7,371 results match your criteria Bulimia Nervosa


Compulsory treatment in eating disorders: Control, provocation, and the coercion paradox.

J Clin Psychol 2019 Apr 20. Epub 2019 Apr 20.

Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary.

In eating disorders, the denial of the illness is a central phenomenon. In the most severe forms of anorexia, compulsory treatment may be necessary. The professional acceptance of involuntary treatment is controversial due to the fact that the autonomy of the patient is juxtaposed with the obligation of the health care practitioner to save lives. Read More

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http://dx.doi.org/10.1002/jclp.22783DOI Listing

The evolution of our understanding and treatment of eating disorders over the past 50 years.

Authors:
Andrea Marks

J Clin Psychol 2019 Apr 20. Epub 2019 Apr 20.

Department of Pediatrics, The Icahn School of Medicine at Mount Sinai, New York, NY.

Although historical descriptions date back to the Hellenistic era, and Gull's naming of anorexia nervosa as a medical disorder to the late 19th century, it is only in the past 50 years that eating disorders have become widely recognized as the prevalent, potentially fatal, complex, and confounding biopsychosocial illnesses we confront today. This paper reviews the considerable advancements in our knowledge of eating disorders during three time periods: the "early years" of the 1960s and 1970s; the "middle years" of the 1980s and 1990s; and the 21st century to date. The recent Diagnostic and Statistical Manual of Mental Disorders, 5th Edition describes six major feeding and eating disorders. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/jclp.22782
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http://dx.doi.org/10.1002/jclp.22782DOI Listing
April 2019
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Long-term outcome of inpatients with bulimia nervosa-Results from the Christina Barz Study.

Int J Eat Disord 2019 Apr 19. Epub 2019 Apr 19.

Department of Psychiatry and Psychotherapy, University of Munich (LMU), Munich, Germany.

Objective: To assess the long-term outcome and identify outcome predictors in a very large sample of inpatients treated for bulimia nervosa (BN).

Method: Out of a total of 2,033 patients admitted consecutively to specialized treatment, 1,351 patients (mean age at treatment 25.94) were assessed for follow-up on average 11 (SD 6) years after admission. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.23084
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http://dx.doi.org/10.1002/eat.23084DOI Listing
April 2019
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Introduction: Novel perspectives on the psychology and psychotherapy of eating disorders.

J Clin Psychol 2019 Apr 17. Epub 2019 Apr 17.

Medical School, Chaim Sheba Medical Center, Tel Hashomer, Israel.

The aim of this introduction to this issue is to review and summarize significant new psychological perspectives and psychotherapeutic interventions in the treatment of eating disorder (EDs). In this issue, five novel therapeutic strategies for the treatment of EDs are presented. These include a combination of psychodynamic psychotherapy and neuropsychology, two recent modifications of cognitive behavioral therapy (the MANTRA, and the conceptualization of change in patients with ED in terms of sense of agency), a specific group movement therapy, and an innovative rehabilitation treatment. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/jclp.22786
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http://dx.doi.org/10.1002/jclp.22786DOI Listing
April 2019
2 Reads

Altered thalamo–cortical and occipital–parietal– temporal–frontal white matter connections in patients with anorexia and bulimia nervosa: a systematic review of diffusion tensor imaging studies

J Psychiatry Neurosci 2019 Apr 17;44(3):1-16. Epub 2019 Apr 17.

From the Department of Neuroscience, Functional Pharmacology, Uppsala University, Uppsala, Sweden (Gaudio, Olivo, Schiöth); the Centre for Integrated Research, Area of Diagnostic Imaging, Universita Campus Bio-Medico di Roma, Rome, Italy (Gaudio); the Department of Physiology and Pharmacology, Neuroimaging Laboratory, Sapienza University, Rome, Italy (Carducci, Piervincenzi); and the Institute for Translational Medicine and Biotechnology, Sechenov First Moscow State Medical University, Moscow, Russia (Schiöth).

Background: Anorexia nervosa and bulimia nervosa are complex mental disorders, and their etiology is still not fully understood. This paper reviews the literature on diffusion tensor imaging studies in patients with anorexia nervosa and bulimia nervosa to explore the usefulness of white matter microstructural analysis in understanding the pathophysiology of eating disorders.

Methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to identify diffusion tensor imaging studies that compared patients with an eating disorder to control groups. Read More

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http://dx.doi.org/10.1503/jpn.180121DOI Listing
April 2019
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Defining compulsive exercise in eating disorders: acknowledging the exercise paradox and exercise obsessions.

J Eat Disord 2019 4;7. Epub 2019 Apr 4.

3Department of Psychology, UiT -The Arctic University of Norway, Tromsø, Norway.

Recently Dittmer et al. (JED 6:1-9, 2018). suggested a transdiagnostic definition and a clinical assessment for compulsive exercise in adolescents and adults with eating disorders. Read More

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http://dx.doi.org/10.1186/s40337-019-0238-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448210PMC
April 2019
1 Read

Body dissatisfaction in adolescent boys.

Dev Psychol 2019 Apr 15. Epub 2019 Apr 15.

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet.

Body dissatisfaction is a significant mental health symptom present in adolescent girls and boys. However, it is often either disregarded in adolescent boys or examined using assessments that may not resonate with males. The present study addresses these issues, examining the manifestation, etiology, and correlates of 3 facets of body dissatisfaction in adolescent boys. Read More

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http://doi.apa.org/getdoi.cfm?doi=10.1037/dev0000724
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http://dx.doi.org/10.1037/dev0000724DOI Listing
April 2019
2 Reads

Changes in the sense of agency: Implications for the psychotherapy of bulimia nervosa- A case study.

J Clin Psychol 2019 Apr 12. Epub 2019 Apr 12.

Department of Psychology, University of Jyväskylä, Jyväskylä, Finland.

A sense of agency is a transtheoretical concept that increases our understanding of important processes in psychotherapy. Agency can be described in terms of how strongly the person believes that she can have an impact on her problematic experiences and behaviors. In this case study, a patient's sense of agency in relation to symptoms of bulimia nervosa was assessed during 3 years of psychotherapy. Read More

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http://dx.doi.org/10.1002/jclp.22787DOI Listing
April 2019
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Associations between disordered eating and intimate partner violence mediated by depression and posttraumatic stress disorder symptoms in a female veteran sample.

Gen Hosp Psychiatry 2019 Mar 28;58:77-82. Epub 2019 Mar 28.

National Center for PTSD, VA Boston Healthcare System, 150 S. Huntington Ave., Boston, MA 02130, USA; Department of Psychiatry, Boston University School of Medicine, 72 E. Concord St., Boston, MA 02118, USA. Electronic address:

Objective: This study established a link between intimate partner violence (IPV) and eating disorders (EDs) via mediators of depression and posttraumatic stress disorder (PTSD) symptoms in female veterans.

Method: A nationally representative sample of female veterans (N = 190, Mean age = 48.41 years) completed online surveys assessing IPV and symptoms of depression, PTSD, and EDs, at three time points from 2014 to 2017. Read More

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http://dx.doi.org/10.1016/j.genhosppsych.2019.03.007DOI Listing
March 2019
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Cortisol levels before and after cognitive behavioural therapy in patients with eating disorders reporting childhood abuse: A follow-up study.

Psychiatry Res 2019 Mar 28;275:269-275. Epub 2019 Mar 28.

Psychiatry Unit, Department of Health Sciences, University of Florence, Italy.

The etiopathogenesis of eating disorders (EDs) is complex and still not well understood. Biological, psychological and environmental factors (e.g. Read More

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http://dx.doi.org/10.1016/j.psychres.2019.03.046DOI Listing
March 2019
2 Reads

DSM-5 eating disorder symptoms in adolescents with and without attention-deficit/hyperactivity disorder: A population-based study.

Int J Eat Disord 2019 Apr 4. Epub 2019 Apr 4.

Faculty of Health, Deakin Child Study Centre, School of Psychology, Deakin University, Burwood, Victoria, Australia.

Objective: Attention-deficit/hyperactivity disorder (ADHD) is associated with increased eating disorder symptoms, yet little research examining this association has taken a diagnostic approach using a population-based sample. This cross-sectional study examined differences in DSM-5 eating disorder symptoms and partial-syndrome diagnoses at 14-15 years of age in adolescents with and without ADHD in a population-based sample.

Method: This study uses data from waves 1, 5 and 6 of the Longitudinal Study of Australian Children (N = 2,672). Read More

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http://dx.doi.org/10.1002/eat.23080DOI Listing
April 2019
8 Reads

[Tooth Erosions Associated with Gastroesophageal Reflux: Cause, Prevention and Restorative Therapy].

Praxis (Bern 1994) 2019 ;108(5):307-313

1 Klinik für Präventivzahnmedizin, Parodontologie und Kariologie, Zentrum für Zahnmedizin, Universität Zürich.

Tooth Erosions Associated with Gastroesophageal Reflux: Cause, Prevention and Restorative Therapy Abstract. Dental erosions are caused by the recurring contact of solutions which are unsaturated in tooth minerals,ith hard tooth substances. This initially leads to softening and later to an irreversible loss of hard tooth substance. Read More

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http://dx.doi.org/10.1024/1661-8157/a003184DOI Listing
January 2019
2 Reads

Role of eating disorders-related polymorphisms in obesity pathophysiology.

Rev Endocr Metab Disord 2019 Mar 28. Epub 2019 Mar 28.

Department of Health Sciences, Ribeirão Preto Medical School - FMRP/USP - Laboratory of Nutrigenomic Studies, University of São Paulo, Av Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, SP, CEP: 14049-900, Brazil.

Human biological system provides innumerable neuroendocrine inputs for food intake control, with effects on appetite's modulation and the satiety signs. Its regulation is very complex, engaging several molecular interactions with many tissues, hormones, and neural circuits. Thus, signaling molecules that control food intake are critical for normal energy homeostasis and a deregulation of these pathways can lead to eating disorders and obesity. Read More

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http://dx.doi.org/10.1007/s11154-019-09489-wDOI Listing
March 2019
3 Reads

Food insecurity and bulimia nervosa in the United States.

Int J Eat Disord 2019 Mar 28. Epub 2019 Mar 28.

Department of Psychiatry, Yale School of Medicine, New Haven, CT.

Background: Food insecurity occurs when access to food is limited by financial hardship. Yet, paradoxically, food insecurity is associated with overeating, with emerging evidence that it may be related to disordered eating. A recent report found that food insecurity was associated with binge-eating disorder (BED), but it is not yet known whether food insecurity is also associated with bulimia nervosa (BN). Read More

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http://dx.doi.org/10.1002/eat.23074DOI Listing
March 2019
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Overlaps and Disjunctures: A Cultural Case Study of a British Indian Young Woman's Experiences of Bulimia Nervosa.

Cult Med Psychiatry 2019 Mar 27. Epub 2019 Mar 27.

University of Warwick Medical School, Gibbets Hill, Coventry, CV4 7AL, UK.

Eating disorder diagnoses are characterised by a pattern of disordered eating behaviour alongside symptoms such as body dissatisfaction and preoccupation with food, weight or shape (APA in Diagnostic and statistical manual of mental disorders, DSM-5, APA, Washington, DC, 2013). Incidence rates for eating disorders have increased during the last 50 years. However, epidemiological studies have suggested that such trends may not be a true representation of the occurrence of these illnesses in the general population, with figures underestimated due to reduced help seeking and poor access to care, particularly amongst ethnic minorities. Read More

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http://dx.doi.org/10.1007/s11013-019-09625-wDOI Listing
March 2019
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Acipimox Administration With Exercise Induces a Co-feedback Action of the GH, PP, and PYY on Ghrelin Associated With a Reduction of Peripheral Lipolysis in Bulimic and Healthy-Weight Czech Women: A Randomized Study.

Front Endocrinol (Lausanne) 2019 12;10:108. Epub 2019 Mar 12.

Obesity Management Center, Institute of Endocrinology, Prague, Czechia.

Anti-lipolytic drugs and exercise are enhancers of growth hormone (GH) secretion. Decreased circulating free fatty acids (FFA) have been proposed to exert ghrelin-GH feedback loop after administration of an anti-lipolytic longer-acting analog of nicotinic acid, Acipimox (OLB, 5-Methylpyrazine-2-carboxylic acid 4-oxide, molecular weight of 154.1 Da). Read More

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http://dx.doi.org/10.3389/fendo.2019.00108DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422902PMC
March 2019
1 Read

Brief Strategic Therapy for Bulimia Nervosa and Binge Eating Disorder: A Clinical and Research Protocol.

Front Psychol 2019 8;10:373. Epub 2019 Mar 8.

Bateson Clinic, Dublin, Ireland.

Although cognitive behavioral therapy is the gold standard treatments for bulimia nervosa (BN) and binge eating disorder (BED), evidence for its long-term efficacy is weak. Empirical research support the efficacy of brief strategic therapy (BST) in treating BN and BED symptoms, but its statistical significance still need to be investigated. To statistically test the long-term efficacy of the BST treatment protocols for BN and BED through one-year post-treatment. Read More

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http://dx.doi.org/10.3389/fpsyg.2019.00373DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6418034PMC
March 2019
2 Reads

Negative affect, dietary restriction, and food choice in bulimia nervosa.

Eat Behav 2019 Mar 14;33:49-54. Epub 2019 Mar 14.

Department of Psychiatry, Columbia University Medical Center, New York State Psychiatric Institute, 1051 Riverside Drive, Unit 98, New York, NY 10032, United States. Electronic address:

Objective: Negative affect is a precipitant for binge eating in bulimia nervosa (BN). The purpose of the current study was to examine the effect of negative affect on food choices on a more granular level among individuals with BN using a computerized Food Choice Task.

Method: Individuals with BN (n = 25) and healthy controls (HC, n = 21) participated in a computerized Food Choice Task following negative and neutral affect inductions, across two study sessions. Read More

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http://dx.doi.org/10.1016/j.eatbeh.2019.03.003DOI Listing
March 2019
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Stress-Induced Release of Eating-Related Hormones in Young Women Classified as Restrained and Unrestrained Eaters.

Neuropsychobiology 2019 Mar 20:1-4. Epub 2019 Mar 20.

Clinical and Biological Psychology, University of Trier, Trier, Germany.

Background/aims: Restrained eating has been linked to binge eating under disinhibited circumstances and is therefore considered a risk factor to develop clinical eating disorders such as bulimia nervosa or binge eating disorder. The present study investigated the release of gastrointestinal peptides such as ghrelin and PYY after stress, as well as cortisol in young females classified as restrained and unrestrained eaters.

Methods: The study was done in the laboratory of the Department for Biological and Clinical Psychology at the University of Trier. Read More

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http://dx.doi.org/10.1159/000498866DOI Listing
March 2019
3 Reads

Prenatal and perinatal risk factors for eating disorders in women: A population cohort study.

Int J Eat Disord 2019 Mar 20. Epub 2019 Mar 20.

Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Objective: The fetal programming model hypothesizes that developmental programming in utero and in early life induces adaptations that predetermine the adult phenotype. This study investigated whether prenatal/perinatal complications are associated with lifetime eating disorders in women.

Method: Participants included 46,373 adult women enrolled in the Norwegian Mother and Child Cohort Study (den norske Mor & barn-undersøkelsen [MoBa]). Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.23073
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http://dx.doi.org/10.1002/eat.23073DOI Listing
March 2019
3 Reads

Mechanisms and moderators in mindfulness- and acceptance-based treatments for binge eating spectrum disorders: A systematic review.

Eur Eat Disord Rev 2019 Mar 19. Epub 2019 Mar 19.

Department of Psychology, Drexel University, Philadelphia, Pennsylvania.

Objective: Increasing evidence suggests that mindfulness- and acceptance-based psychotherapies (MABTs) for bulimia nervosa (BN) and binge eating disorder (BED) may be efficacious; however, little is known about their active treatment components or for whom they may be most effective.

Methods: We systematically identified clinical trials testing MABTs for BN or BED through PsychINFO and Google Scholar. Publications were categorized according to analyses of mechanisms of action and moderators of treatment outcome. Read More

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http://dx.doi.org/10.1002/erv.2673DOI Listing
March 2019
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Cognitive and Affective Empathy in Eating Disorders: A Systematic Review and Meta-Analysis.

Front Psychiatry 2019 4;10:102. Epub 2019 Mar 4.

Department of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom.

Recent models of eating disorders (EDs) have proposed social and emotional difficulties as key factors in the development and maintenance of the illness. While a number of studies have demonstrated difficulties in theory of mind and emotion recognition, little is known about empathic abilities in those with EDs. Further, few studies have examined the cognitive-affective empathy profile in EDs. Read More

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http://dx.doi.org/10.3389/fpsyt.2019.00102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410675PMC
March 2019
2 Reads

Characteristics and content of intrusive images in patients with eating disorders.

Eur Eat Disord Rev 2019 Mar 18. Epub 2019 Mar 18.

Faculty of Psychology and Educational Sciences, KU Leuven, Tiensestraat 102, 300 Leuven, Belgium.

The aim of this study was to examine the characteristics and content of intrusive images in patients with different subtypes of eating disorders (EDs). Data were collected from 74 ED patients, 22 dieting, and 29 nondieting controls. Participants completed a set of self-report questionnaires. Read More

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http://dx.doi.org/10.1002/erv.2671DOI Listing
March 2019
1 Read

The classification of eating disorders in China: A categorical model or a dimensional model.

Int J Eat Disord 2019 Mar 18. Epub 2019 Mar 18.

Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Objective: According to the ICD-10 and DSM-5, eating disorders (EDs) are classified using a categorical model that assumes the subtypes are qualitatively different from one another. However, it is still intensely debated that a dimensional model is more suitable. The aim of this study is to examine whether EDs have a categorical or dimensional latent structure using a sample of Chinese ED patients. Read More

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http://dx.doi.org/10.1002/eat.23069DOI Listing
March 2019
1 Read
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A systematic review of blood-based serotonergic biomarkers in Bulimia Nervosa.

Psychiatry Res 2018 Dec 31. Epub 2018 Dec 31.

Mental Health Center Ballerup, Ballerup, Denmark.

Bulimia Nervosa (BN) is a serious eating disorder, which affects 0.8-2.9% of the young population. Read More

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http://dx.doi.org/10.1016/j.psychres.2018.12.167DOI Listing
December 2018
6 Reads

Dental and periodontal health in adults with eating disorders: A case-control study.

J Dent 2019 Mar 12. Epub 2019 Mar 12.

Department of Periodontology, Odontology Unit, AP-HP, GH Paris-Est, Rothschild Hospital, Paris, France; UFR of Odontology, University of Paris Diderot, 5 rue Garancière, Paris, France; Laboratory Orofacial Pathologies, Imaging and Biotherapies, EA 2496, Dental School, University of Paris Descartes, 1 rue Maurice Arnoux, 92120 Paris, France. Electronic address:

Objectives: This study evaluates dental and periodontal health in anorexia nervosa and bulimia nervosa patients.

Methods: Seventy females with eating disorders (36 anorexia nervosa) attending a public hospital Psychiatry and Addiction unit were compared with age-matched controls (n = 70). Full-mouth examination and oral hygiene behaviours were recorded for all participants. Read More

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http://dx.doi.org/10.1016/j.jdent.2019.03.005DOI Listing
March 2019
1 Read

Facets of shared decision-making on drug treatment for adults with an eating disorder.

Int Rev Psychiatry 2019 Mar 14:1-15. Epub 2019 Mar 14.

a South London and Maudsley NHS Foundation Trust , Bethlem Royal Hospital , London , UK.

Shared decision-making (SDM) means that clinicians and the patient make decisions about the treatment together. Regarding drug treatment in eating disorders (EDs), such decisions may include psychopharmacological treatment for the ED itself, medications for potential co-morbid psychiatric disorders, pharmacological strategies to alleviate the health consequences of an ED, or 'pro re nata' (PRN) medication which is given in acute care when required. Decisions regarding drug treatment in EDs should be specific in terms of the active pharmacological substance, its dose, its route of administration, and the duration of treatment. Read More

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http://dx.doi.org/10.1080/09540261.2019.1571995DOI Listing
March 2019
4 Reads

Stress as a potential moderator of ovarian hormone influences on binge eating in women.

F1000Res 2019 27;8. Epub 2019 Feb 27.

Department of Psychology, Michigan State University, 316 Physics Road, East Lansing, MI, 48824-1116, USA.

Previous research has demonstrated significant associations between increased levels of ovarian hormones and increased rates of binge eating (BE) in women. However, whereas all women experience fluctuations in ovarian hormones across the menstrual cycle, not all women binge eat in response to these fluctuations, suggesting that other factors must contribute. Stress is one potential contributing factor. Read More

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http://dx.doi.org/10.12688/f1000research.16895.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396839PMC
February 2019
1 Read

Sleep and eating disorders among adults enrolled in a commercial weight loss program: associations with self-report and objective sleep measures.

Eat Weight Disord 2019 Apr 9;24(2):307-312. Epub 2019 Mar 9.

Department of Psychology, North Dakota State University, Fargo, ND, USA.

Purpose: Some research suggests that eating disorders are related to poor sleep health. To increase knowledge on the relation between sleep and eating disorders, we used a multi-method approach to examine associations between sleep, chronotype, and eating disorder psychopathology.

Methods: We investigated associations between ED psychopathology, both diagnostic categories (ascertained through self-report data) and dimensional measures, and self-report and ambulatory measures of sleep. Read More

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http://dx.doi.org/10.1007/s40519-019-00664-1DOI Listing
April 2019
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[Female adolescents with eating disordes: cardiac abnormalities].

Rev Med Chil 2019 ;147(1):47-52

Clínica Alemana de Santiago, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.

Background: Cardiovascular complications can occur in up to 80% of adolescent patients with eating disorders (ED) and account for 30% of their mortality.

Aim: To evaluate cardiovascular complications in adolescents with ED and their evolution after refeeding.

Patients And Methods: In adolescents with ED admitted to treatment, we assessed the nutritional status, weight loss prior to consultation, presence of bradycardia (BC, defined as heart rate < 60 bpm), we performed an electrocardiogram (ECG) and an echocardiography and measured thyroid hormones. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100047DOI Listing
March 2019
7 Reads

Pathways to specialist care for eating disorders: An Italian multicentre study.

Eur Eat Disord Rev 2019 May 7;27(3):274-282. Epub 2019 Mar 7.

Department of Mental Health, University of Campania "L. Vanvitelli", Naples, Italy.

Two hundred forty six patients with eating disorders (EDs) recruited from eight Italian specialized treatment centres were administered with the World Health Organization "Encounter Form," a standardized schedule that makes it possible to characterize the clinical pathways that patients follow to reach specialized care. The median time from symptoms onset to specialized care was 114 weeks. Primary "points of access to care" were general practitioners (25%), psychiatrists (18%), and clinical nutritionists (17%), followed by various other carers. Read More

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http://dx.doi.org/10.1002/erv.2669DOI Listing
May 2019
4 Reads

Clinical management of females seeking fertility treatment and of pregnant females with eating disorders.

Eur Eat Disord Rev 2019 May 7;27(3):215-223. Epub 2019 Mar 7.

Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany.

The presence of eating disorders (EDs) might have a significant impact upon pregnancy, birth, and the offspring's well-being. Thus, several specific aspects are to be considered by medical professionals when females with EDs either become pregnant or intend to undergo fertility treatment. Clinical management algorithms for gynaecologists and fertility specialists are missing. Read More

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http://dx.doi.org/10.1002/erv.2667DOI Listing
May 2019
1 Read

Subcortical Shape Abnormalities in Bulimia Nervosa.

Biol Psychiatry Cogn Neurosci Neuroimaging 2019 Jan 4. Epub 2019 Jan 4.

Division of Child and Adolescent Psychiatry, Columbia University Medical Center and the New York State Psychiatric Institute, New York, New York.

Background: Bulimia nervosa (BN) is associated with functional abnormalities in frontostriatal and frontolimbic circuits. Although structural alterations in the frontal portions of these circuits have been observed, this is the first study of subcortical surface morphometry and the largest study of subcortical volume in BN.

Methods: Anatomical magnetic resonance scans were acquired from 62 female participants with full and subthreshold BN (mean age ± SD, 18. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24519022183033
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http://dx.doi.org/10.1016/j.bpsc.2018.12.011DOI Listing
January 2019
3 Reads

Treating bulimia nervosa in the context of gender dysphoria using 10-session cognitive behavior therapy.

Int J Eat Disord 2019 Mar 7. Epub 2019 Mar 7.

College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia.

Objective: This case report describes the psychological treatment for bulimia nervosa of a 16-year old with co-occurring gender dysphoria. He reported restricting his food intake and purging for approximately 1 year prior to therapy commencing.

Method: Ten sessions of cognitive behavioral therapy for eating disorders (CBT-T) were conducted with accommodations for gender-specific body dissatisfaction. Read More

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http://dx.doi.org/10.1002/eat.23068DOI Listing
March 2019
2 Reads

Altered anticipation and processing of aversive interoceptive experience among women remitted from bulimia nervosa.

Neuropsychopharmacology 2019 Mar 6. Epub 2019 Mar 6.

Department of Psychiatry, University of California, San Diego, Chancellor Park, 4510 Executive Dr., Suite 330, San Diego, CA, 92121-3021, USA.

Bulimia nervosa (BN) is characterized by dysregulated intake of food, which may indicate homeostatic imbalance. Critically important for homeostatic regulation is interoception, or the sensing and processing of body-relevant information. A well-documented link between avoidance of unpleasant body sensations and BN symptoms suggests that aversive interoceptive experiences may be particularly relevant to BN pathophysiology. Read More

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http://dx.doi.org/10.1038/s41386-019-0361-4DOI Listing
March 2019
4 Reads

[The impact of bulimia nervosa on oral health: A systematic review of the literature].

Authors:
A Rosten T Newton

Ned Tijdschr Tandheelkd 2019 Mar;126(3):141-150

Eating disorders represent a potentially life-threatening group of mental disorders, which affect a patient's relationship with food and their body. Eating disorders manifest themselves through chaotic and disordered eating habits. One such eating disorder is bulimia nervosa, which has a lifetime prevalence of 1%. Read More

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http://dx.doi.org/10.5177/ntvt.2019.03.19003DOI Listing
March 2019
2 Reads

Funciones ejecutivas y regulación emocional en obesidad y trastornos alimentarios.

Nutr Hosp 2019 Mar;36(1):167-172

Universidad de Valencia.

Introduction: Introduction: eating disorders (ED) such as anorexia nervosa (AN) or bulimia nervosa (BN), as well as obesity (OB), are related to emotional and neuropsychological impairments on measures of cognitive flexibility, central coherence or decision making. However, little is known about the association among emotional regulation, neuropsychological variables and affect. Objectives: to analyze whether neuropsychological and affect variables can predict emotional regulation in ED and in OB. Read More

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http://dx.doi.org/10.20960/nh.2016DOI Listing
March 2019
1 Read

Medication in AN: A Multidisciplinary Overview of Meta-Analyses and Systematic Reviews.

J Clin Med 2019 Feb 25;8(2). Epub 2019 Feb 25.

French Federation Anorexia Bulimia (FFAB), 75014 Paris, France.

Drugs are widely prescribed for anorexia nervosa in the nutritional, somatic, and psychiatric fields. There is no systematic overview in the literature, which simultaneously covers all these types of medication. The main aims of this paper are (1) to offer clinicians an overview of the evidence-based data in the literature concerning the medication (psychotropic drugs and medication for somatic and nutritional complications) in the field of anorexia nervosa since the 1960s, (2) to draw practical conclusions for everyday practise and future research. Read More

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http://dx.doi.org/10.3390/jcm8020278DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406645PMC
February 2019
1 Read

A Web-Based Intervention (MotivATE) to Increase Attendance at an Eating Disorder Service Assessment Appointment: Zelen Randomized Controlled Trial.

J Med Internet Res 2019 Feb 27;21(2):e11874. Epub 2019 Feb 27.

Research Centre for Behaviour Change, Psychology Department, Bournemouth University, Poole, United Kingdom.

Background: Early assessment and treatment of eating disorder patients is important for patient outcomes. However, up to a third of people referred for treatment do not access services and 16.4% do not attend their first scheduled assessment appointment. Read More

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http://dx.doi.org/10.2196/11874DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414822PMC
February 2019
2 Reads

Genetic risk factors for eating disorders: an update and insights into pathophysiology.

Ther Adv Psychopharmacol 2019 12;9:2045125318814734. Epub 2019 Feb 12.

Department of Psychological Medicine, King's College London, London, UK.

Genome-wide-association studies (GWASs), epigenetic, gene-expression and gene-gene interaction projects, nutritional genomics and investigations of the gut microbiota have increased our knowledge of the pathophysiology of eating disorders (EDs). However, compared with anorexia nervosa, genetic studies in patients with bulimia nervosa and binge-eating disorder are relatively scarce, with the exception of a few formal genetic and small-sized candidate-gene-association studies. In this article, we review important findings derived from formal and molecular genetics in order to outline a genetics-based pathophysiological model of EDs. Read More

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http://dx.doi.org/10.1177/2045125318814734DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378634PMC
February 2019
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Using internet-based self-help to bridge waiting time for face-to-face outpatient treatment for Bulimia Nervosa, Binge Eating Disorder and related disorders: Study protocol of a randomized controlled trial.

Internet Interv 2019 Apr 26;16:26-34. Epub 2018 Feb 26.

Technische Universität Dresden, Institut für Klinische Psychologie und Psychotherapie, Chemnitzer Str. 46, D-01187 Dresden, Germany.

Background: Eating disorders are serious conditions associated with an impaired health-related quality of life and increased healthcare utilization and costs. Despite the existence of evidence-based treatments, access to treatment is often delayed due to insufficient health care resources. Internet-based self-help interventions may have the potential to successfully bridge waiting time for face-to-face outpatient treatment and, thus, contribute to overcoming treatment gaps. Read More

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http://dx.doi.org/10.1016/j.invent.2018.02.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364326PMC
April 2019
1 Read

Paucisymptomatic pulmonary and right ear tuberculosis in young woman suffering from anorexia and bulimia nervosa.

Radiol Case Rep 2019 Mar 29;14(3):423-426. Epub 2019 Jan 29.

Tor Vergata University, Faculty of Medicine and Surgery, Department of Radiology, Viale Montpellier, 1, postal code 00133, Rome, Italy.

Nowadays tuberculosis has become a reemerging infectious disease due to the many forms of immunodeficiency. Patients with eating disorders like anorexia nervosa and bulimia are a susceptible group due to the immune impairment correlated with severe malnutrition and their prevalence and incidence is growing. We describe the case of a 31-year-old woman, with long-standing history of anorexia nervosa and bulimia, diagnosed with advanced pulmonary tuberculosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19300433183039
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http://dx.doi.org/10.1016/j.radcr.2018.10.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354621PMC
March 2019
8 Reads

Care experiences of young people with eating disorders and their parents: qualitative study.

BJPsych Open 2019 Jan;5(1):e6

Professor of Health Economics, King's Health Economics, Institute of Psychiatry, Psychology and Neuroscience,King's College London,UK.

Background: Perspectives of young people with eating disorders and their parents on helpful aspects of care should be incorporated into evidence-based practice and service design, but data are limited.AimsTo explore patient and parent perspectives on positive and negative aspects of care for young people with eating disorders.

Method: Six online focus groups with 19 young people aged 16-25 years with existing or past eating disorders and 11 parents. Read More

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http://dx.doi.org/10.1192/bjo.2018.78DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343117PMC
January 2019
1 Read

Psychiatric and medical correlates of DSM-5 eating disorders in a nationally representative sample of adults in the United States.

Int J Eat Disord 2019 Jan;52(1):42-50

Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.

Objective: To examine psychiatric and somatic correlates of DSM-5 eating disorders (EDs)-anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED)-in a nationally representative sample of adults in the United States.

Method: A national sample of 36,309 adult participants in the national epidemiologic survey on alcohol and related conditions III (NESARC-III) completed structured diagnostic interviews (AUDADIS-5) to determine psychiatric disorders, including EDs, and reported 12-month diagnosis of chronic somatic conditions. Prevalence of lifetime psychiatric disorders and somatic conditions were calculated across the AN, BN, and BED groups and a fourth group without specific ED; multiple logistic regression models compared the likelihood of psychiatric/somatic conditions with each specific ED relative to the no-specific ED group. Read More

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http://dx.doi.org/10.1002/eat.23004DOI Listing
January 2019
6 Reads

Psychiatric comorbidity as a risk factor for the mortality of people with bulimia nervosa.

Soc Psychiatry Psychiatr Epidemiol 2019 Feb 11. Epub 2019 Feb 11.

Department of Psychological Medicine, King's College London, London, UK.

Background: Bulimia nervosa (BN) is associated with increased mortality. Frequent comorbidities of BN include substance use disorders, affective disorders and personality disorders (PD). These comorbidities may add an additional risk for mortality. Read More

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http://dx.doi.org/10.1007/s00127-019-01667-0DOI Listing
February 2019
2 Reads

Immunoglobulin G modulation of the melanocortin 4 receptor signaling in obesity and eating disorders.

Transl Psychiatry 2019 Feb 12;9(1):87. Epub 2019 Feb 12.

Inserm UMR1073, Nutrition, Gut and Brain Laboratory, 76183, Rouen, France.

Melanocortin 4 receptor (MC4R) plays a key role in regulation of appetite activated by its main ligand α-melanocyte-stimulating hormone (α-MSH) in both central and peripheral targets. α-MSH also binds to circulating immunoglobulins (Igs) but the functional significance of such immune complexes (ICs) in MC4R signaling in normal and pathological conditions of altered appetite has remained unknown. To address this question, we analyzed plasma levels, affinity kinetics, and binding epitopes of α-MSH-reactive IgG extracted from plasma samples of female patients with hyperphagic obesity, anorexia nervosa, bulimia nervosa, binge-eating disorder, and healthy controls. Read More

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http://dx.doi.org/10.1038/s41398-019-0422-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372612PMC
February 2019
2 Reads

Patients' experiences of brief cognitive behavioral therapy for eating disorders: A qualitative investigation.

Int J Eat Disord 2019 Feb 11. Epub 2019 Feb 11.

Eating Disorders Service, Southern Health NHS Foundation Trust, Southampton, United Kingdom.

Objective: Although it is important to analyze the effectiveness of new therapies, it is also necessary to consider how patients experience them. This is particularly important if we are to maximize treatment acceptability and reduce attrition. This study examined patient experiences of a new 10-session cognitive-behavioral therapy (CBT-T), using a qualitative approach. Read More

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http://dx.doi.org/10.1002/eat.23039DOI Listing
February 2019
7 Reads

Increased Functional Connectivity Between Ventral Attention and Default Mode Networks in Adolescents With Bulimia Nervosa.

J Am Acad Child Adolesc Psychiatry 2019 Feb 29;58(2):232-241. Epub 2018 Oct 29.

Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, New York, NY, and the Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.

Objective: Bulimia nervosa (BN) is characterized by excessive attention to self and specifically to body shape and weight, but the ventral attention (VAN) and default mode (DMN) networks that support attentional and self-referential processes are understudied in BN. This study assessed whether altered functional connectivity within and between these networks contributes to such excessive concerns in adolescents with BN early the course of the disorder.

Method: Resting-state functional magnetic resonance images were acquired from 33 adolescents with BN and 37 healthy control adolescents (12-21 years) group matched by age and body mass index. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08908567183190
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http://dx.doi.org/10.1016/j.jaac.2018.09.433DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462410PMC
February 2019
13 Reads

Developmental Premorbid Body Mass Index Trajectories of Adolescents With Eating Disorders in a Longitudinal Population Cohort.

J Am Acad Child Adolesc Psychiatry 2019 Feb 13;58(2):191-199. Epub 2018 Dec 13.

Icahn School of Medicine at Mount Sinai, New York, NY; the University of Geneva, Switzerland; and the Institute of Child Health, University College London, UK. Electronic address:

Objective: To examine whether childhood body mass index (BMI) trajectories are prospectively associated with later eating disorder (ED) diagnoses.

Method: Using a subsample from the Avon Longitudinal Study of Parents and Children (N = 1,502), random-coefficient growth models were used to compare premorbid BMI trajectories of individuals who later developed anorexia nervosa (n = 243), bulimia nervosa (n = 69), binge-eating disorder (n = 114), and purging disorder (n = 133) and a control group without EDs or ED symptoms (n = 966). BMI was tracked longitudinally from birth to 12. Read More

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http://dx.doi.org/10.1016/j.jaac.2018.11.008DOI Listing
February 2019
4 Reads