- The patient experience of illness, treatment, and change, during intensive community treatment for severe anorexia nervosa. [Journal Article]
- EDEat Disord 2017 Apr 27; :1-18
- This study explores experiences of intensive community treatment, illness, and change among patients with severe anorexia nervosa (sAN), particularly seeking to understand the processes involved in c...
This study explores experiences of intensive community treatment, illness, and change among patients with severe anorexia nervosa (sAN), particularly seeking to understand the processes involved in change and inability to change. A qualitative design with purposive semi-stratified sampling, using semi-structured interviews and interpretive phenomenological analysis, investigated in detail the experiences of five participants. Participants all had sAN at the start of treatment and represented a spectrum of outcomes from deterioration to full recovery. Six super-ordinate themes emerged from the analysis: treatment experience, function of anorexia, self-criticism versus self-acceptance, isolation versus connection, hopelessness versus hope, and stuckness versus change. Results describe the valued function of the illness, barriers to change, the lengthy struggle for change, and how this can be supported by intensive community-based treatment. Necessary ingredients in the process of change, arising from the analysis, are proposed. We conclude that the experiences of these patients reflect the particular functions of AN for each individual, and that both clinical deterioration and full recovery can occur with prolonged intensive community treatment.
- Heightened Attentional Capture by Visual Food Stimuli in Anorexia Nervosa. [Journal Article]
- JAJ Abnorm Psychol 2017 Apr 27
- The present study was designed to test the hypothesis that anorexia nervosa (AN) patients are relatively insensitive to the attentional capture of visual food stimuli. Attentional avoidance of food m...
The present study was designed to test the hypothesis that anorexia nervosa (AN) patients are relatively insensitive to the attentional capture of visual food stimuli. Attentional avoidance of food might help AN patients to prevent more elaborate processing of food stimuli and the subsequent generation of craving, which might enable AN patients to maintain their strict diet. Participants were 66 restrictive AN spectrum patients and 55 healthy controls. A single-target rapid serial visual presentation task was used with food and disorder-neutral cues as critical distracter stimuli and disorder-neutral pictures as target stimuli. AN spectrum patients showed diminished task performance when visual food cues were presented in close temporal proximity of the to-be-identified target. In contrast to our hypothesis, results indicate that food cues automatically capture AN spectrum patients' attention. One explanation could be that the enhanced attentional capture of food cues in AN is driven by the relatively high threat value of food items in AN. Implications and suggestions for future research are discussed. (PsycINFO Database Record
- Labeling and defining severe and enduring anorexia nervosa: A systematic review and critical analysis. [Review]
- IJInt J Eat Disord 2017 Apr 25
- CONCLUSIONS: It is the aim of the authors to inspire further research into what is the most appropriate label and defining features for the subgroup in order to facilitate a better approach and outcome for the individuals affected.
- Improving therapeutics in anorexia nervosa with tryptophan. [Review]
- LSLife Sci 2017 Apr 21
- A growing body of evidence suggests that our diet is an important contributing factor in the development, management and prevention of a number of psychiatric illnesses. Tryptophan, an essential amin...
A growing body of evidence suggests that our diet is an important contributing factor in the development, management and prevention of a number of psychiatric illnesses. Tryptophan, an essential amino acid, is the sole precursor of neurotransmitter 5-hydroxytryptamine (5-HT; serotonin). Administration of tryptophan can boost serotonin neurotransmission to produce therapeutically important effects in serotonin deficiency disorders. Anorexia nervosa (AN) an eating disorder associated with high levels of psychiatric comorbidity including psychosis, hyperactivity, depression and anxiety has highest lethality of all psychiatric illnesses. Evidence suggests that excessive dieting and food restriction can decrease brain tryptophan and serotonin in AN patients to precipitate depression, psychosis and hyperactivity. There are currently no FDA approved pharmacological treatments available for AN patients; antidepressants and antipsychotics, largely used to treat associated psychiatric comorbidities are also not very effective. The aim of this non-systematic review article is to evaluate and document a potential importance of tryptophan supplementation in improving therapeutics in AN patients.
- Defining "significant weight loss" in atypical anorexia nervosa. [Journal Article]
- IJInt J Eat Disord 2017 Apr 24
- CONCLUSIONS: Results support that even a 5% weight loss, combined with cognitive concerns, may produce a group with a clinically significant eating disorder. AAN was observed in both healthy weight and overweight/obese adults, highlighting the importance of screening for restrictive eating disorders at all weights.
- Eating disorders and food addiction in men with heroin use disorder: a controlled study. [Journal Article]
- EWEat Weight Disord 2017 Apr 22
- CONCLUSIONS: Co-occurring binge eating disorder and food addiction are highly frequent in men with heroin use disorder. Screening for binge eating disorder and food addiction in patients with substance use disorder is important, as interventions may improve treatment outcome in this patient group.
- Premorbid BMI predicts binge-purge symptomatology among individuals with anorexia nervosa. [Journal Article]
- IJInt J Eat Disord 2017 Apr 22
- CONCLUSIONS: Among individuals who develop an eating disorder, premorbid BMI may be implicated in the type and course of the eating disorder that emerges.
- Bone marrow fat content in 70 adolescent girls with anorexia nervosa: Magnetic resonance imaging and magnetic resonance spectroscopy assessment. [Journal Article]
- PRPediatr Radiol 2017 Apr 22
- CONCLUSIONS: The association between T1 and BMI and BMD among older girls suggests more marrow fat in those with severe anorexia nervosa. In contrast, the physiological association between marrow fat content and age remained dominant in younger patients. The strong association between T2 water and saturated fat may relate to the restricted mobility of water with increasing marrow fat.
- Relationship between desired weight and eating disorder pathology in youth. [Journal Article]
- IJInt J Eat Disord 2017 Apr 21
- CONCLUSIONS: Desired weight is associated with elevated ED psychopathology. Weight goals may shift as individuals progress through treatment; if they do not, then desired weight may be an important indicator of a lack of psychological progress.
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- [Risk factors of eating disorders in the narratives of fashion models]. [Journal Article]
- PHPsychiatr Hung 2017; 32(1):41-53
- CONCLUSIONS: The study corroborates the effect of the model profession on the increase of the risk for eating disorders. In the case of the models, whose eating disorder began after stepping into the model profession, the role of the representants of the fashion industry can be suggested as a form of psychological abuse. As the models or in the case of underages their parents accepted the strong requirement of slimness, an unconscious collusion is probable. Our date highlight the health impact of cultural ideals, and call the attention to prevention strategies.