Search results for "Anorexia"

2019

Objective: Severe malnutrition in patients with anorexia nervosa (AN) as well as possible trait-related aberrations lead to pronounced structural brain changes whose reversibility after recovery is currently unclear. Previous diffusion tensor imaging (DTI) studies investigating white matter (WM) microstructure alterations in AN are inconsistent. Methods: In this so far largest DTI study in adults, we investigated 33 AN patients, 20 recovered (REC), and 33 healthy women. DTI data were processed using the "DTI and Fiber tools," and the Computational Anatomy Toolbox. WM integrity, both in terms of fractional anisotropy (FA) and mean diffusivity (MD), was assessed. Results: We found a significa…

2019

We aimed to compare the clinical data at first presentation to inpatient treatment of children (<14 years) vs. adolescents (≥14 years) with anorexia nervosa (AN), focusing on duration of illness before hospital admission and body mass index (BMI) at admission and discharge, proven predictors of the outcomes of adolescent AN. Clinical data at first admission and at discharge in 289 inpatients with AN (children: n = 72; adolescents: n = 217) from a German multicenter, web-based registry for consecutively enrolled patients with childhood and adolescent AN were analyzed. Inclusion criteria were a maximum age of 18 years, first inpatient treatment due to AN, and a BMI <10th BMI percentile …

Facetten der Körperbildstörung: eine differenzielle Analyse des TEK-KJ (Test zur Erfassung der Körperbildstörung bei Kindern und Jugendlichen) zur di…

2018

Zusammenfassung. Zur Erfassung der haptisch-perzeptiven Komponente der Körperbildstörung – einem Kernkriterium der Essstörungen Anorexia nervosa und Bulimia nervosa – stehen nur sehr wenige gut evaluierte Verfahren zur Verfügung. In der vorliegenden Arbeit werden differenzielle Analysen zum Test zur Erfassung der Körperbildstörung bei Kindern und Jugendlichen (TEK-KJ) anhand einer großen Kinder- und Jugendlichenstichprobe dargestellt und zum ersten Mal Daten für männliche Kinder und Jugendliche ausgewertet. Dies beinhaltet die Prüfung der konvergenten Validität im Vergleich zur Contour Drawing Rating Scale (CDRS) und die Analyse von Unterschieden zwischen Kindern und Jugendlichen verschied…

Subliminal fear priming potentiates negative facial reactions to food pictures in women with anorexia nervosa.

2010

BackgroundTo investigate hedonic reactivity and the influence of unconscious emotional processes on the low sensitivity to positive reinforcement of food in anorexia nervosa (AN).MethodAN and healthy women were exposed to palatable food pictures just after a subliminal exposure to facial expressions (happy, disgust, fear and neutral faces), either while fasting or after a standardized meal (hungerversussatiety). Both implicit [facial electromyographic (EMG) activity from zygomatic and corrugator muscles, skin conductance, heart rate, and videotaped facial behavior] and explicit (self-reported pleasure and desire) measures of affective processes were recorded.ResultsIn contrast to healthy wo…

Patient and mentor language style matching as a predictor of working alliance, engagement with treatment as usual, and eating disorders symptoms over…

2022

Objective The aim of this study was to examine the processes involved in a guided self-help (GSH) pre-treatment intervention (RecoveryMANTRA) for patients with anorexia nervosa (AN), by measuring the levels of patient/mentor Language Style Matching (LSM). RecoveryMANTRA was supported by student mentors or peer mentors (recovered individuals) over six weekly chat-based sessions. We examined whether LSM during RecoveryMANTRA predicted patients'working alliance with the clinic therapist, motivation, eating disorder (ED) and general psychopathology. A further aim was to examine differences in LSM between student mentors and peer mentors. Method 87 AN adults received RecoveryMANTRA plus treatmen…

The Peter Pan syndrome: Was James M. Barrie anorexic?

1989

Recently, anorexia nervosa has been referred to as the “Peter Pan syndrome,” a metaphor based on the theme of not growing up. Beside the fact that Peter Pan was a “boy who would not grow up,” another parallelism with anorexia nervosa may lie within the creator himself. We discuss the possibility that James M. Barrie, author of “Peter Pan,” might have been himself anorexic in childhood and adolescence.

Auditory hallucinations in anorexia nervosa

2011

The paper describes two case studies of patients with anorexia nervosa who suffer from auditory hallucinations as the only psychotic symptom. A review of the literature regarding clinical cases of anorexic patients with hallucinations is discussed. Hallucinations in anorexic patients are conceptualized according to different theoretical models which point to a dimensional view of eating disorders. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.

The Functional Analysis and Functional Analytic Clinical Case Formulation: A Case of Anorexia Nervosa

2009

Le funzioni metacognitive nei pazienti con disturbi del comportamento alimentare. Uno studio sul trattamento di gruppo psicodinamico

2010

There is an emerging empirical evidence that patients with eating disorders have severe metacognitive concerns, i.e. ability to reflect on mental states. This single-case study aims to explore the relationship between limited metacognition and eating symptoms in six patients who attended a long-term group treatment. This study also aims at analysing the change of patients metacognition over the course of treatment. All the patients were female, with a mean age of 17 years. Three patients have a diagnosis of anorexia nervosa, and three have a diagnosis of bulimia nervosa. The group treatment was delivered in a outpatient clinic of the hospital of Acireale (CT). The SVaM (Carcione et al., 199…

The treatment of the body image disturbances in eating disorders and clinically significant change

2014

Body image disturbance is a significant maintenance and prog-nosis factor in eating disorders. Hence, existing eating disorder treatments can benefit from direct intervention in patients’ body image. This paper in-cludes a controlled study comparing cognitive behavioural treatment for eating disorders with and without a component for body image treatment using virtual reality techniques. The objective of this work was to check if both types of treatment produced a change clinically significant at the end of the treatment and the follow-up to the year, in body image, eating disor-ders and general psychopathology. Thirty-four participants diagnosed with eating disorders were treated and compa…