Anorexia Nervosa was found in 5-Minute Clinical Consult which helps you diagnose, treat, and follow up on over 900 medical conditions seen in everyday practice.
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- Refusal to maintain normal body weight, with associated fear of weight gain, body-image disturbance, and amenorrhea
- Restricting and binge eating/purging subtypes
- System(s) affected: Cardiovascular; Endocrine; Metabolic; Gastrointestinal; Nervous; Reproductive
- Predominant age: 13–20 years
- Predominant sex: Female > Male (20:1)
- Global distribution
8–19 women/2 men per 100,000 population per year
- 0.9% in women
- 0.3% in men (higher in gay and bisexual men)
- Female gender
- Body dissatisfaction
- Perfectionism, obsessionality, rigidity
- Negative self-evaluation
- Academic and other achievement pressure
- Severe life stressors
- Participation in sports or artistic activities that emphasize leanness or involve subjective scoring: Ballet, running, wrestling, figure skating, gymnastics, cheerleading, weight lifting
- Type I diabetes mellitus
- Family history of substance abuse, affective disorders, or eating disorder
- Underlying genetic vulnerability likely but not well understood
- 1st-degree female relative with eating disorder increases risk 6–10-fold.
- Target adolescents and young women 15 years of age or older.
- Encourage realistic and healthy weight-management strategies and attitudes.
- Decrease body dissatisfaction.
- Promote self-esteem.
- Reduce focus on thin as ideal.
- Moderate overly high self-expectations.
- Decrease anxiety/depressive symptoms and improve stress management.
- Complex relationship among genetic, biological, environmental, psychological, and social factors that results in an unrealistic perception of fatness
- Subsequent malnutrition leads to disorder of multiple organs.
- Serotonin neuronal systems are implicated.
- Multifactorial with psychological, biologic, genetic, environmental, and social factors
Commonly Associated Conditions
- Mood disorder
- Social phobia, obsessive–compulsive disorder
- Substance abuse disorder
- High rates of cluster C personality disorders