17,543 results match your criteria Eating Disorder Anorexia


Orthorexia nervosa and eating disorder behaviors: A systematic review of the literature.

Appetite 2022 Jun 21:106134. Epub 2022 Jun 21.

University of South Alabama, Department of Psychology, Mobile, AL, 36688, USA.

Background: Orthorexia nervosa (ON) involves obsessive thoughts about healthy eating and distress related to this obsession. There is still dispute over whether ON should be considered on the obsessive-compulsive spectrum, the eating disorder (ED) spectrum, or as its own disorder. Based on current research, orthorexic behaviors seem to be closely related to eating disorder behaviors. Read More

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Helpful or harmful? The impact of the ketogenic diet on eating disorder outcomes in type 1 diabetes mellitus.

Expert Rev Endocrinol Metab 2022 Jun 24:1-13. Epub 2022 Jun 24.

Division of Biomedical Sciences, Warwick Medical School, University of Warwick, Coventry, UK.

Introduction: Eating disorders (EDs) are common complications in people with type 1 diabetes (PwT1D), given the rigid focus on food and insulin dose adjustment. Dietary recommendations for T1D match those for the general population, yet many fail to achieve target HbA1c. Evidence suggests that lower carbohydrate meals and thus reduced insulin requirements may decrease inconsistencies in insulin absorption, maintain euglycemia and weight. Read More

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[Characterization, epidemiology and trends of eating disorders].

Nutr Hosp 2022 Jun 22. Epub 2022 Jun 22.

Departamento de Biomedicina, Biotecnología y Salud Pública. Facultad de Enfermería y Fisioterapia. Universidad de Cádiz.

Background: Eating disorders are a group of conditions in which negative beliefs about food, body shape, and body weight together with behaviors such as restricted food intake, binge eating, excessive exercise, self-induced vomiting, and use of laxatives. They can become serious, affect quality of life, and lead to multiple physical and even psychiatric complications with a fatal outcome. The purpose of this chapter is to describe the characteristics, epidemiology, and trends of eating disorders with updated information based on the most recent publications. Read More

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Effects of Music Therapy in the Reduction of Pre-Meal Anxiety in Patients Suffering from Anorexia Nervosa.

Brain Sci 2022 Jun 19;12(6). Epub 2022 Jun 19.

The Giovanni Ferrari Music Therapy School, 35100 Padua, Italy.

Literature reviews appear to indicate that Music Therapy (MT) may instil a sense of empowerment and generate feelings of renewed self-confidence, distracting subjects who follow this type of intervention from negative thoughts and, generally, helping patients suffering from Anorexia Nervosa (AN) to redevelop or rediscover their identity. The purpose of the study reported in this paper is to investigate whether MT proposed before an evening meal is capable of decreasing pre-meal anxiety in adolescents suffering from AN who follow the Day-hospital Treatment Programme at the San Bortolo Hospital of Vicenza (Italy). A total of 24 patients participated voluntarily in once-weekly sessions of group-based MT conducted by a qualified music therapist over a period of six months. Read More

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Atypical Anorexia in Youth: Cautiously Bridging the Treatment Gap.

Children (Basel) 2022 Jun 5;9(6). Epub 2022 Jun 5.

Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, MA 02115, USA.

Atypical anorexia nervosa (AAN) is a restrictive eating disorder (ED) that describes individuals who may be normal weighted or overweight; many have a premorbid history of obesity. Pediatric care providers are trained to identify and provide best practices for youth with pediatric obesity; however, most pediatric care providers are not trained to assess and treat restrictive EDs which typically present in youth aged 10 and 14 years. Although individuals with AAN may appear to be within a 'healthy weight', many experience malnutrition, psychological symptoms, and severe physiological complications after weight loss. Read More

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International comparison of physicians' attitudes toward refusal of treatment by patients with anorexia nervosa: a case-based vignette study.

J Eat Disord 2022 Jun 23;10(1):86. Epub 2022 Jun 23.

Department of Biomedical Ethics, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.

Background: This study investigated the attitudes of physicians in Japan, the United Kingdom (UK), and the United States (US) toward refusal of treatment for anorexia nervosa.

Methods: A questionnaire survey was administered to physicians treating patients with eating disorder (Japan, n = 55; UK, n = 84; US, n = 82) to evaluate their treatment strategies for fictitious cases of refusal of treatment for anorexia nervosa.

Results: For acute patients, 53 (96. Read More

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Distinguishing delusional beliefs from overvalued ideas in Anorexia Nervosa: An exploratory pilot study.

J Eat Disord 2022 Jun 23;10(1):85. Epub 2022 Jun 23.

School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW, Australia.

Background: Characterised by the belief that more weight needs to be lost-despite emaciation, failing organs, medical instability and prospect of death-Anorexia Nervosa (AN) is a condition in which irrational, and highly-skewed, beliefs can be of delusional intensity. However, the nexus between delusion and rational awareness and how this is related to body image acceptance and perception has yet to be examined in AN. The current study aims to investigate the relationship between body dissatisfaction and beliefs of delusional intensity in an adult AN inpatient sample. Read More

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[Eating disorders].

Ned Tijdschr Geneeskd 2022 May 3;166. Epub 2022 May 3.

Arkin, Novarum, Amsterdam.

Eating disorders, such as anorexia, bulimia and binge eating disorder, are a common mental health problem, but are even so easily missed in the medical field. Patients experience a lot of shame to come up with their eating problem. Doctors tend to forget asking for eating pattern and purging when a patient has a normal weight or is obese. Read More

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Attachment insecurity predicts worse outcome in patients with eating disorders treated with enhanced cognitive behavior therapy: A one-year follow-up study.

Int J Eat Disord 2022 Jun 23. Epub 2022 Jun 23.

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

Objective: This study aimed to explore the role of attachment insecurity in predicting a worse longitudinal trend of eating disorder (ED) psychopathology and body uneasiness in patients with Anorexia Nervosa (AN) or Bulimia Nervosa (BN) treated with Enhanced Cognitive Behavior Therapy, considering the longitudinal interplay between these dimensions.

Method: In total, 185 patients with AN or BN performed the baseline assessment, and 123 were re-evaluated after 1 year of treatment. Participants completed questionnaires evaluating ED psychopathology (Eating Disorders Examination Questionnaire) and body uneasiness (body uneasiness test). Read More

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The embodiment of childhood abuse and anorexia nervosa: A body mapping study.

Health Care Women Int 2022 Jun 21:1-26. Epub 2022 Jun 21.

Hospital Road Randwick, Black Dog Institute, Randwick, New South Wales, Australia.

Childhood trauma has long been implicated in the development of anorexia nervosa and is known to impact more women than men. Still, less is known about the meaning women attribute to food and bodily practices and how they contribute to feminine subjectivity. In this article, we examine the subjective experiences of women with histories of childhood abuse and anorexia and women who did not develop an eating disorder. Read More

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An exploratory examination of executive functioning as an outcome, moderator, and predictor in outpatient treatment for adults with anorexia nervosa.

J Eat Disord 2022 Jun 17;10(1):83. Epub 2022 Jun 17.

Discipline of Psychology, Blackbird Initiative, Órama Research Institute, Flinders University, GPO Box 2100, Adelaide, South Australia, 5001, Australia.

Objective: People with anorexia nervosa often exhibit inefficiencies in executive functioning (central coherence and set shifting) that may negatively impact on treatment outcomes. It is unclear from previous research whether these inefficiencies can change over treatment. We aimed to (1) investigate whether executive functioning can improve over treatment, (2) determine whether baseline executive functioning moderates treatment outcome, and (3) examine whether baseline executive functioning predicts early change (i. Read More

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Increase in admission rates and symptom severity of childhood and adolescent anorexia nervosa in Europe during the COVID-19 pandemic: data from specialized eating disorder units in different European countries.

Child Adolesc Psychiatry Ment Health 2022 Jun 20;16(1):46. Epub 2022 Jun 20.

Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, RWTH Aachen University, Neuenhofer Weg 21, 52064, Aachen, Germany.

Background: The COVID-19 pandemic, associated with confinement and social isolation, seems to have impacted the course of many mental disorders in children and adolescents. An increase in hospital admission rates for juvenile anorexia nervosa (AN) has been documented in many regions of the world. However, data from Europe are scarce. Read More

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Anorexia nervosa and the gastrointestinal tract.

Frontline Gastroenterol 2022 20;13(4):316-324. Epub 2021 Aug 20.

Gastroenterology, Stockport NHS Foundation Trust, Stockport, UK.

Anorexia nervosa (AN) is a complex eating disorder associated with a high morbidity and mortality, however, there is a lack of dedicated training for healthcare professionals outside of mental health specialities. There has been a reported increase in acute admissions of patients with AN, which may have been precipitated by the isolation and loss of support networks created by the COVID-19 pandemic. The purpose of this review is to highlight that AN can present with a wide variety of signs and symptoms relating to both the hollow and solid organs of the gastrointestinal (GI) tract some of which may even be life threatening. Read More

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Trauma exposure and eating disorders: Results from a United States nationally representative sample.

Int J Eat Disord 2022 Jun 19. Epub 2022 Jun 19.

San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, California.

Objective: Sexual assault, child abuse, and combat have been linked to eating disorders (EDs). However, noninterpersonal trauma is relatively understudied, and therefore it is unknown whether noninterpersonal trauma is associated with EDs. Furthermore, most previous studies do not account for multiple trauma exposures, or the relative association of traumatic events with EDs in the same statistical model. Read More

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A network analysis in adolescent anorexia nervosa exploring the connection between both patient and carer reactions and outcome.

Eur Eat Disord Rev 2022 Jun 19. Epub 2022 Jun 19.

Department of Psychological Medicine, Section of Eating Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Objective: This paper used network analysis to test the associations between eating disorder-related psychopathology and carers' responses to anorexia nervosa symptoms in adolescents. Additionally, the prognostic value of central and bridge network nodes was explored.

Method: This is a secondary analysis of a three-armed randomised-controlled-trial of adolescents with anorexia nervosa (n = 149) and their primary carer (n = 149) who were allocated to either treatment as usual (TAU), or one of two versions of a carer skills intervention (ECHO) added to TAU. Read More

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Real-Life Self-Control Conflicts in Anorexia Nervosa: An Ecological Momentary Assessment Investigation.

Eur Psychiatry 2022 Jun 16:1-22. Epub 2022 Jun 16.

Translational Developmental Neuroscience Section, Division of Psychological and Social Medicine and Developmental Neuroscience, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany.

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The impact of anorexia nervosa and BMI polygenic risk on childhood growth: A 20-year longitudinal population-based study.

Am J Hum Genet 2022 Jun 8. Epub 2022 Jun 8.

Department of Pediatrics Gynaecology and Obstetrics, Faculty of Medicine, University of Geneva, Geneva, Switzerland; Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland; Great Ormond Street Institute of Child Health, University College London, London, UK; Mental Health Services in the Capital Region of Denmark, Eating Disorders Research Unit, Psychiatric Centre Ballerup, Ballerup, Denmark. Electronic address:

Growth deviating from the norm during childhood has been associated with anorexia nervosa (AN) and obesity later in life. In this study, we examined whether polygenic scores (PGSs) for AN and BMI are associated with growth trajectories spanning the first two decades of life. AN PGSs and BMI PGSs were calculated for participants of the Avon Longitudinal Study of Parents and Children (ALSPAC; n = 8,654). Read More

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Treatment response in children and adolescents with anorexia nervosa: a naturalistic, case-control study.

Eat Weight Disord 2022 Jun 15. Epub 2022 Jun 15.

IRCCS Istituto delle Scienze Neurologiche di Bologna, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, UO Neuropsichiatria dell'Età Pediatrica, Bologna, Italy.

Purpose: Although a few recent articles describe adults with treatment-resistant anorexia nervosa (TR-AN), no study addresses the specific features of subjects not responding to treatment in the developmental age. This study reports on the clinical and psychopathological variables that distinguish children and adolescents who did not respond to treatment (here "TR-AN") from good-outcome controls, in a multidisciplinary hospital treatment setting.

Methods: Naturalistic, case-control study conducted on individuals showing lack of response to treatment and good-outcome controls. Read More

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Malocclusion and its relationship with oral health-related quality of life in patients with eating disorders.

Dental Press J Orthod 2022 10;27(2):e2220305. Epub 2022 Jun 10.

Universidade Estadual de São Paulo (UNESP), Faculdade de Odontologia, Departamento de Odontologia Preventiva e Restauradora (Araçatuba/SP, Brazil).

Objective: To evaluate the prevalence and severity of malocclusion and its impact on oral health-related quality of life (OHRQoL) and self-reported satisfaction of patients with anorexia and bulimia nervosa.

Methods: The sample consisted of sixty women who attended a specialized mental health clinic of a Brazilian medical school. Participants were distributed into two groups: patients with anorexia and bulimia nervosa (ABN; n=30) and control patients without eating disorders (CN; n=30). Read More

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DNA methylation in people with Anorexia Nervosa: Epigenome-wide patterns in actively ill, long-term remitted, and healthy-eater women.

World J Biol Psychiatry 2022 Jun 15:1-17. Epub 2022 Jun 15.

Sainte-Justine Hospital Research Centre, University of Montreal, Montreal, Canada.

Recent studies have reported altered methylation levels at disorder-relevant DNA sites in people who are ill with Anorexia Nervosa (AN) compared to findings in people with no eating disorder (ED) or in whom AN has remitted. The preceding implies state-related influences upon gene expression in people with AN. The present study further examined this notion. Read More

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Specific Learning Disorders and Eating Disorders: an Italian retrospective study.

Ital J Pediatr 2022 Jun 14;48(1):96. Epub 2022 Jun 14.

IRCCS Istituto delle Scienze Neurologiche di Bologna, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, UO di Neuropsichiatria dell'Età Pediatrica, Bologna, Italy.

Background: Although Anorexia Nervosa (AN) patients show dysfunctional behaviour in information processing, visual and verbal memory performance, and different cognitive fields, regardless of their BMI, the literature on the correlations between Eating Disorders (ED) and Neurodevelopmental Disorders (NDD) does not provide conclusive data. Rather than a consequence of the mental disorder, cognitive dysfunctions may be a risk factor for AN.

Methods: Our retrospective study investigates the prevalence of Specific Learning Disorder (SLD) among patients with ED. Read More

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Acceptability of using a nasogastric refeeding protocol with adult patients with medically unstable eating disorders.

J Eval Clin Pract 2022 Jun 14. Epub 2022 Jun 14.

Metro North Mental Health Metro North Hospital and Health Service, Herston, Queensland, Australia.

Rationale, Aims And Objectives: Nasogastric feeding is becoming commonly used to support patients with medically compromised eating disorders. Previous research has demonstrated the safety of this approach, however there is limited evidence as to how adult patients and staff perceive this feeding method. This study aimed to describe the acceptability of a nasogastric refeeding protocol with adult patients with medically unstable eating disorders and the staff involved in their treatment. Read More

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Interactions between emotion regulation and everyday flexibility in anorexia nervosa: Preliminary evidence of associations with clinical outcomes.

Eat Disord 2022 Jun 14:1-12. Epub 2022 Jun 14.

InsideOut Institute, The University of Sydney, Sydney, New South Wales, Australia.

The current study explored interactions between emotion regulation (ER) and cognitive-behavioral flexibility in everyday life in individuals with anorexia nervosa (AN). Participants were 97 female adults with current (57%) or past (43%) full or partial AN syndrome diagnosis. Participants completed the Difficulties with Emotion Regulation Scale, Emotion Regulation Questionnaire, Eating Disorder Flexibility Index, Eating Disorder Examination Questionnaire and Depression Anxiety Stress Scale short form. Read More

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Effectiveness of delivering evidence-based eating disorder treatment via telemedicine for children, adolescents, and youth.

Eat Disord 2022 Jun 13:1-17. Epub 2022 Jun 13.

Clinical Department, Equip Health, Carlsbad, California, USA.

Barriers limit access to eating disorder treatment. Evidence-based treatment delivered using telemedicine could expand access. This study determined the effectiveness of enhanced Family-Based Treatment (FBT+) delivered using telemedicine for children and adolescents with eating disorders. Read More

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A Longitudinal Magnetoencephalographic Study of the Effects of Deep Brain Stimulation on Neuronal Dynamics in Severe Anorexia Nervosa.

Front Behav Neurosci 2022 18;16:841843. Epub 2022 May 18.

Department of Psychiatry, Medical Sciences Division, University of Oxford, Oxford, United Kingdom.

Anorexia Nervosa (AN) is a debilitating psychiatric disorder characterized by the relentless pursuit of thinness, leading to severe emaciation. Magnetoencephalography (MEG)was used to record the neuronal response in seven patients with treatment-resistant AN while completing a disorder-relevant food wanting task. The patients underwent a 15-month protocol, where MEG scans were conducted pre-operatively, post-operatively prior to deep brain stimulation (DBS) switch on, twice during a blind on/off month and at protocol end. Read More

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Changes in specific and nonspecific psychopathology network structure after intensive cognitive behavior therapy in patients with anorexia nervosa.

Int J Eat Disord 2022 Jun 11. Epub 2022 Jun 11.

Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, Italy.

Objective: This study aimed to compare eating disorder-specific and nonspecific clinical features in patients with anorexia nervosa before and after intensive enhanced cognitive behavior therapy (CBT-E) via network analysis.

Methods: All consecutive patients admitted to intensive CBT-E were eligible, and the sample comprised patients aged ≥16 years who completed a 20-week intensive CBT-E program. Body mass index (BMI), Eating Disorder Examination Questionnaire and Brief Symptoms Inventory responses were gathered at baseline and end of treatment, and used to generate statistical networks of the connections between symptoms (nodes) and the strength and centrality thereof. Read More

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Adiponectin in anorexia nervosa and its modifiers: A meta-regression study.

Int J Eat Disord 2022 Jun 11. Epub 2022 Jun 11.

Clinical Research Division, The Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York, USA.

Objective: Adiponectin, which is secreted from adipose tissue, is a protein hormone. Although a large body of studies have found that circulating adiponectin levels increase in anorexia nervosa (AN) and caloric restriction, the effect of subtypes of AN and modifiers of adiponectin in AN are not yet known.

Methods: A systematic search of electronic databases was performed using the search terms "adiponectin," "anorexia nervosa," and "eating disorder" up to January 2021. Read More

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Time course and reaction types of serum IGF-1 and its relationship to BMI and leptin regarding inpatients with anorexia nervosa.

Growth Horm IGF Res 2022 Jun 31;64:101470. Epub 2022 May 31.

Department of General Internal Medicine and Psychosomatics, Medical University Hospital, Heidelberg, Germany. Electronic address:

Objective: Anorexia nervosa (AN) is a severe mental disorder that is characterized by restriction of energy intake, low weight, and endocrine abnormalities. One of the known endocrine changes in relation to underweight is in the GH/IGF-I axis. The aim of the study was (a) to investigate longitudinal characteristics of the IGF-I-change during therapy and weight gain in adult AN, (b) to determine relationships between IGF-I and leptin, (c) to characterize patients with weak and pronounced hormonal reactions to underweight. Read More

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Gender Differences in Treatment Outcomes for Eating Disorders: A Case-Matched, Retrospective Pre-Post Comparison.

Nutrients 2022 May 27;14(11). Epub 2022 May 27.

University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia, Ruhr-University Bochum, 32312 Luebbecke, Germany.

Eating disorders (EDs) are increasingly emerging as a health risk in men, yet men remain underrepresented in ED research, including interventional trials. This underrepresentation of men may have facilitated the development of women-centered ED treatments that result in suboptimal outcomes for men. The present study retrospectively compared pre- vs. Read More

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