scholarly journals Interpersonal Problems in People with Bulimia Nervosa and the Role of Interpersonal Psychotherapya

Author(s):  
Jon Arcelus ◽  
Debbie Whight ◽  
Michelle Haslam
2020 ◽  
Vol 24 (1) ◽  
pp. 26-41
Author(s):  
Kai Leitemo ◽  
Hanne Sofie Berg Vestbø ◽  
Jan Vegard Bakali ◽  
Helene A. Nissen-Lie

2016 ◽  
Vol 244 ◽  
pp. 294-299 ◽  
Author(s):  
Tyler B. Mason ◽  
Carolyn M. Pearson ◽  
Jason M. Lavender ◽  
Stephen A. Wonderlich ◽  
Ross D. Crosby ◽  
...  

2008 ◽  
Vol 93 (11) ◽  
pp. 4418-4421 ◽  
Author(s):  
Palmiero Monteleone ◽  
Cristina Serritella ◽  
Vassilis Martiadis ◽  
Pasquale Scognamiglio ◽  
Mario Maj

Introduction: Peptides of the gut-brain axis have a pivotal role in the regulation of energy homeostasis. Obestatin, a sibling of ghrelin derived from preproghrelin, is thought to oppose ghrelin effects on food intake. Because changes in ghrelin levels have been associated with anorexia nervosa (AN) and bulimia nervosa (BN), the investigation of obestatin production may further contribute to understanding the role of peripheral peptides in patients with eating disorders. Methods: In the present study, we measured circulating blood levels of obestatin and ghrelin and assessed their relationships with anthropometric and clinical measures in 20 AN patients, 21 BN patients, and 20 appropriate healthy controls. Results: Compared with healthy women, patients with BN showed no significant differences in plasma obestatin and ghrelin concentrations and in the ghrelin/obestatin ratio, whereas underweight AN patients displayed significantly increased circulating levels of both obestatin (P < 0.009) and ghrelin (P < 0.002) and an increased ghrelin/obestatin ratio (P < 0.04). Moreover, in AN women, positive correlations emerged between the ghrelin/obestatin ratio and current body weight and body mass index. Conclusions: Underweight AN patients are characterized by increased concentrations of ghrelin and obestatin and a higher ghrelin to obestatin ratio. No changes in circulating ghrelin or obestatin as well as in ghrelin to obestatin ratio seem to occur in acutely ill patients with BN. Although those changes likely reflect the physiological state of symptomatic AN individuals, they may also contribute to the pathophysiology of the disorder.


2008 ◽  
Vol 5 (2) ◽  
pp. 27-31
Author(s):  
Yu I Yashkov ◽  
D K Bekuzarov ◽  
A V Nikol'skiy

A clinical significance in the treatment of bulimia nervosa patients with morbid obesity had already been raised [10, 13], but we did not find publications on the effectiveness of bariatric surgery in these cases. There is also information about the possibility of applying the operation bilio-pancreatic bypass, effective in patients with morbid obesity with uncontrolled eating behavior for the treatment of patients with anorexia BILIM not suffering from morbid obesity. In this article the data of clinical observation of a small sample of patients. As a result, the treatment of these patients found that severe nervous BILIM can be seen as a latent form of morbid obesity. The choice of treatment should depend not only on the initial body weight of the patient, but also on the severity of the nervous BILIM. Unsuccessful attempts at organized-balanced, conservative treatment of patients with severe bulimia nervosa may be considered a variant of surgical treatment, while bilio-pancreatic bypass surgery is considered as the most preferred operation, compared with the installation of the gastric balloon and others. All candidates for surgical treatment of obesity must identify clinical signs of bulimia nervosa, as this may influence the choice of method of operation. Further study of the role of hyperinsulinemia, secretion of ghrelin, leptin, intestinal peptide may contribute to the elucidation of the true causes of bulimia nervosa, probably has a similar origin with morbid obesity.


PLoS ONE ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. e63891 ◽  
Author(s):  
Jochen Seitz ◽  
Berrak Kahraman-Lanzerath ◽  
Tanja Legenbauer ◽  
Lea Sarrar ◽  
Stephan Herpertz ◽  
...  

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