8,031 results match your criteria Bulimia Nervosa

Cost-Effectiveness Comparison of Delivery Modalities for a Dissonance-Based Eating Disorder Prevention Program over 4-Year Follow-Up.

Prev Sci 2021 Jun 21. Epub 2021 Jun 21.

Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.

The cost-effectiveness of delivery methods for an eating disorder prevention program is reported. In an effectiveness trial (enrollment 2013-2015) comparing three formats (clinician-led, peer-led, and Internet-delivered) for delivering the Body Project eating disorder prevention program to college women versus an educational video control, the peer-led method was more effective than the three alternatives at preventing onset of eating disorders over 4-year follow-up. Eating disorder incidence was 19. Read More

View Article and Full-Text PDF

The Mediating Role of Temperamental Traits on the Relationship between Age of Puberty and Eating Disorders: A Mediating Analysis through Structural Equation Modelling of Australian Eating Disorder Outpatients.

J Genet Psychol 2021 Jun 21:1-15. Epub 2021 Jun 21.

University of Sunshine Coast, Petrie, Australia.

The current study had the aim to assess whether temperamental traits mediate the relationship between time of puberty and eating disorder (ED) severity using a sample of 292 outpatients with EDs [68 with Anorexia Nervosa Restrictive Type (AN-R), 101 with Anorexia Nervosa Binge Purging Type (AN-BP), 72 with Bulimia Nervosa (BN) and 51 with Other Specified Feeding and Eating Disorder (OSFED)]. Age of puberty, the severity of EDs, and temperamental traits were assessed through Demographic and Medical History Form, Eating Disorder Examination 17.0d (EDE-17. Read More

View Article and Full-Text PDF

Skin signs in eating disorders: a literature review.

Eat Weight Disord 2021 Jun 17. Epub 2021 Jun 17.

Istituto Dermopatico Dell'Immacolata, (IDI) IRCCS, Rome, Italy.

Purpose: To summarize and describe the available knowledge on dermatological manifestation of eating disorders: anorexia nervosa, bulimia nervosa, binge eating disorder and eating disorder not otherwise specified, diagnosed according to Diagnostic and Statistical Manual of Mental Disorders IV-TR and 5th edition.

Methods: We searched in PubMed, Scopus and Web of Science databases from January 1, 1980 through May 1, 2020 for papers in English language on the skin manifestation of eating disorders. Results were screened using the PRISMA tool. Read More

View Article and Full-Text PDF

A case series of CBT-T in routine clinical practice.

Int J Eat Disord 2021 Jun 17. Epub 2021 Jun 17.

School of Education, University of Bristol, Bristol, UK.

Objective: CBT-T is a relatively new, brief cognitive behavioral therapy eating disorder treatment for non-underweight patients. This study evaluates CBT-T independently from the team that developed the protocol, and examines the relationship between eating disorder duration and CBT-T effectiveness.

Method: A case series design was used, comprising N = 40 adults with bulimia or atypical anorexia type eating disorders. Read More

View Article and Full-Text PDF

Post-hospitalization Daycare Treatment for Adolescents With Eating Disorders.

Front Psychiatry 2021 31;12:648842. Epub 2021 May 31.

Pediatric Psychosomatic Department, Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.

There are several possible facilities for the treatment of eating disorders (EDs). Specifically, there is the issue of the use of specialized daycare and ambulatory services over inpatient settings and the place of daycare programs following inpatient treatment. We sought to examine the contribution of post-hospitalization daycare program to the treatment of adolescents hospitalized with an ED. Read More

View Article and Full-Text PDF

Is there a maximum desirable heart rate variability?

Mara Mather

Neurosci Biobehav Rev 2021 Jun 12;128:87-89. Epub 2021 Jun 12.

Leonard Davis School of Gerontology, Department of Psychology, Department of Biomedical Engineering, University of Southern California, United States. Electronic address:

View Article and Full-Text PDF

Third-wave interventions for eating disorders in adolescence - systematic review with meta-analysis.

Borderline Personal Disord Emot Dysregul 2021 Jun 14;8(1):20. Epub 2021 Jun 14.

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Wuerzburg, Margarete-Hoeppel-Platz 1, 97080, Wuerzburg, Germany.

Context: Third-wave therapies have demonstrated efficacy as a treatment option for EDs in adulthood. Data on the suitability for EDs in adolescence are lacking.

Objective: To estimate the efficacy of third-wave interventions to reduce ED symptoms in adolescents in randomized controlled trials (RCTs) and uncontrolled studies. Read More

View Article and Full-Text PDF

Pilot data from the Self-Blame and Perspective-Taking Intervention for eating disorders.

J Behav Cogn Ther 2021 Mar 3;31(1):57-66. Epub 2021 Mar 3.

Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, USA 75390-9070.

Eating disorders (EDs) are characterized by altered eating behaviors and valuation of self-image, as well as difficulty establishing supportive social relationships. This pilot study evaluated feasibility, acceptability, and clinical responses to a novel and brief group-therapy intervention for EDs, the Self-Blame and Perspective-Taking Intervention (SBPI). The SBPI consisted of four sessions of experiential art therapy activities in conjunction with psychoeducation targeting interpersonal attributions and mentalization. Read More

View Article and Full-Text PDF

Early repolarization pattern in adult females with eating disorders.

Ann Noninvasive Electrocardiol 2021 Jun 11:e12865. Epub 2021 Jun 11.

Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.

Introduction: The risk of cardiovascular death is increased in patients with eating disorders (ED), but the background for this is unknown. Early repolarization pattern (ERP) on the electrocardiogram (ECG) has been associated with increased risk of sudden cardiac death.

Methods: We investigated the prevalence of ERP in 233 female patients with anorexia nervosa (AN) and bulimia nervosa (BN) (age 18-35 years) compared with 123 healthy female controls. Read More

View Article and Full-Text PDF

A qualitative study on the multi-level process of resilience development for adults recovering from eating disorders.

J Eat Disord 2021 Jun 9;9(1):66. Epub 2021 Jun 9.

School of Psychology, University College Dublin, Dublin, Ireland.

Background: Resilience research to date has been criticised for its consideration of resilience as a personal trait instead of a process, and for identifying individual factors related to resilience with no consideration of the ecological context. The overall aim of the current study was to explore the multi-level process through which adults recovering from EDs develop resilience, from the perspectives of clients and clinicians. The objective of this research was to outline the stages involved in the process of developing resilience, which might help to inform families and services in how best to support adults with EDs during their recovery. Read More

View Article and Full-Text PDF

Eating disorders treatment experiences and social support: Perspectives from service seekers in mainland China.

Int J Eat Disord 2021 Jun 8. Epub 2021 Jun 8.

Department of Psychology, Michigan State University, East Lansing, Michigan, USA.

Objective: This study explored treatment experiences and social support among individuals with eating disorders (EDs) in mainland China.

Method: Subscribers of a Chinese online social media platform (WeChat) focused on EDs were invited to complete a screening questionnaire that included the Eating Disorder Diagnostic Scale for the DSM-5. Of the 116 questionnaire responses, 31 met inclusion criteria for follow-up interviews. Read More

View Article and Full-Text PDF

Burden of Eating Disorders in China, 1990-2019: An Updated Systematic Analysis of the Global Burden of Disease Study 2019.

Front Psychiatry 2021 21;12:632418. Epub 2021 May 21.

Department of Endocrinology and Metabolism and the Institute of Endocrinology, The First Hospital of China Medical University, Shenyang, China.

Eating disorders, including anorexia nervosa (AN) and bulimia nervosa (BN), are complex mental disorders. A better understanding of the burden of eating disorders is essential for improving their management. Information about the burden of eating disorders at the national level in China remains unclear. Read More

View Article and Full-Text PDF

Irritable bowel syndrome and functional dyspepsia in patients with eating disorders - a systematic review.

Eur Eat Disord Rev 2021 Jun 4. Epub 2021 Jun 4.

Charité Center for Internal Medicine and Dermatology, Department for Psychosomatic Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

Objectives: The prevalence of eating disorders is rising worldwide. The low body weight in anorexia nervosa as well as the increase in body mass index due to binge eating disorder are contributing to a strikingly high morbidity and mortality. In a similar pattern, the prevalence and burden of the disease of functional gastrointestinal disorders such as functional dyspepsia and irritable bowel syndrome is increasing. Read More

View Article and Full-Text PDF

Attentional bias in eating disorders: A meta-review.

Int J Eat Disord 2021 Jun 3. Epub 2021 Jun 3.

School of Psychology, Cardiff University, Cardiff, UK.

Objective: This meta-review summarizes and synthesizes the most reliable findings regarding attentional bias in eating disorders across paradigms and stimulus types and considers implications for theory and future research.

Method: Four databases were systematically searched, along with reference lists of included reviews, yielding 15 systematic reviews (four of which were also meta-analyses). The quality of each review was appraised using the AMSTAR-2. Read More

View Article and Full-Text PDF

Effects of Hormonal Contraception Use on Cognitive Functions in Patients With Bulimia Nervosa.

Front Psychiatry 2021 17;12:658182. Epub 2021 May 17.

Department of Emergency Psychiatry and Post-Acute Care, CHRU Montpellier, Montpellier, France.

Growing evidences indicate that sex hormones have an effect on cognitive functions, and that Bulimia Nervosa (BN) is associated with cognitive impairment. The aim of this study was to determine the effect of hormonal contraception (HC) use on four cognitive functions that are impaired in patients with BN. This retrospective exploratory study included 103 women with a diagnosis of BN based on the DSM-5 criteria. Read More

View Article and Full-Text PDF

Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies.

Mol Psychiatry 2021 Jun 2. Epub 2021 Jun 2.

Department of Psychosis Studies, Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Promotion of good mental health, prevention, and early intervention before/at the onset of mental disorders improve outcomes. However, the range and peak ages at onset for mental disorders are not fully established. To provide robust, global epidemiological estimates of age at onset for mental disorders, we conducted a PRISMA/MOOSE-compliant systematic review with meta-analysis of birth cohort/cross-sectional/cohort studies, representative of the general population, reporting age at onset for any ICD/DSM-mental disorders, identified in PubMed/Web of Science (up to 16/05/2020) (PROSPERO:CRD42019143015). Read More

View Article and Full-Text PDF

Medical complications of bulimia nervosa.

Cleve Clin J Med 2021 06 2;88(6):333-343. Epub 2021 Jun 2.

ACUTE Center for Eating Disorders at Denver Health, Denver, CO; Department of Medicine, University of Colorado School of Medicine, Aurora, CO

Bulimia nervosa, a mental illness 4 times more common than anorexia nervosa, is characterized by binge-eating followed by compensatory purging behaviors, which include self-induced vomiting, diuretic abuse, laxative abuse, and misuse of insulin. Patients with bulimia nervosa are at risk of developing medical complications that affect all body systems, especially the renal and electrolyte systems. Behavior cessation can reverse some, but not all, medical complications. Read More

View Article and Full-Text PDF

The Course of Weight/Shape Concerns and Disordered Eating Symptoms Among Adolescent and Young Adult Males.

J Adolesc Health 2021 May 29. Epub 2021 May 29.

Department of Epidemiology, Brown University School of Public Health, Providence, Rhode Island; Department of Pediatrics, Warren Alpert Medical School, Providence, Rhode Island.

Purpose: Male weight concerns tend to focus on shape and muscularity as opposed to a desire for thinness and remain underdetected by conventional eating disorder assessments. We aimed to describe the longitudinal course of weight concerns and disordered eating behaviors among males across adolescence and young adulthood.

Methods: We used prospective assessments of 4,489 U S. Read More

View Article and Full-Text PDF

Subcortical brain volume and cortical thickness in adolescent girls and women with binge eating.

Int J Eat Disord 2021 Jun 1. Epub 2021 Jun 1.

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA.

Objective: Alterations in brain structure have been implicated in the onset and acute phases of several forms of psychopathology. However, there is a dearth of research investigating brain structure in persons with binge eating, contributing to poor understanding of mechanisms associated with binge eating.

Method: Adolescent girls and women (aged 14-35 years) with binge eating (n = 56) and group age-matched girls and women without binge eating (n = 26) completed structural magnetic resonance imaging (MRI) scans and interview-based and self-report assessments of eating disorder and general psychopathology. Read More

View Article and Full-Text PDF

Personality traits and night eating syndrome in women with bulimia nervosa and binge eating disorder.

Eat Weight Disord 2021 May 31. Epub 2021 May 31.

University of Otago, Christchurch, New Zealand.

Purpose: Previous research suggests that eating disorders may be associated with certain personality profiles; however, there is limited research investigating associations with night eating syndrome (NES). This research suggests harm avoidance personality trait is higher in NES individuals than in the general population, however, evidence of associations with other personality traits is inconsistent. To understand which personality traits are associated with NES symptoms, the current study aimed to improve understanding of the relationship between NES symptoms and a range of personality traits, addressing limitations in the earlier literature in this area by controlling for common confounders. Read More

View Article and Full-Text PDF

A Clinician-Controlled Just-in-time Adaptive Intervention System (CBT+) Designed to Promote Acquisition and Utilization of Cognitive Behavioral Therapy Skills in Bulimia Nervosa: Development and Preliminary Evaluation Study.

JMIR Form Res 2021 May 31;5(5):e18261. Epub 2021 May 31.

Center for Weight, Eating and Lifestyle Science, Drexel University, Philadelphia, PA, United States.

Background: Cognitive behavioral therapy (CBT) for bulimia nervosa (BN) is most effective when patients demonstrate adequate skill utilization (ie, the frequency with which a patient practices or uses therapeutic skills) and skill acquisition (ie, the ability to successfully perform a skill learned in treatment). However, rates of utilization and acquisition of key treatment skills (eg, regular eating, urge management skills, and mood management skills) by the end of the treatment are frequently low; as a result, outcomes from CBT for BN are affected. Just-in-time adaptive interventions (JITAIs) may improve skill acquisition and utilization by delivering real-time interventions during algorithm-identified opportunities for skill practice. Read More

View Article and Full-Text PDF

Neurobiological and Psychological Maintenance Mechanisms Associated with Anticipatory Reward in Bulimia Nervosa.

J Psychiatr Brain Sci 2021 8;6(2). Epub 2021 Apr 8.

Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN 55454, USA.

The purpose of this investigation is to identify the anticipatory reward mechanisms that maintain binge eating and purging in bulimia nervosa. Emerging data indicate the importance of reward and anticipatory processes as maintenance mechanisms of bulimia nervosa that can be targeted in treatment. The proposed research will identify neurobiological and psychological anticipatory mechanisms of binge eating and purging using functional magnetic resonance imaging (fMRI), and ecological momentary assessment (EMA) in the natural environment. Read More

View Article and Full-Text PDF

Characterizing eating disorder diagnosis and related outcomes by sexual orientation and gender identity in a national sample of college students.

Eat Behav 2021 May 15;42:101528. Epub 2021 May 15.

Department of Psychiatry, Washington University School of Medicine, Mailstop 8134-29-2100, 660 S. Euclid Ave., St. Louis, MO 63110, USA.

Objective: In a national sample of college students, the current study aimed to: 1) examine differences in probable diagnoses of EDs (i.e., anorexia nervosa (AN), clinical/subthreshold bulimia nervosa (BN), or binge eating disorder (BED)) and weight and shape concerns by sexual orientation and gender identity, and 2) examine differences in ED chronicity and probable comorbid psychiatric diagnoses by sexual orientation and gender identity. Read More

View Article and Full-Text PDF

Virtual reality in the treatment of eating disorders.

Clin Psychol Psychother 2021 May 28. Epub 2021 May 28.

Humane Technology Lab., Università Cattolica del Sacro Cuore, Milan, Italy.

Over the last 25 years, virtual reality (VR) has offered innovative solutions for targeting different key symptoms of eating disorders: from craving to negative emotions, from attentional biases to body dissatisfaction. The present narrative review assesses the existing literature in these areas trying to identify their different levels of clinical evidence. Specifically, the review presents four clinical approaches based upon VR and their implications in the treatment of eating disorders: VR cue exposure, VR reference frame shifting, VR for correcting body distortions and attentional biases. Read More

View Article and Full-Text PDF

The patterns of family genetic risk scores for eleven major psychiatric and substance use disorders in a Swedish national sample.

Transl Psychiatry 2021 May 27;11(1):326. Epub 2021 May 27.

Center for Primary Health Care Research, Lund University, Malmö, Sweden.

To clarify the structure of genetic risks for 11 major psychiatric disorders, we calculated, from morbidity risks for disorders in 1st-5th degree relatives controlling for cohabitation effects, in the Swedish population born between 1932 and 1995 (n = 5,830,014), the family genetic risk scores (FGRS) for major depression (MD), anxiety disorders (AD), obsessive-compulsive disorder (OCD), bipolar disorder (BD), schizophrenia (SZ), bulimia (BUL), anorexia nervosa (AN), alcohol use disorder (AUD), drug use disorder (DUD), ADHD, and autism-spectrum disorder (ASD). For all affected individuals, we calculated their mean standardized FGRS for each disorder. The patterns of FGRS were quite similar for MD and AD, and for AUD and DUD, but substantially less similar for BUL and AN, BD and SZ, and ADHD and ASD. Read More

View Article and Full-Text PDF

A systematic review and meta-analysis of the prevalence and odds of eating disorders in patients with celiac disease and vice-versa.

Int J Eat Disord 2021 May 27. Epub 2021 May 27.

Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Objectives: In the present systematic review and meta-analysis study, we aimed to review studies that assessed the prevalence and risk of eating disorders (EDs) in patients with celiac disease (CD) and vice-versa.

Method: We conducted a systematic search in PubMed, Embase, Scopus, and Web of Science for studies that assessed the prevalence and risk of AN in patients with CD and vice-versa. Joanna Briggs Institute tools were used for critical appraisal. Read More

View Article and Full-Text PDF

Bupropion-induced acute dystonia in a patient with bulimia nervosa: A case report.

J Family Med Prim Care 2021 Feb 27;10(2):1034-1036. Epub 2021 Feb 27.

Department of Psychiatry, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi, University of Medical Sciences, Yazd, Iran.

Bupropion is taken as an antidepressant for treatment of major depressive disorders, treatment of sexual side effects of selective serotonin reuptake inhibitors, and as a smoking cessation aid, however, it may result in adverse effects such as nausea, dry mouth, headache, insomnia, dizziness, anxiety, tremor, and constipation. We investigate the case of a 34-year-old woman with bulimia nervosa where acute dystonia was induced by bupropion in 8 months. Following this diagnosis and after normal tests and MRI results, the patient was advised to discontinue bupropion intake. Read More

View Article and Full-Text PDF
February 2021

Common and Emergent Oral and Gastrointestinal Manifestations of Eating Disorders.

Gastroenterol Hepatol (N Y) 2021 Apr;17(4):157-167

Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Eating disorders (EDs) such as anorexia nervosa, bulimia nervosa, and avoidant/restrictive food intake disorder are associated with restricted diets and abnormal compensatory behaviors, frequently leading to malnutrition and oral and gastrointestinal manifestations. Dental and oral complications are generally caused by malnutrition, micro-nutrient deficiency, and chronic acid exposure; hence, treatment of the ED and frequent dental examinations are essential to reduce morbidity. Gastrointestinal manifestations are multifactorial in origin, and may be caused by disordered behaviors, malnutrition, anxiety, and/or may be a function of the ED itself. Read More

View Article and Full-Text PDF

A systematic review of treatment approaches for compulsive exercise among individuals with eating disorders.

Eat Disord 2021 May 24:1-26. Epub 2021 May 24.

Department of Kinesiology and Physical Education, McGill University, Montreal, Canada.

Individuals with eating disorders often experience compulsive exercise which, if left untreated, can lead to longer treatment and worsened symptoms. Compulsive exercise must be addressed within eating disorder treatment to help individuals establish a healthy relationship with exercise. However, there are currently no standardized guidelines for treating compulsive exercise or a consensus on which forms of treatment are most effective. Read More

View Article and Full-Text PDF