9,092 results match your criteria: "Bulimia Nervosa"

Dang et al.'s review concludes that atypical anorexia nervosa (atypical AN), purging disorder (PD), and night eating syndrome (NES) are clinically significant and severe eating disorders (EDs). However, findings are unlikely to alter their status in future editions of the DSM due to limitations in the literature to date.

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OSFED Subtypes: The Need for Better Definitions.

Int J Eat Disord

October 2024

Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Other specified feeding and eating disorders (OSFED) is a diagnostic category in DSM-5 describing individuals with clinically significant eating behavioral disturbances that do not meet criteria for full-threshold eating disorder diagnoses. OSFED includes five example subgroups: atypical anorexia nervosa, sub-threshold bulimia nervosa, sub-threshold binge-eating disorder, purging disorder, and night eating syndrome. A recent review of OSFED by Dang et al.

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Taking a Global View of the OSFED Category From Inside and Outside the DSM-5: Comment on Dang et al. 2024.

Int J Eat Disord

October 2024

Translational Health Research Institute, School of Medicine, Western Sydney University, Penrith, New South Wales, Australia.

This Commentary discusses the findings of Dang et al.'s systematic review and metanalysis on the "Other Specified Feeding or Eating Disorder" (OSFED) category in the context of current conceptualizations and main international diagnostic schemes of classification, the DSM-5 and the ICD-11. The aim to reduce less specified eating disorder categories in these classifications has not been completely achieved and OSFED cases remain prevalent.

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Insecure attachment styles in adolescents at risk for eating disorders.

Clin Child Psychol Psychiatry

January 2025

Department of Criminology, Bar-Ilan University, Ramat Gan, Israel.

The present study examines insecure attachment styles in female adolescents, who are at risk for developing eating disorders. A second goal was to investigate whether attachment styles differentiate between high risk for anorexia and high risk for bulimia. A total of 150 adolescents were divided into four risk groups: High risk for anorexia, high risk for bulimia, medium risk and control group.

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Introduction: Although eating disorders (EDs) affect youth from all socioeconomic backgrounds, little is known about the treatment experiences of under-resourced youth with EDs. To address this gap, we examined patterns of outpatient and inpatient service utilization among publicly-insured youth with EDs in California and potential disparities for youth with additional marginalized identities.

Method: Participants were identified from the full sample of California Medicaid/Medi-Cal beneficiaries aged 7-18 with ≥ 1 service episode between January 1, 2014 and December 31, 2016.

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The role of eco-anxiety in the presentation of bulimia nervosa: a case report.

J Eat Disord

October 2024

Department of Psychiatry and Behavioral Sciences, Stanford University, 401 Quarry Dr, Stanford, CA, 94304, USA.

Background: Despite a growing literature demonstrating the significant impacts of climate change on mental health, research is urgently needed to investigate how climate change-related concerns may contribute to the development, exacerbation, or re-emergence of eating disorders, as well as affect the effectiveness of existing interventions. This case report contributes to this scant knowledge base by offering empirical evidence for how responses to climate change can influence eating disorder symptoms and, importantly, limit the effectiveness of evidence-based treatments such as Cognitive Behavior Therapy-Enhanced (CBT-E).

Case Presentation: A 24-year-old female graduate student studying environmental science presented to a specialized eating disorder clinic with worsening bulimia nervosa.

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Objective: This systematic review aimed to understand the role of emotion regulation (ER) across the spectrum of disordered eating behaviors and attitudes in adolescents.

Method: A literature search was conducted using the PubMed, Scopus, and Web of Science databases, and 8381 articles were extracted. After removing duplicates and screening, data from 50 articles involving 31,591 participants from 18 countries were included.

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Mental health and weight regain after bariatric surgery: associations between weight regain and psychiatric and eating-related comorbidities.

Arch Endocrinol Metab

October 2024

Grupo de Obesidade e Transtornos Alimentares Instituto de Psiquiatria Universidade Federal do Rio de Janeiro Rio de JaneiroRJ Brasil Grupo de Obesidade e Transtornos Alimentares, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.

Objective: Weight regain is a common outcome of weight loss interventions. Mental health-related comorbidities, among other factors, can mediate weight regain regardless of the implemented treatment modality. This study explores whether postoperative psychopathological comorbidities are associated with weight regain after bariatric surgery.

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Article Synopsis
  • Eating disorders (ED) are linked to unhealthy attitudes toward food that hurt both physical and mental well-being, greatly lowering health-related quality of life (HRQoL) and contributing to feelings of isolation.
  • A study examining 220 ED patients revealed that loneliness and eating psychopathology both negatively impacted HRQoL, with specific predictors depending on the patient’s weight category.
  • The findings stress the need to address HRQoL and loneliness in ED treatments, particularly for younger individuals, and suggest a significant relationship between a person's weight and their feelings of loneliness that merits further exploration.
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Orthorexia as an Eating Disorder Spectrum-A Review of the Literature.

Nutrients

September 2024

Department of Medical Psychology, Institute of Medical Sciences, Medical College of Rzeszow University, 35-959 Rzeszow, Poland.

Article Synopsis
  • - The study examines orthorexia nervosa (ON), an eating disorder characterized by an unhealthy obsession with healthy eating, and looks at risk factors across different age and social groups.
  • - After reviewing over 53,000 articles from 2006 to 2023, 34 significant studies were analyzed, revealing that those with eating disorders and certain psychological issues are at higher risk for developing ON.
  • - The findings highlight a connection between ON and other eating disorders like anorexia and bulimia, suggesting ON might be a coping mechanism for these conditions, but more research is needed to understand its long-term consequences.
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Article Synopsis
  • A 32-year-old woman with a history of anorexia nervosa experienced worsening bingeing and purging behaviors, leading to an evaluation that revealed a body mass index near the underweight range and indicative symptoms of bulimia nervosa (BN).
  • Despite no other psychiatric conditions like mood or anxiety disorders, she struggled with focus, time management, and completing tasks, affecting her personal and professional life.
  • Treatment with fluoxetine and cognitive behavioral therapy did not help, but starting lisdexamfetamine significantly reduced her bingeing and purging behaviors while improving her concentration, suggesting a potential link between ADHD and bulimia nervosa in high-functioning adult women.
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Article Synopsis
  • The study highlights that women in remission from eating disorders face significant ongoing oral health issues, which can be exacerbated by delaying dental treatment until after medical rehabilitation.
  • Through interviews with ten women, three major themes were revealed: physical effects like tooth erosion, psychological effects including feelings of stigma and anxiety, and impacts on daily living such as avoiding social situations.
  • The findings emphasize the need for integrated care that addresses both dental health and the psychological well-being of patients in remission from eating disorders to reduce long-term suffering and costs.
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Neuroimaging studies of resting-state functional magnetic resonance imaging in eating disorders.

BMC Med Imaging

October 2024

Capital Medical University, Beijing Anding Hospital, Beijing Key Laboratory of Diagnosis and Treatment of Mental Disorders, National Clinical Medical Research Center for Mental Disorders, Beijing, 100088, China.

Article Synopsis
  • * Recent research from 2013 to 2023 examined changes in brain activity and connectivity in ED patients using resting-state functional magnetic resonance imaging (rs-fMRI), identifying alterations in key brain networks related to cognition and emotion regulation.
  • * The study found that individuals with AN have reduced connectivity in social cognition areas, while those with BED exhibit different connectivity patterns, suggesting that rs-fMRI could be a useful tool for understanding brain function in EDs and guiding personalized treatments.
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Disordered Eating in Pediatric Obesity.

Pediatr Clin North Am

October 2024

The Ohio State University, College of Medicine; Division of Child and Adolescent Psychiatry, Nationwide Children's Hospital, 444 Butterfly Gardens Drive, Columbus, OH 43215, USA.

Children and youth with overweight and obesity are at an increased risk for the development of an eating disorder. Previous research has shown that disordered eating behaviors are prevalent in this population. Screening for disordered eating behaviors in children and youth with overweight and obesity is necessary to determine the course of the treatment.

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Disruption of network hierarchy pattern in bulimia nervosa reveals brain information integration disorder.

Appetite

December 2024

Department of Radiology, Beijing Friendship Hospital, Capital Medical University, No.95 Yongan Road, Xicheng District, Beijing, 100050, China. Electronic address:

Article Synopsis
  • The study investigates the hierarchical organization of brain networks in patients with bulimia nervosa (BN) compared to healthy controls, focusing on how network patterns may contribute to behavioral issues in BN.
  • It uses connectome gradient analyses on data from 59 BN patients and 39 healthy controls to identify changes in brain network gradients, revealing significant differences in attention and limbic networks.
  • Findings indicate altered gradient values in BN patients, particularly in the default-mode and frontoparietal networks, suggesting issues with brain information processing and integration that could relate to their symptoms.
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Efficacy of Repetitive Transcranial Magnetic Stimulation (rTMS) in the Treatment of Bulimia Nervosa (BN): A Review and Insight into Potential Mechanisms of Action.

J Clin Med

September 2024

Faculty of Physical Culture and Health, Institute of Physical Culture Sciences, University of Szczecin, Al. Piastów 40B blok 6, 71-065 Szczecin, Poland.

Introduction: Bulimia nervosa (BN) is a disorder primarily affecting adolescent females, characterized by episodes of binge eating followed by inappropriate compensatory behaviors aimed at preventing weight gain, including self-induced vomiting and the misuse of diuretics, laxatives, and insulin. The precise etiology of BN remains unknown, with factors such as genetics, biological influences, emotional disturbances, societal pressures, and other challenges contributing to its prevalence. First-line treatment typically includes pharmacotherapy, which has shown moderate effectiveness.

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Article Synopsis
  • Research on eating disorders (EDs) lacks long-term studies, especially involving adolescents and incorporating various perspectives, prompting the creation of a longitudinal cohort study with patients, parents, and clinicians.* -
  • A web-based study involved participants aged 10-27, revealing high initial participation rates among patients and parents, but showing notable attrition over 12 months, especially among clinicians.* -
  • The study concludes that while a web-based registry for EDs is possible, retaining clinician involvement remains a significant challenge.*
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Introduction: The Danish Health Care Registers rely on the International Statistical Classification of Diseases and Related Health Problems (ICD)-classification and stand as a widely utilized resource for health epidemiological research. Eating disorders are multifaceted syndromes where two distinctive diagnoses are defined, anorexia nervosa (AN) and bulimia nervosa (BN). However, the validity of the registered diagnoses remains to be verified.

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Objective: To assess incidence rates of clinically diagnosed eating disorders among Danish youth before, during, and after the COVID-19 pandemic.

Method: This study used a population-based time series analysis with individual-level data from Danish healthcare registries. Participants included all Danish individuals aged 6-24 years from January 1, 2015, to December 31, 2023.

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Ovarian hormones and eating disorders.

Front Psychol

September 2024

Department of Anatomy, Howard University College of Medicine, Washington, DC, United States.

The eating disorders anorexia nervosa and bulimia nervosa are much more common in women than in men. Also, there is evidence for a role of gene mutations in these disorders. This review examines recent data about the possibility that ovarian estrogens may contribute to the symptoms of anorexia nervosa and partly account for the sex difference in incidence of this disorder.

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Is eating disorders a risk agent for all-cause mortality: a meta-analysis.

Eat Disord

September 2024

Health and wellness research group, Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE.

Article Synopsis
  • - This study conducted a systematic review and meta-analysis to examine the risk of mortality associated with eating disorders using data from multiple databases, focusing on three specific types of eating disorders: anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified.
  • - The findings revealed a significant overall increased risk of mortality for individuals with eating disorders, highlighting an overall Standardized Mortality Ratio (SMR) of 4.42, indicating they are over four times more likely to die compared to the general population.
  • - Anorexia nervosa was found to have the highest mortality risk (SMR 5.31), followed by bulimia nervosa (SMR 2.69) and other specified disorders (SM
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Article Synopsis
  • * Factors such as older age, White ethnicity, substance use history, and food insecurity were found to be independently associated with amenorrhea among women with HIV.
  • * The study highlights the importance of addressing modifiable risk factors and encourages healthcare providers to regularly assess menstrual health and support socio-structural changes to improve outcomes for women with HIV.
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Article Synopsis
  • Eating disorders (EDs) result in substantial health issues, impacting millions globally, and understanding their transitions and remission can enhance treatment and etiology efforts.* -
  • A study examined over 10,000 people with anorexia nervosa, bulimia nervosa, or EDNOS to assess diagnostic changes and periods of presumed remission, utilizing genetic data from polygenic scores (PGSs).* -
  • Results showed that most patients did not transition diagnoses but experienced remission, with various PGSs linked to these outcomes, indicating a significant genetic influence on ED progression and recovery.*
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: This study aimed to investigate whether genetic variations in the gene affect psychopathological symptoms and personality dimensions in eating disorders (ED) patients and/or contribute to ED risk. : The study involved 221 female patients with anorexia nervosa (AN), 88 with bulimia nervosa (BN), and 396 controls. Sixteen tag-single nucleotide polymorphisms (SNPs) in were identified.

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