Typical Versus Atypical Anorexia Nervosa Among Adolescents: Clinical Characteristics and Implications for ICD-11

2015 ◽  
Vol 23 (5) ◽  
pp. 345-351 ◽  
Author(s):  
Yasmina Silén ◽  
Anu Raevuori ◽  
Elisabeth Jüriloo ◽  
Veli-Matti Tainio ◽  
Mauri Marttunen ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Clinical Characteristics ◽  
Atypical Anorexia Nervosa

scholarly journals Overcontrolled, undercontrolled, and resilient personality styles among patients with eating disorders

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Martina Isaksson ◽  
Ata Ghaderi ◽  
Martina Wolf-Arehult ◽  
Mia Ramklint
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Clinical Group ◽  
Personality Style ◽  
Personality Styles ◽  
Dsm 5 ◽  
Significant Difference ◽  
Poor Treatment ◽  
Atypical Anorexia Nervosa ◽  
Poor Treatment Outcome

Abstract Background Personality has been suggested to be an important factor in understanding onset, maintenance, and recovery from eating disorders (ED). The objective of the current study was to evaluate personality style in different ED diagnostic groups as classified in the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5). Methods The overcontrolled, undercontrolled, and resilient personality styles were compared in four groups of patients with EDs: anorexia nervosa restricting (ANr) (n = 34), anorexia nervosa binge eating/purging (ANbp) (n = 31), atypical anorexia nervosa (AAN) (n = 29), and bulimia nervosa (BN) (n = 76). These groups were compared with a group of patients with borderline personality disorder (BPD) (n = 108), and a non-clinical group (NC) (n = 444). Patient data were collected at two outpatient clinics in Uppsala, Sweden. NC control data were collected through convenience sampling. Participants filled out questionnaires assessing personality style. Results The main findings were more pronounced overcontrol reported by the ANr and AAN groups compared with the BN, BPD, and NC groups, and no significant difference in resilience between the ED and the NC groups. Considerable variability of over- and undercontrol was also found within each group. Conclusions The results replicate previous findings when EDs are classified according to current diagnostic criteria (DSM-5). Taking personality styles into account may improve our understanding of certain characteristics in EDs, such as social deficits and rigidity that are attributed to poor treatment outcome.

A Case of Anorexia Nervosa with Klinefelter's Syndrome

1986 ◽  
Vol 149 (5) ◽  
pp. 659-660 ◽  
Author(s):  
C. G. Hindler ◽  
D. L. Norris
Keyword(s):  
Anorexia Nervosa ◽  
Klinefelter’S Syndrome ◽  
Klinefelter's Syndrome ◽  
Atypical Anorexia Nervosa

This is the first reported case of anorexia nervosa in association with Klinefelter's syndrome. Although the patient was initially diagnosed as suffering from ‘atypical’ anorexia nervosa, Klinefelter's syndrome was cytogenetically proven and other organic pathology ruled out.

scholarly journals Exploring the experience of being viewed as “not sick enough”: a qualitative study of women recovered from anorexia nervosa or atypical anorexia nervosa

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Kari Eiring ◽  
Trine Wiig Hage ◽  
Deborah Lynn Reas
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Qualitative Study ◽  
Help Seeking ◽  
Severity Of Illness ◽  
Physical Sign ◽  
Structured Interviews ◽  
Restrictive Eating ◽  
Eating Disorder Symptoms ◽  
Atypical Anorexia Nervosa

Abstract Background Despite common misconceptions, an individual may be seriously ill with a restrictive eating disorder without an outwardly recognizable physical sign of the illness. The aim of this qualitative study was to investigate the perspectives of individuals who have previously battled a restrictive eating disorder who were considered “not sick enough” by others (e.g., peers, families, healthcare professionals) at some point during their illness, and to understand the perceived impact on the illness and recovery. Such misconceptions are potentially damaging, and have been previously linked with delayed help-seeking and poorer clinical outcomes. Methods Seven women who had recovered from anorexia nervosa or atypical anorexia nervosa participated in semi-structured interviews. Interviews were transcribed and interpretive phenomenological analysis was used. Results Three main themes emerged: (1) dealing with the focus upon one’s physical appearance while battling a mental illness, (2) “project perfect”: feeling pressure to prove oneself, and (3) the importance of being seen and understood. Participants reported that their symptoms were occasionally met with trivialization or disbelief, leading to shame, confusion, despair, and for some, deterioration in eating disorder symptoms which drove further weight loss. In contrast, social support and being understood were viewed as essential for recovery. Conclusion To facilitate treatment seeking and engagement, and to optimize chances of recovery, greater awareness of diverse, non-stereotypical presentations of restrictive eating disorders is needed which challenge the myth that weight is the sole indicator of the presence or severity of illness.

scholarly journals Identifying research priorities for the study of atypical anorexia nervosa: A Delphi study

2020 ◽  
Vol 53 (10) ◽  
pp. 1729-1738
Author(s):  
Mattias Strand ◽  
Johan Zvrskovec ◽  
Christopher Hübel ◽  
Christine M Peat ◽  
Cynthia M Bulik ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Delphi Study ◽  
Research Priorities ◽  
Atypical Anorexia Nervosa

Anorexia Nervosa in Males: A Report of 12 Cases

1993 ◽  
Vol 27 (3) ◽  
pp. 512-517 ◽  
Author(s):  
S. W. Touyz ◽  
E. M. Kopec-Schrader ◽  
P. J. V. Beumont
Keyword(s):  
Anorexia Nervosa ◽  
Retrospective Analysis ◽  
Clinical Features ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Female Patients ◽  
Male Patients

The demographic and clinical features of 12 male patients with anorexia nervosa were investigated by means of a retrospective analysis of their medical records. The clinical characteristics of the male patients were found to be remarkably similar to those reported for female patients and our findings concur with previously published literature. There appears however to be a greater tendency to exercise excessively. The importance of recognising anorexia nervosa in males is emphasized.

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