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anorexia nervosa treatment

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https://www.readbyqxmd.com/read/28213045/identification-of-the-causes-for-chronic-hypokalemia-importance-of-urinary-sodium-and-chloride-excretion
#1
Kun-Lin Wu, Chih-Jen Cheng, Chih-Chen Sung, Ming-Hua Tseng, Yu-Juei Hsu, Sung-Sen Yang, Tom Chau, Shih-Hua Lin
BACKGROUND: Uncovering the correct diagnosis of chronic hypokalemia with potassium (K(+)) wasting from the kidneys or gut can be fraught with challenges. We identified clinical and laboratory parameters helpful for differentiating the causes of chronic hypokalemia. METHODS: Normotensive patients referred to our tertiary academic medical center for the evaluation of chronic hypokalemia were prospectively enrolled over five years. Clinical features, laboratory examinations-including blood and spot urine electrolytes, acid-base status, biochemistries and hormones-as well as genetic analysis were determined...
February 14, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28203082/the-parental-bonding-in-families-of-adolescents-with-anorexia-attachment-representations-between-parents-and-offspring
#2
Laura Balottin, Stefania Mannarini, Maura Rossi, Giorgio Rossi, Umberto Balottin
INTRODUCTION: The attachment theory is widely used in order to explain anorexia nervosa origin, course and treatment response. Nevertheless, very little literature specifically investigated parental bonding in adolescents with anorexia, as well as the parents' own bonding and intergenerational transmission within the family. PURPOSE: This study aims to identify any specific pattern of parental bonding in families of adolescents newly diagnosed with restricting-type anorexia, comparing them to the families of the control group...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/28188643/will-i-get-fat-22-year-weight-trajectories-of-individuals-with-eating-disorders
#3
Helen B Murray, Nassim Tabri, Jennifer J Thomas, David B Herzog, Debra L Franko, Kamryn T Eddy
OBJECTIVE: For some, fat phobia or fear of uncontrollable weight gain is diagnostic of eating disorders, often inhibiting treatment engagement and predicting symptom relapse. Prior research has reported weight changes at infrequent or long intervals, but rate, shape, and magnitude of long-term changes remain unknown. Our study examined 22-year longitudinal trajectories of body mass index (BMI) in women with anorexia nervosa (AN) and bulimia nervosa (BN). METHOD: Participants were followed over 10 years (N = 225) and at 22-year follow-up (N = 175)...
February 11, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28186654/weight-gain-trajectories-in-hospital-based-treatment-of-anorexia-nervosa
#4
Saniha H Makhzoumi, Janelle W Coughlin, Colleen C Schreyer, Graham W Redgrave, Steven C Pitts, Angela S Guarda
Weight gain is a primary treatment goal for anorexia nervosa (AN); however little is known about heterogeneity in weight gain pattern during treatment. Preliminary evidence suggests weight gain trajectory is associated with treatment outcome. This study grouped patients using mixture modeling into weight gain trajectories, and compared predictors and treatment outcomes between trajectory groups. Women diagnosed with AN or subthreshold AN (N = 211) completed self-report measures at admission and six-months after discharge from an integrated inpatient (IP)-partial hospitalization (PH) behavioral specialty eating disorders program...
February 10, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28183091/emotional-expression-predicts-treatment-outcome-in-focal-psychodynamic-and-cognitive-behavioural-therapy-for-anorexia-nervosa-findings-from-the-antop-study
#5
Hans-Christoph Friederich, Timo Brockmeyer, Beate Wild, Gaby Resmark, Martina de Zwaan, Andreas Dinkel, Stephan Herpertz, Markus Burgmer, Bernd Löwe, Sefik Tagay, Eva Rothermund, Almut Zeeck, Stephan Zipfel, Wolfgang Herzog
No abstract text is available yet for this article.
February 10, 2017: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/28173811/marrow-adipocytes-inhibit-the-differentiation-of-mesenchymal-stem-cells-into-osteoblasts-via-suppressing-bmp-signaling
#6
Basem M Abdallah
BACKGROUND: Reduced bone formation is associated with increased bone marrow fat in many bone-loss related diseases including aging, post-menopause, and anorexia nervosa. Several lines of evidence suggested the regulation of osteogenesis and adipogenesis of the bone marrow-derived mesenchymal (skeletal) stem cells (BMSCs) by paracrine mediators. This study aimed to investigate the impact of adipocytes-secreted factors on the cell proliferation and osteoblast differentiation of BMSCs. METHODS: Serum free conditioned medium (CM-Adipo) was collected from stromal ST2 cells-derived adipocytes...
February 7, 2017: Journal of Biomedical Science
https://www.readbyqxmd.com/read/28152200/population-based-cost-offset-analyses-for-disorder-specific-treatment-of-anorexia-nervosa-and-bulimia-nervosa-in-germany
#7
Katharina Bode, Nina Maria Götz von Olenhusen, Eva-Maria Wunsch, Sören Kliem, Christoph Kröger
Previous research has shown that anorexia nervosa (AN) and bulimia nervosa (BN) are expensive illnesses to treat. To reduce their economic burden, adequate interventions need to be established. Our objective was to conduct cost-offset analyses for evidence-based treatment of eating disorders using outcome data from a psychotherapy trial involving cognitive behavioral therapy (CBT) and focal psychodynamic therapy (FPT) for AN and a trial involving CBT for BN. Assuming a currently running, ideal healthcare system using a 12-month, prevalence-based approach and varying the willingness to participate in treatment, we investigated whether the potential financial benefits of AN- and BN-related treatment outweigh the therapy costs at the population level...
February 2, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28152083/group-qigong-for-adolescent-inpatients-with-anorexia-nervosa-incentives-and-barriers
#8
Juliette Gueguen, Marie-Aude Piot, Massimiliano Orri, Andrea Gutierre, Jocelyne Le Moan, Sylvie Berthoz, Bruno Falissard, Nathalie Godart
BACKGROUND: Qigong is a mind-body intervention focusing on interoceptive awareness that appears to be a promising approach in anorexia nervosa (AN). In 2008, as part of our multidimensional treatment program for adolescent inpatients with AN, we began a weekly qigong workshop that turned out to be popular among our adolescent patients. Moreover psychiatrists perceived clinical benefits that deserved further exploration. METHODS AND FINDINGS: A qualitative study therefore sought to obtain a deeper understanding of how young patients with severe AN experience qigong and to determine the incentives and barriers to adherence to qigong, to understanding its meaning, and to applying it in other contexts...
2017: PloS One
https://www.readbyqxmd.com/read/28151055/can-patients-with-eating-disorders-learn-to-eat-intuitively-a-2-year-pilot-study
#9
P Scott Richards, Sabree Crowton, Michael E Berrett, Melissa H Smith, Kimberly Passmore
The present article reports on a 2-year pilot study that evaluated the effectiveness of an intuitive eating program for patients in an eating disorder treatment center. Standardized measures of intuitive eating and eating disorder and psychological symptoms were administered. Psychotherapists and dietitians rated patients on the healthiness of their eating attitudes and behaviors. Preliminary findings indicated that patients can develop the skills of intuitive eating, and that the ability to eat intuitively is associated with positive treatment outcomes for each diagnostic category (i...
February 2, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28144744/food-matters-how-the-microbiome-and-gut-brain-interaction-might-impact-the-development-and-course-of-anorexia-nervosa
#10
REVIEW
Beate Herpertz-Dahlmann, Jochen Seitz, John Baines
Anorexia nervosa (AN) is one of the most common chronic illnesses in female adolescents and exhibits the highest mortality risk of all psychiatric disorders. Evidence for the effectiveness of psychotherapeutic or psychopharmacological interventions is weak. Mounting data indicate that the gut microbiome interacts with the central nervous system and the immune system by neuroendocrine, neurotransmitter, neurotrophic and neuroinflammatory afferent and efferent pathways. There is growing evidence that the gut microbiota influences weight regulation and psychopathology, such as anxiety and depression...
January 31, 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/28142631/-pro-ana-psychodynamic-references-for-anorexia-nervosa
#11
Linda Siefert
"Pro Ana": Psychodynamic References for Anorexia Nervosa The internet-based phenomenon "Pro Ana" refers to the eating disorder anorexia nervosa in a positive way. To understand what the phenomenon "Pro Ana" represents, the websites are used as a starting point of the current analysis. Based on these results, similarities and differences between "Pro Ana" and the eating disorder anorexia nervosa are discussed. Furthermore psychodynamic references for anorexia nervosa are derived and finally their importance for treatment motivation will be considered...
February 2017: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/28133705/selective-visual-attention-towards-oneself-and-associated-state-body-satisfaction-an-eye-tracking-study-in-adolescents-with-different-types-of-eating-disorders
#12
Anika Bauer, Silvia Schneider, Manuel Waldorf, Karsten Braks, Thomas J Huber, Dirk Adolph, Silja Vocks
The development of eating disorders is associated with a body-related attentional bias. Although eating disorders are especially prevalent in adolescence, so far, no study has analyzed gaze patterns and state body image in response to viewing one's own body in youth. To fill this gap, the present study aimed to examine a body-related attentional bias and state body satisfaction in adolescents with various forms of eating disorders. Girls with anorexia nervosa, restrictive type (AN-R; n = 30), anorexia nervosa, binge eating/purging type (AN-BP; n = 26), bulimia nervosa (BN; n = 22), clinical controls with anxiety disorders (n = 20) and healthy controls (n = 43) looked at photographs of their own and a peer's body, while their spontaneous eye movements were recorded...
January 30, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28130794/intensive-treatment-for-adults-with-anorexia-nervosa-the-cost-of-weight-restoration
#13
Angela S Guarda, Colleen C Schreyer, Laura K Fischer, Jennifer L Hansen, Janelle W Coughlin, Michael J Kaminsky, Evelyn Attia, Graham W Redgrave
OBJECTIVE: Weight restoration in anorexia nervosa (AN) is associated with lower relapse risk; however rate of weight gain and percent of patients achieving weight restoration (BMI ≥ 19 at discharge) vary among treatment programs. We compared both cost/pound of weight gained and cost of weight restoration in a hospital-based inpatient (IP)-partial hospitalization (PH) eating disorders program to estimates of these costs for residential treatment. METHOD: All adult first admissions to the IP-PH program with AN (N = 314) from 2003 to 2015 were included...
January 27, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28122125/development-of-a-new-statewide-eating-disorder-service-the-role-of-evidence-in-a-real-world-setting
#14
Tracey Wade, Eva Vall, Angeline Kuek, Emma Altman, Randall Long, John Mannion
OBJECTIVE: There are three aims of this report. First, to describe how research evidence informed a service development rationale for a new statewide eating disorder service (SEDS) for people aged 15 years and older. Second, to examine the profile of people accessing SEDS in the first 2 years of its operation with respect to the three broad dimensions: illness stage, illness severity, and previous history of treatment. Finally, to examine which patient characteristics resulted in the recommendation of ongoing treatment contact with SEDS...
January 25, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28117905/body-checking-behaviors-in-anorexia-nervosa
#15
Simona Calugi, Marwan El Ghoch, Riccardo Dalle Grave
The study aimed to assess the trajectories of change in body checking over time and the change in eating disorder and general psychopathology in patients with anorexia nervosa treated with inpatient enhanced cognitive behavioral therapy (CBT-E). Sixty-six adult patients with anorexia nervosa were recruited from consecutive referrals to a community-based eating disorder clinic. Body mass index, Eating Disorder Examination, Brief Symptom Inventory, and Body Checking Questionnaire (BCQ) scores were recorded at admission (T0), end of treatment (T1), and 6- and 12-month follow-ups (T2 and T3, respectively)...
January 24, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28115044/-biomarkers-for-anorexia-nervosa
#16
Jan Magnus Sjøgren
Biomarkers for anorexia nervosa (AN) which reflect the pathophysiology and relate to the aetiology of the disease, are warranted and could bring us one step closer to targeted treatment of AN. Some leads may be found in the biochemistry which often is found disturbed in AN, although normalization in many aspects is seen at recovery from undernutrition. Recent genome-wide association studies support that genetic factors play a role in the pathophysiology of AN, of which some are independent of BMI-related mechanisms...
January 16, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28111516/nurses-establishment-of-health-promoting-relationships-a-descriptive-synthesis-of-anorexia-nervosa-research
#17
Martin Salzmann-Erikson, Jeanette Dahlén
Qualitative values that address personal and interpersonal dimensions are often overlooked in research that examines mental well-being among young patients with anorexia nervosa. The aim of this review was to identify and describe factors that promote and impede the relationships between nurses and the children, adolescents and young adults who are diagnosed with anorexia nervosa and also to explore and describe how those relationships benefit the patients' processes toward increased health and well-being. A descriptive literature synthesis was conducted following the four steps as described by Evans...
2017: Journal of Child and Family Studies
https://www.readbyqxmd.com/read/28106920/self-admission-to-inpatient-treatment-for-patients-with-anorexia-nervosa-the-patient-s-perspective
#18
Mattias Strand, Cynthia M Bulik, Yvonne von Hausswolff-Juhlin, Sanna A Gustafsson
The aim of the present study was to explore patients' experiences of participating in a self-admission program at a specialist eating disorders clinic. Sixteen adult program participants with a diagnosis of anorexia nervosa were interviewed at 6 months about their experiences in the self-admission program. A qualitative content analysis approach was applied to identify recurring themes. Four themes were identified: Agency and Flexibility, Functions, Barriers, and Applicability. Participants used self-admission to boost healthy behaviors, to prevent deterioration, to forestall the need for longer periods of hospitalizations, and to get a break from overwhelming demands...
January 20, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28106917/is-there-an-optimal-length-of-psychological-treatment-for-eating-disorder-pathology
#19
Caroline Bell, Glenn Waller, Roz Shafran, Jaime Delgadillo
Treatment guidelines for eating disorders (ED) are unclear about the optimal length of psychological care. We aimed to investigate associations between treatment duration and changes in ED pathology. Data for 164 outpatients accessing psychological interventions for ED were analyzed using MANOVA. We tested associations between number of therapy sessions and pre-post treatment changes in clinical outcomes (EDE-Q global scores, binge eating, purging); adjusting for baseline measures, diagnoses, and treatment type...
January 20, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28095885/symptoms-of-attention-deficit-hyperactivity-disorder-adhd-among-adult-eating-disorder-patients
#20
Nils Erik Svedlund, Claes Norring, Ylva Ginsberg, Yvonne von Hausswolff-Juhlin
BACKGROUND: Very little is known about the prevalence of ADHD symptoms in Bulimia Nervosa and Binge Eating Disorder and even less in other eating disorders. This knowledge gap is of clinical importance since stimulant treatment is proven effective in Binge Eating Disorder and discussed as a treatment possibility for Bulimia Nervosa. The objective of this study was to explore the prevalence and types of self-reported ADHD symptoms in an unselected group of eating disorder patients assessed in a specialized eating disorder clinic...
January 17, 2017: BMC Psychiatry
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