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Bulimia nervosa with history of anorexia nervosa: Could the clinical subtype of anorexia have implications for clinical status and treatment response?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To investigate whether the subtype of anorexia nervosa (AN) could influence the bulimic syndrome and treatment response in bulimia nervosa (BN) patients with a history of AN (BN/AN+).Seventy female BN patients were assessed for eating disorder, psychopathology and personality, and treated for 6 months.BN/AN+ patients retained some traits of their past condition: lower body weight, higher perfectionism, and higher reward dependence. They also had more severe symptoms, longer evolution time, and worse response to treatment. A history of restricting AN was associated to higher age, longer evolution time, higher impulsivity, a...
Source: International Journal of Eating Disorders - February 9, 2010 Category: Eating Disorders and Weight Management Authors: Francisco J. Vaz-Leal, Laura Rodríguez Santos, M. Angustias García-Herráiz, Melchora Monge-Bautista, Beatriz López-Vinuesa Source Type: journals

Comparison of methods for identifying and assessing obese patients with binge eating disorder in primary care settingsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Given the prevalence and health significance of binge eating disorder (BED) it is important to determine if time-efficient self-reports can adequately assess BED and its features in primary care settings. We compared the Eating Disorder Examination-Questionnaire (EDE-Q) and Questionnaire for Eating and Weight Patterns-Revised (QEWP-R), administered to obese patients with BED in primary care setting to the Eating Disorder Examination (EDE) interview.Sixty-six participants completed the questionnaires and were interviewed.The EDE interview was significantly correlated with the EDE-Q (binge eating, four subscales, and global ...
Source: International Journal of Eating Disorders - February 8, 2010 Category: Eating Disorders and Weight Management Authors: Rachel D. Barnes, Robin M. Masheb, Marney A. White, Carlos M. Grilo Source Type: journals

Life beyond the eating disorder: Education, relationships, and reproductionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We investigated the sociodemographic characteristics in women with and without lifetime eating disorders.Participants were from a multisite international study of eating disorders (N = 2,096). Education level, relationship status, and reproductive status were examined across eating disorder subtypes and compared with a healthy control group.Overall, women with eating disorders were less educated than controls, and duration of illness and age of onset were associated with educational attainment. Menstrual status was associated with both relationship and reproductive status, but eating disorder subtypes did not differ signif...
Source: International Journal of Eating Disorders - February 8, 2010 Category: Eating Disorders and Weight Management Authors: Millie Maxwell, Laura M. Thornton, Tammy L. Root, Andrea Poyastro Pinheiro, Michael Strober, Harry Brandt, Steve Crawford, Scott Crow, Manfred M. Fichter, Katherine A. Halmi, Craig Johnson, Allan S. Kaplan, Pamela Keel, Kelly L. Klump, Maria LaVia, James Source Type: journals

Use of mirtazapine in an adult with refractory anorexia nervosa and comorbid depression: A case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The objective of this report was to describe an efficacious treatment of an adult with long-standing anorexia nervosa (AN). A 50-year-old woman with an over 7-year history of AN and comorbid major depression had been treated unsuccessfully with numerous psychotropic medications, manualized cognitive behavior therapy, and an intensive outpatient treatment program before referral. After treatment with mirtazapine, she gained weight and her depression improved. A 9-month follow-up revealed a maintenance of these benefits. Mirtazapine may be useful for older, chronically ill patients presenting with AN and comorbid depression....
Source: International Journal of Eating Disorders - February 3, 2010 Category: Eating Disorders and Weight Management Authors: Debra L. Safer, Alison M. Darcy, James Lock Source Type: journals

Rationale for the application of Exposure and Response Prevention to the treatment of anorexia nervosaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Anorexia nervosa (AN) is a life threatening and difficult to treat illness with a high relapse rate. Current treatments are inadequate and new approaches to treatment are needed.We review the data on anxiety in AN, the relationship between anxiety disorders and AN, and the use of Exposure and Response Prevention in treatment.The overlap between AN and anxiety disorders suggest a model of AN in which baseline anxiety features yield eating related fears, avoidance behaviors, and ritualized safety behaviors that promote the underweight state and the perpetuation of the disorder. We propose an Exposure and Response Prevention ...
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: Joanna E. Steinglass, Robyn Sysko, Deborah Glasofer, Anne Marie Albano, H. Blair Simpson, B. Timothy Walsh Source Type: journals

Processing of pictorial food stimuli in patients with eating disorders - A systematic reviewemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The processing of food cues in eating-disordered patients has recently been increasingly investigated. Outlined is current evidence from pictorial food stimuli studies.PubMed and PsychINFO were searched for quantitative pictorial food stimuli studies investigating healthy controls and expert-diagnosed eating-disordered patients.Patients with eating disorders (ED) demonstrated cue reactivity to food stimuli. Results from functional imaging suggest sensory disengagement and higher emotional involvement while self-reported data and facial EMG revealed that food pictures were perceived as less pleasurable. Different experiment...
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: Katrin Elisabeth Giel, Martin Teufel, Hans-Christoph Friederich, Martin Hautzinger, Paul Enck, Stephan Zipfel Source Type: journals

Night eating syndrome and weight loss outcome in obese patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The clinical significance of diagnosing the night eating syndrome (NES) in obese individuals has not been clearly demonstrated. We aimed to test the effect of NES on weight loss outcome in obesity.In an observational case-control study, we measured weight loss outcome in obese individuals with NES (32 cases) and 68 non-NES matched participants entering a weight-loss program. The diagnosis of NES was generated by a two-stage assessment, including the Night Eating Questionnaire (screening test) and the Night Eating Syndrome History and Inventory. The program included a 21-day inpatient treatment based on a low-calorie diet, ...
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: Riccardo Dalle Grave, Simona Calugi, Antonella Ruocco, Giulio Marchesini Source Type: journals

Mediators between perfectionism and eating disorder psychopathology: Shape and weight overvaluation and conditional goal-settingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To examine mediators of the relationship between perfectionism and eating disorder (ED) psychopathology in a clinical sample.Participants were 201 women with a DSM-IV diagnosed ED consecutively referred to a specialist outpatient treatment clinic. Participants completed measures of perfectionism, ED psychopathology, shape and weight overvaluation, and conditional goal-setting (CGS).Evaluation of a multivariate mediator model using Baron and Kenny's (1986) four-step mediation methodology showed that shape and weight overvaluation and CGS significantly and uniquely mediated the relation between self-oriented perfectionism (S...
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: Hunna J. Watson, Bronwyn C. Raykos, Helen Street, Anthea Fursland, Paula R. Nathan Source Type: journals

The refeeding syndrome and glucose loademail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Discussion focuses on the possible deleterious affects that carbohydrates may have in exacerbating the refeeding syndrome. © 2010 by Wiley Periodicals, Inc. Int J Eat Disord 2010 (Source: International Journal of Eating Disorders)
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: Graeme O'Connor, Jonathon Goldin Source Type: journals

Polydipsia and hyponatremia in a woman with anorexia nervosaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report the case of a 23-year-old woman with anorexia nervosa who suffered with severe hyponatremia.The etiology of hyponatremia in this case, as in most patients with eating disorders, was multifactorial, encompassing both hypovolemic and euvolemic categories of hyponatremia. Multiple impairments in the ability to clear free water are responsible for a heightened risk for hyponatremia in patients with anorexia nervosa.This case underscores the importance of careful scrutiny of fluid intake, an awareness of medications that lead to hyponatremia, and the need for regular monitoring of serum electrolytes, even in patients ...
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: Amit Bahia, Eugene S. Chu, Philip S. Mehler Source Type: journals

Factors associated with binge eating disorder in pregnancyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To identify factors associated with incidence and course of broadly defined binge eating disorder (BED) in pregnancy.As a part of the Norwegian Mother and Child Cohort Study (MoBa), 45,644 women completed a questionnaire at approximately 18 weeks of gestation.Incidence of BED was significantly associated with lifetime sexual abuse, lifetime physical abuse, lifetime major depression, symptoms of anxiety and depression, low life satisfaction, low self-esteem, low partner relationship satisfaction, smoking, alcohol use, lack of social support, and several weight-related factors. Continuation was negatively associated with tho...
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: Cecilie Knoph Berg, Leila Torgersen, Ann Von Holle, Robert M. Hamer, Cynthia M. Bulik, Ted Reichborn-Kjennerud Source Type: journals

The proof of the pudding is in the eating: Is the DEBQ - external eating scale a valid measure of external eating?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To test the construct validity and discriminative validity of the widely used Dutch Eating Behavior Questionnaire's (DEBQ) External Eating (EE) subscale.After being exposed to food cues or not participants completed a bogus taste test. Subjective cue reactivity during food exposure and actual food intake after food exposure were measured.EE scores were unrelated to food intake. A robust main effect of food cue exposure was found but contrary to what was predicted, low EE scorers ate more after food cue exposure than without whereas high EE scorers did not. The actual eating behavior of high and low scorers on the other DEB...
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: Anita Jansen, Chantal Nederkoorn, Anne Roefs, Peggy Bongers, Teresa Teugels, Remco Havermans Source Type: journals

Percent body fat is a risk factor for relapse in Anorexia Nervosa: A replication studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We aimed to replicate and extend our previous findings of an association between percent body fat in recently weight-restored patients with Anorexia Nervosa (AN) and clinical outcome in the year following treatment.Twenty-two hospitalized, weight-restored women with AN underwent whole body MRI to determine percent adipose tissue. Following hospital discharge, patients were contacted regularly, and at the end of the year, clinical outcome was determined using modified Morgan-Russell (MR) criteria: full, good, fair or poor. Identical to our previous study, outcome was dichotomized into "full, good or fair" and "poor" groups....
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: Lindsay P. Bodell, Laurel E.S. Mayer Source Type: journals

Eating disorders in DSM-V: Review of existing literature (Part 3)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
No abstract. (Source: International Journal of Eating Disorders)
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: B. Timothy Walsh Source Type: journals

Demand-specific alteration of medial prefrontal cortex response during an inhibition task in recovered anorexic womenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study investigated a prefrontal-cingulate network that is involved in inhibitory control.To avoid the confounds of malnutrition, 12 recovered (RAN) subjects were compared to 12 matched control women (CW) using a validated inhibition task (i.e., a stop signal task) during functional magnetic resonance imaging.Consistent with the a priori hypothesis, RAN subjects showed altered task-related activation in the medial prefrontal cortex (mPFC), a critical node of the inhibitory control network. Specifically, whereas RAN and CW showed similar mPFC acitivity during trials when inhibitory demand was low (i.e., easy trials), RA...
Source: International Journal of Eating Disorders - February 2, 2010 Category: Eating Disorders and Weight Management Authors: Tyson A. Oberndorfer, Walter H. Kaye, Alan N. Simmons, Irina A. Strigo, Scott C. Matthews Source Type: journals

Acknowledgmentemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
No abstract. (Source: International Journal of Eating Disorders)
Source: International Journal of Eating Disorders - January 30, 2010 Category: Eating Disorders and Weight Management Source Type: journals

Childhood maltreatment, depressive symptoms, and body dissatisfaction in patients with binge eating disorder: The mediating role of self-criticismemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We examined the mediating role of self-criticism in the relation between childhood maltreatment and both depressive symptoms and body dissatisfaction in patients with binge eating disorder (BED).Participants were 170 BED patients who completed measures of childhood maltreatment, self-criticism, self-esteem, depressive symptoms, and body dissatisfaction.Specific forms of childhood maltreatment (emotional abuse, sexual abuse) were significantly associated with body dissatisfaction. Path analyses demonstrated that self-criticism fully mediated the relation between emotional abuse and both depressive symptoms and body dissatis...
Source: International Journal of Eating Disorders - January 29, 2010 Category: Eating Disorders and Weight Management Authors: David M. Dunkley, Robin M. Masheb, Carlos M. Grilo Source Type: journals

Relationship between motivation for weight loss and dieting and binge eating in a representative population surveyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To investigate the relationship between reasons for weight loss and previous dieting attempts and current binge-eating episodes in overweight and obese individuals.For the n = 355 interviewees of a representative sample of Swiss inhabitants (n = 1,000) reporting a body mass index (BMI) of [ge]25, the Weight Loss Motivation Questionnaire - distinguishing between the three scales health, appearance in relation to oneself, and appearance in relation to others - was assessed. Pearson's and Spearman's rank correlation coefficients and the partial correlation coefficient controlling for age, sex, socioeconomic status, and BMI we...
Source: International Journal of Eating Disorders - January 13, 2010 Category: Eating Disorders and Weight Management Authors: Simone Schelling, Simone Munsch, Andrea H. Meyer, Jürgen Margraf Source Type: journals

Validity and reliability of the Chinese language version of the eating disorder examination (CEDE) in Mainland China: Implications for the identity and nosology of the eating disordersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To investigate the crosscultural validity and reliability of the Chinese Language version of the Eating Disorder Examination (CEDE) in Wuhan, China, and to examine the psychopathogical profile of eating disorder patients in central Mainland China.We administered the CEDE to 41 eating disorder patients (anorexia nervosa and bulimia nervosa) with 43 noneating disorder controls. Specialists in eating disorders made the clinical diagnosis according to DSM-IV criteria. CEDE data between the two groups were compared.The CEDE demonstrates good internal consistency, test-retest reliability, and inter-examiner reliability. All CL-E...
Source: International Journal of Eating Disorders - January 12, 2010 Category: Eating Disorders and Weight Management Authors: Jun Tong, Jing Shi, Jian Wang, Hong Zhang, Shu Fang Zhang, Xiao Yan Wu, L.K. George Hsu Source Type: journals

Feeding and eating disorders in childhoodemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To review the literature related to the current DSM-IV-TR diagnostic criteria for feeding disorder of infancy or early childhood; pica; rumination disorder; and other childhood presentations that are characterized by avoidance of food or restricted food intake, with the purpose of informing options for DSM-V.Articles were identified by computerized and manual searches and reviewed to evaluate the evidence supporting possible options for revision of criteria.The study of childhood feeding and eating disturbances has been hampered by inconsistencies in classification and use of terminology. Greater clarity around subtypes of...
Source: International Journal of Eating Disorders - January 9, 2010 Category: Eating Disorders and Weight Management Authors: Rachel Bryant-Waugh, Laura Markham, Richard E. Kreipe, B. Timothy Walsh Source Type: journals

Uniting couples (in the treatment of) anorexia nervosa (UCAN)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present the UCAN treatment for patients with AN and their partners and discuss important considerations in the delivery of the intervention.With further evaluation, we expect that UCAN will emerge to be an effective, acceptable, disseminable, and developmentally tailored intervention that will serve to improve both core AN pathology as well as couple functioning. © 2010 by Wiley Periodicals, Inc. (Int J Eat Disord 2010) (Source: International Journal of Eating Disorders)
Source: International Journal of Eating Disorders - January 8, 2010 Category: Eating Disorders and Weight Management Authors: Cynthia M. Bulik, Donald H. Baucom, Jennifer S. Kirby, Emily Pisetsky Source Type: journals

Startle as an objective measure of distress related to teasing and body imageemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The startle reflex was used to assess negative emotion in response to body image cues in persons with and without body-related teasing histories.Fifty-three female college students viewed photos of themselves both unaltered and morphed to look heavier and thinner. Participants with a teasing history were compared to participants without a teasing history on self-report measures and the affect modulated startle paradigm when viewing the photos.All participants, regardless of teasing history, self-reported that the photo morphed to look heaviest was more unpleasant than the neutral photo. When assessed by the affect modulate...
Source: International Journal of Eating Disorders - January 8, 2010 Category: Eating Disorders and Weight Management Authors: Carrie D. Spresser, Kristen M. Keune, Diane L. Filion, Jennifer D. Lundgren Source Type: journals

Eeg in adolescent anorexia nervosa: Impact of refeeding and weight gainemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To examine resting awake EEG in adolescent AN participants before and after refeeding to determine if EEG abnormalities in Anorexia Nervosa (AN) are reversible.In 37 adolescent first admission AN patients and 45 healthy controls, EEG was recorded during short duration "eyes open" and "eyes closed" awake resting conditions. Repeat testing occurred in 28 AN participants after refeeding and subsequent weight gain.In "eyes open," underweight AN participants exhibit reduced relative alpha power and increased beta power in frontal brain regions. A significant increase in alpha, and decrease in beta and delta power was observed w...
Source: International Journal of Eating Disorders - January 8, 2010 Category: Eating Disorders and Weight Management Authors: Ainslie Hatch, Sloane Madden, Michael R. Kohn, Simon Clarke, Stephen Touyz, Evian Gordon, Leanne M. Williams Source Type: journals

An investigation of weight suppression in a population-based sample of female twinsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Weight suppression (WS), maintaining a body weight below one's maximum adult weight, is associated with bingeing, purging, and weight gain in clinical samples.We investigated associations between eating disorder-related variables and WS and additive genetic (A), common (C), and unique (E) environmental contributions to WS in a population-based sample of 1,503 female adult twins.Modeling results were similar for participants reporting no binge eating (NBE) and those reporting binge eating plus loss of control (BE + LOC): 20-25% of the variance in WS was due to A and 70-75% due to E. Among NBE participants, restraint, drive ...
Source: International Journal of Eating Disorders - January 8, 2010 Category: Eating Disorders and Weight Management Authors: Karen S. Mitchell, Michael C. Neale, Cynthia M. Bulik, Michael Lowe, Hermine H. Maes, Kenneth S. Kendler, Suzanne E. Mazzeo Source Type: journals

Evaluating the real-world effectiveness of cognitive-behavior therapy efficacy research on eating disorders: A case study from a community-based clinical settingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article provides a narrative account of an NIMH-funded study that attempted to apply efficacy findings from CBT research to an Intensive Outpatient Program (IOP) at the largest community-based eating disorder program in the United States.We describe the study as originally envisioned as well as the various challenges that the researchers and the IOP staff encountered in implementing this study.The different training, assumptions, and "ways of knowing" of the research team and the treatment staff in regard to the nature of eating disorders and their treatment created multiple challenges for both groups during the study...
Source: International Journal of Eating Disorders - January 8, 2010 Category: Eating Disorders and Weight Management Authors: Michael R. Lowe, Douglas W. Bunnell, Amy M. Neeren, Yelena Chernyak, Laurel Greberman Source Type: journals

The effectiveness of a day program for the treatment of adolescent anorexia nervosaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study presents preliminary results of an open clinical trial of a day program for adolescents with AN.Participants were 26 anorectic females, 12-18 years, who completed the "Transition Program."Significant change emerged on measures of weight gain, and behavioral and attitudinal measures of eating pathology. Large effect sizes were evident for weight gain at 6 month follow-up. Preliminary trends suggest that treatment gains on these and other measures of eating pathology were maintained at 6 month follow-up.Preliminary results support day program treatment for adolescents with mild-moderately severe eating disorders. ...
Source: International Journal of Eating Disorders - January 8, 2010 Category: Eating Disorders and Weight Management Authors: Mandy Goldstein, Lorna Peters, Andrew Baillie, Patricia McVeagh, Gerri Minshall, Dianne Fitzjames Source Type: journals

Age differences in genetic and environmental influences on weight and shape concernsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Previous research has shown important developmental shifts ingenetic and environmental influences for disordered eating. However, little research has examined age differences for weight/shape concerns, two key components of eating disorders. The goal of this study was to investigate these age differences in preadolescent, adolescent, young adult, and mid-adult twins.Participants included 2,618 female twins (ages of 10-41 years) from three large twin registries. Shape and weight concerns were assessed with the Eating Disorders Examination Questionnaire.Genetic influences were modest in preadolescent twins, but significant f...
Source: International Journal of Eating Disorders - December 1, 2009 Category: Eating Disorders and Weight Management Authors: Kelly L. Klump, S. Alexandra Burt, Alexia Spanos, Matt McGue, William G. Iacono, Tracey D. Wade Source Type: journals

Recurrent acute hepatic dysfunction in severe anorexia nervosaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a 32-year-old women with severe anorexia having dramatic rise in LFT's with liver failure during extremely poor nutritional status. Acute rise in liver enzymes observed on several occasions in this patient resulted from ischaemic hepatitis secondary to liver hypoperfusion. Clinicians caring for patients with severe AN should monitor haemodynamic parameters with the knowledge that acute liver failure can be a consequence of sudden liver hypoperfusion. Therapeutic intervention comprising volume support with gradual nutritional support results in normalization of LFT's. © 2009 by Wiley Periodicals, Inc. Int J Eat D...
Source: International Journal of Eating Disorders - November 30, 2009 Category: Eating Disorders and Weight Management Authors: Joanna Dowman, Ramakrishnan Arulraj, Ian Chesner Source Type: journals

Body checking induces an attentional bias for body-related cuesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Theoretical models suggest that body checking is linked to biased cognitive processing. However, this link has not been investigated in any systematic way. The present study examined the influence of body checking on attentional bias for body-related cues by manipulating body checking behaviors in nonclinical participants.66 women were randomly assigned to one of three conditions: body checking, body exposure, or control. A body visual search task was used to measure attentional bias.Participants in the body checking condition showed speeded detection of body-related information compared to participants in the exposure and...
Source: International Journal of Eating Disorders - November 30, 2009 Category: Eating Disorders and Weight Management Authors: Elke Smeets, Marika Tiggemann, Eva Kemps, Jennifer S. Mills, Sarah Hollitt, Anne Roefs, Anita Jansen Source Type: journals

Digestive complication in severe malnourished anorexia nervosa patient: A case report of necrotizing colitisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report the only case of NC with good prognosis in a severely malnourished AN patient.Available patient records, imaging, and biochemical data were evaluated.This case represents an unusual gastrointestinal complication and underlines the important clinical role that Parentera Nutrition (PN) has for some selected very malnourished AN patients. The severe starvation may compromise the normal function of gastrointestinal tract and it can also lead to an incomplete tolerance of enteral refeeding thus making PN required to reach the nutritional rehabilitation. © 2009 by Wiley Periodicals, Inc.Int J Eat Disord 2010 (Source: ...
Source: International Journal of Eating Disorders - November 30, 2009 Category: Eating Disorders and Weight Management Authors: Antonella Diamanti, Maria Sole Basso, Claudio Cecchetti, Lidia Monti, Cristian Noto, Francesco De Maria, Massimo Castro Source Type: journals

Binge eating is not associated with elevated eating, weight, or shape concerns in the absence of the desire to lose weight in menemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To investigate whether the desire to lose weight moderates the association between objective binge eating episodes (OBEs) and eating and body image-related psychopathology in men.Participants (N = 404) completed questionnaires assessing eating and body image psychopathology and were grouped based on the presence of OBEs and the desire to lose weight.The desire to lose weight was found to moderate the relationships between the presence of OBEs and restraint, eating concerns, shape concerns, and weight concerns but not the presence of fasting, purging, driven exercise, or body image dissatisfaction. In fact, men who experien...
Source: International Journal of Eating Disorders - November 30, 2009 Category: Eating Disorders and Weight Management Authors: Kyle P. De Young, Jason M. Lavender, Drew A. Anderson Source Type: journals

Differences in coping across stages of recovery from an eating disorderemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study examined the relation between coping skills and eating disorder recovery by comparing these skills across healthy controls, fully recovered, partially recovered, and active eating disorder cases. Full recovery was defined using physical, behavioral, and psychological components.Individuals formerly seen for an eating disorder at a Midwestern clinic were categorized as having an active eating disorder (n = 53), as partially recovered (n = 15), or as fully recovered (n = 20). The coping skills of these groups were compared to each other and to 67 healthy controls.Healthy controls and fully recovered individuals ut...
Source: International Journal of Eating Disorders - November 30, 2009 Category: Eating Disorders and Weight Management Authors: Ellen E. Fitzsimmons, Anna M. Bardone-Cone Source Type: journals

Anorexia nervosa and Wernicke Korsakoff's syndrome: Atypical presentation by acute psychosisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A 16-year-old girl was admitted to the emergency department because of acute changes in mental state such as paranoid and nihilistic delusions, confabulations, and distortions of body schema perception. Her history was compatible with anorexia nervosa in that she had lost more than 17 kg in weight over one and a half years. Her body mass index was 14. She was diagnosed with Wernicke Korsakoff's syndrome and was given intravenous thiamine at 250 mg/day. Response was dramatic for nystagmus and gait incoordination but not for other symptoms. After dosage was increased to 750 mg/day all symptoms including psychosis improved. W...
Source: International Journal of Eating Disorders - November 30, 2009 Category: Eating Disorders and Weight Management Authors: Vesile Altinyazar, Nefati Kiylioglu, Gokhan Salkin Source Type: journals

Micrographia and hypophonia in anorexia nervosaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Micrographia is a condition, in which the sufferers write with small handwriting. Hypophonia is described as low volume speech. Both conditions have been described in neurological conditions, such as lesions in the deep white matter of the brain, Parkinson's disease etc., In this case report, we are presenting a 22-years-old female patient with anorexia nervosa who suffered from both these conditions. The patient also suffered from epilepsy. The onset of these symptoms, progress, and current status provides scope for discussing both the possible biological and psychodynamic etiology for these symptoms in this young woman. ...
Source: International Journal of Eating Disorders - November 3, 2009 Category: Eating Disorders and Weight Management Authors: Murali Krishnan Sekar, Jon Arcelus, Robert L. Palmer Source Type: journals

A pilot study of interpersonal psychotherapy for preventing excess weight gain in adolescent girls at-risk for obesityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Interpersonal psychotherapy (IPT) is effective at reducing binge episodes and inducing weight stabilization in obese adults with binge eating disorder.We piloted the administration of IPT to girls at-risk for excess weight gain (BMI 75th-97th percentile; IPT-WG) with and without loss of control (LOC) eating. Thirty-eight girls (12-17 years) were randomized to IPT-WG or a standard-of-care health education group.All 38 girls completed the programs and all follow-up visits through 6 months. Thirty-five of 38 returned for a complete assessment visit at 1 year. Among girls with baseline LOC (n = 20), those in IPT-WG experienced...
Source: International Journal of Eating Disorders - October 31, 2009 Category: Eating Disorders and Weight Management Authors: Marian Tanofsky-Kraff, Denise E. Wilfley, Jami F. Young, Laura Mufson, Susan Z. Yanovski, Deborah R. Glasofer, Christine G. Salaita, Natasha A. Schvey Source Type: journals

Binge eating, purging, or both: Eating disorder psychopathology findings from an internet community surveyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study aimed to compare bulimia nervosa (BN), binge eating disorder (BED), and purging disorder (PD) on clinically significant variables and examine the utility of once versus twice-weekly diagnostic thresholds for disturbed eating behaviors.234 women with BN, BED, or PD were identified through self-report measures via an online survey and categorized based on either once-weekly or twice-weekly disturbed eating behaviors.BN emerged as a more severe disorder than BED and PD. The three groups differed significantly in self-reported restraint and disinhibition and the BN and BED groups reported higher levels of depression...
Source: International Journal of Eating Disorders - October 28, 2009 Category: Eating Disorders and Weight Management Authors: Christina A. Roberto, Carlos M. Grilo, Robin M. Masheb, Marney A. White Source Type: journals

Eating-disordered behavior in Australian and Singaporean women: A comparative studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We used the Eating Disorder Examination Questionnaire (EDE-Q) to compare the specific eating disorder psychopathology of young adult women in Australia (n = 339) and Singapore (n = 164). All participants completed a brief questionnaire that included the EDE-Q, basic socio-demographic information, and self-reported height and weight.Overall levels of eating disorder psychopathology, as measured by the EDE-Q global score, were very similar. There were also no differences between groups on the EDE-Q subscales. However, analysis at the item level indicated that Singaporean women were more fearful of losing control over their e...
Source: International Journal of Eating Disorders - October 20, 2009 Category: Eating Disorders and Weight Management Authors: Jonathan M. Mond, Anna Chen, Rajeev Kumar Source Type: journals

Pain severity in eating disorders predicts longer inpatient hospitalizationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study examined pain intensity (PI) in eating disorders.Comparisons between inpatients (N = 208) reporting moderate to severe pain (HiP) and no pain or mild pain (LoP) at admission were made, and the relationship between PI and treatment response was examined.Patients with HiP were older, had a greater likelihood of having a bingeing and/or purging diagnosis, and reported greater body dissatisfaction, drive for thinness, depressive symptomatology, and neuroticism in comparison to those with LoP. They were also more likely to report widespread pain, to catastrophize about pain and to use praying and hoping to cope with ...
Source: International Journal of Eating Disorders - October 19, 2009 Category: Eating Disorders and Weight Management Authors: Janelle W. Coughlin, Robert R. Edwards, Graham W. Redgrave, Angela S. Guarda Source Type: journals

Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non-excessive exercisersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To describe changes in physical activity (PA) and exercise dependence score during treatment of eating disorders (ED), and to explore correlations among changes in PA, exercise motivation, exercise dependence score and ED psychopathology in excessive and non-excessive exercisers.Thirty-eight adult females receiving inpatient treatment for anorexia nervosa, bulimia nervosa or ED not otherwise specified participated in this prospective study. Assessments included accelerometer assessed PA, Exercise Dependence Scale, Reasons for Exercise Inventory, ED Examination, and ED Inventory.Amount of PA was significantly reduced in non...
Source: International Journal of Eating Disorders - October 16, 2009 Category: Eating Disorders and Weight Management Authors: Solfrid Bratland-Sanda, Jorunn Sundgot-Borgen, Øyvind Rø, Jan H. Rosenvinge, Asle Hoffart, Egil W. Martinsen Source Type: journals

Salience of loss of control for pediatric binge episodes: Does size really matter?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The subjective experience of loss of control (LOC) during eating, independent of overeating, may be a salient marker of disordered eating and risk for overweight in youth. However, few studies have directly tested this notion in an adequately powered sample.Three-hundred-sixty-seven youth (M ± SD age = 12.7 ± 2.8 y) were categorized as reporting objective binge eating (OBE; 12.5%), subjective binge eating (SBE; 11.4%), objective overeating without LOC (OO; 18.5%), or no episodes (NE; 57.5%). Disordered eating attitudes, general psychopathology, and adiposity were assessed.Children with OBE and SBE generally did not diffe...
Source: International Journal of Eating Disorders - October 13, 2009 Category: Eating Disorders and Weight Management Authors: Lauren B. Shomaker, Marian Tanofsky-Kraff, Camden Elliott, Laura E. Wolkoff, Kelli M. Columbo, Lisa M. Ranzenhofer, Caroline A. Roza, Susan Z. Yanovski, Jack A. Yanovski Source Type: journals

Increased QT variability in patients with anorexia nervosa - An indicator for increased cardiac mortality?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In this study, we examined the relative importance of repolarization abnormalities and vagal modulation of heart rate. In particular, we hypothesized that patients with anorexia nervosa show increased QT interval variability, particularly since this measure has been shown to correlate with serious cardiac arrhythmias.We assessed linear and nonlinear heart rate variability (HRV) parameters as well as measures of QT variability in 20 female patients with anorexia nervosa and 20 controls. In patients, parameters were correlated with serum electrolytes.QT variability was significantly increased in the patient group and correla...
Source: International Journal of Eating Disorders - October 8, 2009 Category: Eating Disorders and Weight Management Authors: Mandy Koschke, Michael K. Boettger, Claudia Macholdt, Steffen Schulz, Vikram K. Yeragani, Andreas Voss, Karl-Jürgen Bär Source Type: journals

Disordered eating in adulthood is associated with reported weight loss attempts in childhoodemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To determine whether history of attempted weight loss in childhood (age [le]12 years) is associated with binge eating disorder (BED) and unhealthy weight loss behaviors in adults.Cross-sectional analysis from baseline visit data of 588 participants of a clinical trial. Data were collected from survey answers on health status, nutritional status, weight loss history, and weight loss behaviors.History of childhood weight loss attempts was associated with high odds of BED in adults (odds ratio [OR] 3.4; 95% confidence interval [CI] 2.8-6.3) and high odds of unhealthy weight loss behaviors (OR 2.3; 95% CI 1.2, 2.6). A linear t...
Source: International Journal of Eating Disorders - October 7, 2009 Category: Eating Disorders and Weight Management Authors: Tamar B. Rubinstein, Aileen P. McGinn, Rachel P. Wildman, Judith Wylie-Rosett Source Type: journals

A comparison of stigma toward eating disorders versus depressionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The goal of this study was to compare the degree of stigma associated with anorexia nervosa (AN), bulimia nervosa (BN), and depression.Participants read one of three vignettes describing clinical cases of AN, BN, or depression, and answered questions assessing stigma toward individuals with one of these three mental disorders.Attitudes toward individuals with eating disorders were significantly more stigmatizing than attitudes toward individuals with depression. Individuals with an eating disorder were rated as more fragile, more responsible for their disorder, and more likely to use their disorder to gain attention than i...
Source: International Journal of Eating Disorders - October 7, 2009 Category: Eating Disorders and Weight Management Authors: James P. Roehrig, Carmen P. McLean Source Type: journals

Body dissatisfaction moderates weight curves in the inpatient treatment of anorexia nervosaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
To examine whether drive for thinness, body dissatisfaction, and restrictive/binge eating-purging subtype at admission moderates the weight curves of patients with Anorexia Nervosa (AN) over the course of inpatient treatment.The nature of weight curves, individual differences herein and moderating factors are examined in 92 AN patients by means of multilevel modeling.The average weight curve of AN patients is characterized by a linear weight increase during treatment that levels off near the end of treatment. Substantial individual differences exist in the shape of patients' weight curves. Patients with stronger body dissa...
Source: International Journal of Eating Disorders - October 7, 2009 Category: Eating Disorders and Weight Management Authors: Kristof Vansteelandt, Guido Pieters, Johan Vanderlinden, Michel Probst Source Type: journals

Early response to family-based treatment for adolescent anorexia nervosaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The purpose of this study was to determine if early weight gain predicted remission at the end of treatment in a clinic sample of adolescents with anorexia nervosa (AN).Sixty five adolescents with AN (mean age = 14.9 years, SD = 2.1), from two sites (Chicago n = 45; Columbia n = 20) received a course of manualized family-based treatment (FBT). Response to treatment was assessed using percent ideal body weight (IBW) with remission defined as having achieved [ge]95% IBW at end of treatment (Session 20).Receiver operating characteristic analyses showed that a gain of at least 2.88% in ideal body weight by Session 4 best predi...
Source: International Journal of Eating Disorders - October 7, 2009 Category: Eating Disorders and Weight Management Authors: Peter M. Doyle, Daniel le Grange, Katharine Loeb, Angela Celio Doyle, Ross D. Crosby Source Type: journals

Thrombopoietin and thrombocytopenia in anorexia nervosa with severe liver dysfunctionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Patients with anorexia nervosa (AN) display various physical complications. One such problem is thrombocytopenia. However, no studies have investigated links between AN and thrombopoietin (TPO), which is the primary regulator of megakaryocyte and platelet production produced mainly in the liver, although TPO has been recently reported to play a role in thrombocytopenia in liver diseases. We therefore clarified temporal relationships between platelet counts and TPO level in a woman with AN and severe liver dysfunction in whom platelet count decreased to 53 × 109/L.While international normalized ratio (INR) was low, serum T...
Source: International Journal of Eating Disorders - October 6, 2009 Category: Eating Disorders and Weight Management Authors: Kazuhiro Yoshiuchi, Yoshiyuki Takimoto, Junko Moriya, Shuji Inada, Akira Akabayashi Source Type: journals

Dysregulated eating behaviors in borderline personality disorder: Are rejection sensitivity and emotion dysregulation linking mechanisms?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Individuals with borderline personality disorder (BPD) often engage in dysregulated eating behaviors, such as binge-eating and purging. Rejection sensitivity, or the tendency to worry about and expect rejection in most situations, may be involved in this relationship by increasing the intensity and frequency of emotion dysregulation.Using a sample which included individuals diagnosed with BPD, a structural equation model was constructed using BPD symptoms and measures of rejection sensitivity, emotion dysregulation, and dysregulated eating behaviors.The hypothesized model was supported in which BPD symptoms predicted high ...
Source: International Journal of Eating Disorders - October 5, 2009 Category: Eating Disorders and Weight Management Authors: Edward A. Selby, Anne C. Ward, Thomas E. Joiner Jr. Source Type: journals

Expressed emotion in relatives of patients with eating disorders following skills training programemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The first aim of this work was to examine whether high expressed emotion (EE) would be associated with psychological distress and negative appraisal of caregiving. The second aim was to examine whether could replicate the findings of (Uehara et al., Compr Psychiatr, 42, 132-138, 2001) regarding a reduction in EE in association with a psycho-educational intervention.A prospective exploratory follow-up assessment of 47 caregivers in which EE was measured by Five Minutes Speech Sample, Experience of Caregiving Inventory and General Health Questionnaire (GHQ-12).High EE ratings were found in 26/47 (55%) carers at baseline. The...
Source: International Journal of Eating Disorders - October 4, 2009 Category: Eating Disorders and Weight Management Authors: Ana R. Sepulveda, Gill Todd, Wendy Whitaker, Miriam Grover, Daniel Stahl, Janet Treasure Source Type: journals

Childhood risk factors in Korean women with anorexia nervosa: Two sets of case-control studies with retrospective comparisonsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The aim of this study was to investigate the characteristics of the risk factors for anorexia nervosa (AN) in Korean women.Two sets of case-control comparisons were conducted, in which 52 women with lifetime AN from Seoul, S. Korea, were compared with 108 Korean healthy controls and also with 42 women with lifetime AN from the UK in terms of their childhood risk factors. A questionnaire designed to conduct a retrospective assessment of the childhood risk factors was administered to all participants.The Korean AN women were more likely to report premorbid anxiety, perfectionism, and emotional undereating and were less likel...
Source: International Journal of Eating Disorders - October 4, 2009 Category: Eating Disorders and Weight Management Authors: Youl-Ri Kim, Si Young Heo, Heechan Kang, Ki Jun Song, Janet Treasure Source Type: journals

Cost-utility of treatment of bulimia nervosaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The costs of treating eating disorders are high. Our objective was to perform a cost-utility analysis of treatment of bulimia nervosa.72 patients entering treatment of bulimia nervosa (ICD-10 diagnosis) completed the 15D health-related quality of life (HRQoL) questionnaire and the Eating Disorder Inventory (EDI) before and 6 months after the start of treatment. Quality-adjusted life years (QALYs) gained were calculated and cost-utility was assessed within the time horizon of 10 years.Baseline HRQoL was severely impaired in the patients. As a consequence of treatment, mean HRQoL improved clinically and statistically signifi...
Source: International Journal of Eating Disorders - October 4, 2009 Category: Eating Disorders and Weight Management Authors: Veera Pohjolainen, Pirjo Räsänen, Risto P. Roine, Harri Sintonen, Kristian Wahlbeck, Hasse Karlsson Source Type: journals