (Non-ED, n = 54) together with their mothers...
September 6, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28873340/-%C3%A2-prepared-for-%C3%A2-%C3%A2-6th-european-workshop-on-lipid-mediators-special-issue-si-6ewlm-prostaglandins-and-other-lipid-mediators
#10
P Betty Shih, Christophe Morisseau, Thu Le, Blake Woodside, J Bruce German
Anorexia nervosa (AN) is a complex psychiatric disorder with high morbidity and mortality rates. While many individuals make full recoveries, up to a third of patients develop a chronic, treatment-resistant form of the illness that leads to a premature death in 15-20% of those affected. There have been few advances in treatment, both in terms of psychological or pharmacologic treatment over the last 30 years. Food aversion is commonly cited by patients with AN as a barrier to normalizing eating and weight. Our group has a keen interest in examining factors that might allow this to be addressed, thus improving treatment outcomes through personalized dietary plans or nutritional supplementation related to underlying genetic status...
September 2, 2017: Prostaglandins & Other Lipid Mediators
https://www.readbyqxmd.com/read/28871553/treatment-with-granulocyte-colony-stimulating-factor-in-the-refeeding-phase-of-anorexia-nervosa-complicated-with-severe-neutropenia-and-sepsis-a-case-report
#11
Haruki Komatsu, Karin Hayashi, Fukiko Higashiyama
Leukopenia is frequently observed in patients with anorexia nervosa (AN). However, serious infectious diseases are infrequent in patients with AN. We present the case of a 13-year-old girl with AN complicated with severe neutropenia and sepsis upon refeeding. Her body mass index was 11 kg/m(2) and her absolute neutrophil count (ANC) was 1555/µL on admission. After the initiation of refeeding, her ANC gradually declined to 346/µL. High fever occurred and a blood culture tested positive for Enterobacter cloacae...
September 4, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28868945/social-phobia-depression-and-eating-disorders-during-middle-adolescence-longitudinal-associations-and-treatment-seeking
#12
Klaus Ranta, Juha Väänänen, Sari Fröjd, Rasmus Isomaa, Riittakerttu Kaltiala-Heino, Mauri Marttunen
BACKGROUND: Longitudinal associations between social phobia (SP), depression and eating disorders (EDs), and the impact of antecedent SP and depression on subsequent treatment seeking for EDs have rarely been explored in prospective adolescent population studies. AIM: We aimed to examine these associations in a large-scale follow-up study among middle adolescents. METHOD: We surveyed 3278 Finnish adolescents with a mean age of 15 years for these disorders...
September 4, 2017: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/28862585/oral-health-considerations-in-anorexia-and-bulimia-nervosa-2-multidisciplinary-management-and-personalized-dental-care
#13
Mohamed A Bassiouny, Elizabeth Tweddale
This article outlines a comprehensive, multidisciplinary strategy for treatment of patients with anorexia and bulimia nervosa. In this approach, primary medical intervention and emergency dental care are followed by the staging of treatment phases that integrate medical care, psychotherapy, nutritional counseling, and dental management, which may encompass various treatment options for repair of damaged dentition. Emphasis is placed on prevention of further tissue damage during all phases of management and following completion of the treatment course...
September 2017: General Dentistry
https://www.readbyqxmd.com/read/28857236/the-impact-of-dsm-5-on-the-diagnosis-and-severity-indicator-of-eating-disorders-in-a-treatment-seeking-sample
#14
Yoshikatsu Nakai, Kazuko Nin, Shun'ichi Noma, Satoshi Teramukai, Kei Fujikawa, Stephen A Wonderlich
OBJECTIVE: To examine the impact of the DSM-5 on the diagnoses and severity indicators of eating disorders, we conducted a comparative study on the classification of eating disorders including subtypes of anorexia nervosa (AN) between the DSM-IV and DSM-5 criteria. In addition, we studied the association of the DSM-5 severity criteria and clinical variables. METHOD: Participants were 304 outpatients, aged 16-45 years, with eating disorders, diagnosed using semi-structured clinical interviews and the eating disorder examination questionnaire (EDE-Q)...
August 31, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28846988/emotional-reactivity-in-a-clinical-sample-of-patients-with-eating-disorders-and-nonsuicidal-self-injury
#15
Kathryn E Smith, Nicole A Hayes, Denise M Styer, Jason J Washburn
Emotional reactivity is theorized to contribute to both eating disorders (ED) and nonsuicidal self-injury (NSSI). Although EDs and NSSI frequently co-occur, no study has examined emotional reactivity in individuals with both conditions. This study examined the following hypotheses in a large clinical sample (N = 648): (1) patients with co-occurring ED and NSSI would report higher emotional reactivity and more severe clinical characteristics; (2) among those with EDs, patients with bulimia nervosa (BN) would be more likely to report NSSI and evidence higher emotional reactivity compared to those with anorexia nervosa (AN); and (3) higher emotional reactivity would be associated with worse treatment outcomes...
August 12, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28842966/autonomy-support-and-autonomous-motivation-in-the-outpatient-treatment-of-adults-with-an-eating-disorder
#16
Howard Steiger, Jeanne Sansfaçon, Lea Thaler, Niamh Leonard, Danaëlle Cottier, Esther Kahan, Emilie Fletcher, Erika Rossi, Mimi Israel, Lise Gauvin
OBJECTIVE: Across diverse clinical problems, therapists' autonomy support has been found to increase patients' autonomous motivation for change. Being self-motivated has, in turn, been linked to superior treatment response. In people undergoing outpatient eating disorder (ED) treatment, we examined associations among ratings of autonomy support received from therapists and other carers, self-reported engagement in therapy, and clinical outcomes. METHOD: Ninety-seven women with anorexia nervosa, bulimia nervosa, or a related ED provided measures of motivational status and clinical symptoms at the beginning and end of time-limited (12-16 weeks) segments of specialized treatment...
September 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28842934/sudden-gains-in-the-outpatient-treatment-of-anorexia-nervosa-a-process-outcome-study
#17
Anna Cartwright, Yat Ping Cheng, Ulrike Schmidt, Sabine Landau
OBJECTIVE: Sudden gains (SGs), broadly defined as sudden symptom reductions occurring between two consecutive treatment sessions, have been associated with improved treatment outcomes in anxiety and depression. The present study is the first to formally define SGs in anorexia nervosa and explore the characteristics, demographic and baseline clinical predictors, and clinical impact of SGs in anorexia nervosa. METHOD: This is a secondary analysis of data from 89 outpatients with broadly defined anorexia nervosa who received one of two psychotherapeutic interventions as part of the MOSAIC trial (Schmidt et al...
August 26, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28833732/grey-matter-volume-in-adolescents-with-anorexia-nervosa-and-associated-eating-disorder-symptoms
#18
Beatriz Martin Monzon, Luke A Henderson, Sloane Madden, Vaughan G Macefield, Stephen Touyz, Michael R Kohn, Simon Clarke, Nasim Foroughi, Phillipa Hay
Anorexia Nervosa (AN) is a mental health disorder of complex aetiology. Previous neuroimaging studies have found consistent global reductions in global grey matter volume of underweight girls with AN, however differences in regional grey matter volumes are less consistent. The aims of this study were to investigate grey matter regional volumes of adolescent girls with AN before and after weight recovery and the relationship of any changes with clinical characteristics. We collected high-resolution T1-weighted images from 26 underweight girls with AN before weight gain and 20 healthy control volunteers...
August 22, 2017: European Journal of Neuroscience
https://www.readbyqxmd.com/read/28831684/distinct-and-untamed-articulating-bulimic-identities
#19
Karin Eli
Bulimia nervosa and anorexia nervosa are inextricably linked, with substantial clinical and epidemiological overlaps. Yet, while anorexia has been analyzed extensively in medical anthropology, bulimia remains under-theorized. This is, perhaps, because, compared to self-starvation, binge eating presents a logic of practice that is difficult to reconcile with culturally reified notions of self-control, transcendence, and hard work. Thus, although anthropologists have analyzed anorexic subjectivities as imbued with a sense of cleanliness and purity, moral superiority, and heroics, similar analyses have not been extended to bulimic subjectivities; instead, bulimia has been subsumed, as a tangential disorder, into analyses of anorexia...
August 22, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28829284/the-psychenet-public-health-intervention-for-anorexia-nervosa-a-pre-post-evaluation-study-in-a-female-patient-sample
#20
Antje Gumz, Angelika Weigel, Karl Wegscheider, Georg Romer, Bernd Löwe
Aim This non-randomized pre-post-intervention study investigated the effect of a systemic public health intervention on the length of time between anorexia nervosa symptom onset and contact with the health care system as well as the initiation of treatment. BACKGROUND: Although systemic public health interventions have successfully been implemented in physical and mental health fields, their effect on the early treatment of patients with anorexia nervosa remains unclear. METHODS: In total, 59 anorexia nervosa patients (mean age=21...
August 22, 2017: Primary Health Care Research & Development
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