scholarly journals New eating disorder service

1998 ◽  
Vol 22 (12) ◽  
pp. 751-754 ◽  
Author(s):  
Harry R. Millar
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Clinical Care ◽  
Unmet Need ◽  
Referral Rate ◽  
Clinical Implications ◽  
Specialist Service ◽  
Assessment And Treatment ◽  
Atypical Anorexia Nervosa ◽  
Training And Support

Aims and methodThe paper describes the first three years experience of a new out-patient eating disorder service for adults. Clinical data on referrals using standardised assessments are presented.ResultsThe referral rate rapidly rose to over 200 patients per annum. Forty-nine per cent of referrals were bulimic disorders and 26% had either anorexia nervosa or atypical anorexia nervosa. Seventy per cent were directly referred by general practitioners.Clinical implicationsThe creation of a specialist eating disorder service quickly leads to a high referral rate suggesting a previously unmet need. A service based on assessment and treatment by nurse therapists is acceptable and feasible with appropriate training and support from psychiatry, clinical psychology and dietetics. Expectations of a specialist service include teaching, consultation, research and audit as well as the provision of direct clinical care.

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 Obsessions are strongly related to eating disorder symptoms in anorexia nervosa and atypical anorexia nervosa

2019 ◽  
Vol 34 ◽  
pp. 101298 ◽  
Author(s):  
Cheri A. Levinson ◽  
Leigh C. Brosof ◽  
Shruti Shankar Ram ◽  
Alex Pruitt ◽  
Street Russell ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Eating Disorder Symptoms ◽  
Atypical Anorexia Nervosa

scholarly journals Eating disorders in Scotland: starved of resources?

2001 ◽  
Vol 25 (7) ◽  
pp. 256-260 ◽  
Author(s):  
Camille Lemouchoux ◽  
Harry Millar ◽  
Simon Naji
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Service Provision ◽  
Total Population ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Health Board ◽  
National Strategy ◽  
Specialist Service

Aims and MethodTo describe eating disorder services in Scotland. Fifty-two services completed a postal questionnaire.ResultsSix of the mainland health board areas, with a total population of 1.5 million, were not covered by any (self-defined) ‘specialist’ service. Although most services had access to in-patient facilities, we identified only one designated bed in Scotland for eating disorder patients, and this in a non-specialist service. In many other ways, services did not meet published recommendations for the provision of eating disorders services.Clinical ImplicationsIt is suggested that a national strategy should be formulated, and a model of service provision is proposed.

Eating disorder patient referrals from a population region 1977–1986

1991 ◽  
Vol 21 (3) ◽  
pp. 697-701 ◽  
Author(s):  
Anne Hall ◽  
Phillipa J. Hay
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
New Zealand ◽  
Referral Rate ◽  
Annual Rate ◽  
Eating Disorder Patient ◽  
Disorder Patient ◽  
Patient Referrals

SYNOPSISThree hundred and forty-three eating disorder patients (50% anorexia nervosa, 37% bulimia and 13 % atypical eating disorder) were seen by the eating disorder service in the Wellington (New Zealand) region between 1977 and 1986. Ninety-six per cent were female. Annual rate of referral for anorexia nervosa remained stable at 5 per 100000 population (34 per 100000 females aged 15–29 years). Annual referral rate for bulimia increased from 6 to 44 per 100000 females aged 15–29 years.

scholarly journals Eating Disorder Severity and Psychological Morbidity in Adolescents with Anorexia Nervosa or Atypical Anorexia Nervosa and Premorbid Overweight/Obesity

2021 ◽  
Author(s):  
Abigail Matthews ◽  
Rachel A. Kramer ◽  
Laurie Mitan
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Symptom Severity ◽  
Multidisciplinary Treatment ◽  
Significant Proportion ◽  
The United States ◽  
Weight Stigma ◽  
Psychological Morbidity ◽  
Anxiety And Depression ◽  
Atypical Anorexia Nervosa

Abstract PurposeA significant proportion of adolescents with anorexia nervosa (AN) or atypical anorexia nervosa (AAN) experience premorbid overweight/obesity, yet distinct characteristics among this subset of patients remain unclear. This study examined eating disorder (ED) symptom severity, psychological morbidity, and weight stigma in patients with premorbid overweight/obesity as compared to patients with premorbid normal weights.MethodsParticipants included adolescents with AN or AAN (aged 12-18) who received multidisciplinary treatment at a pediatric medical center in the United States. ED symptoms, anxiety, and depression were compared among patients with premorbid overweight/obesity (n = 43) and premorbid normal weights (n = 63). Associations between weight stigma, ED severity, and psychological morbidity were also examined. ResultsPatients with premorbid overweight/obesity reported greater ED severity (p = .04), anxiety (p < .003), depression (p = .02), and a higher frequency of weight-based teasing by peers (p = .003) and parent weight talk about their own weights (p < .001). Weight-based teasing was positively associated with ED symptoms, anxiety, and depression for all patients, regardless of premorbid weight status.ConclusionsAdolescents with AN or AAN and a history of overweight/obesity may present with greater ED symptom severity and psychological morbidity than patients with normal weight histories. Distinct prevention and treatment interventions for adolescents with AN or AAN and premorbid overweight/obesity may be warranted. Level of EvidenceLevel III, case-control analytic study

Pharmacotherapy for Eating Disorders

2017 ◽  
Author(s):  
Susan McElroy ◽  
Anna I. Guerdjikova ◽  
Nicole Mori ◽  
Paul E. Keck
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Night Eating Syndrome ◽  
Night Eating

This chapter addresses the pharmacotherapy of the eating disorders (EDs). Many persons with EDs receive pharmacotherapy, but pharmacotherapy research for EDs has lagged behind that for other major mental disorders. This chapter first provides a brief rationale for using medications in the treatment of EDs. It then reviews the data supporting the effectiveness of specific medications or medication classes in treating patients with anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other potentially important EDs, such as night eating syndrome (NES). It concludes by summarizing these data and suggesting future areas for research in the pharmacotherapy of EDs.

Epidemiology and Course of Eating Disorders

2010 ◽  
pp. 24-32 ◽  
Author(s):  
Pamela Keel
Keyword(s):  
Public Health ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
The Public ◽  
Purging Disorder ◽  
Not Otherwise Specified ◽  
Public Health Significance ◽  
Health Significance

The epidemiology of eating disorders holds important clues for understanding factors that may contribute to their etiology. In addition, epidemiological findings speak to the public health significance of these deleterious syndromes. Information on course and outcome are important for clinicians to understand the prognosis associated with different disorders of eating and for treatment planning. This chapter reviews information on the epidemiology and course of anorexia nervosa, bulimia nervosa, and two forms of eating disorder not otherwise specified, binge eating disorder and purging disorder.

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