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Eating Disorders Service (eating + disorders_service)
Selected AbstractsLiving with anorexia nervosa: the experience of a cohort of sufferers from anorexia nervosa 7.5 years after initial presentation to a specialized eating disorders serviceEUROPEAN EATING DISORDERS REVIEW, Issue 2 2001Eric J. Button Abstract Objective The main aim of the present study was to further understand how sufferers from anorexia nervosa view the disorder, how it affects their lives and how they experience treatment and help. Method A cohort of anorectic patients were followed up 7.5 years after presentation at a specialist locally-based eating disorders service for adults. All subjects were invited to take part in a semi-structured interview and complete a series of questionnaires. Results Thirty-six subjects were interviewed and the group as a whole showed marked improvement compared with initial presentation, but only 14 per cent were judged to be free of the disorder and about one-quarter remained entrenched in the world of anorexia nervosa. The main results focus on common themes which emerged from the interview and extensive quotes from subjects are used for illustrative purposes. Although each person expressed a very individual experience of the disorder, a common theme was of it emerging as a response to a sense of loss of control in one or more areas of their lives, often centering on their self-image and problems in relationships with others. Although the disorder was commonly experienced as having a devastating effect on their lives, the focus on weight and eating at least offered them some semblance of control. A wide range of experiences of treatment were reported, but there was considerable consensus regarding the importance of individual psychotherapy/counselling and of the quality of relationship with a therapist. Discussion This study confirms the often long-term psychological problems experienced by sufferers from anorexia nervosa and helps to illuminate the client's perspective on the disorder and other people's attempts to help. The individual views of the sufferer are an important consideration for those involved in the planning and delivery of services for these vulnerable people. Copyright © 2001 John Wiley & Sons, Ltd and Eating Disorders Association. [source] Males assessed by a specialized adult eating disorders service: Patterns over time and comparisons with femalesINTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 8 2008Eric Button PhD Abstract Objective: In view of previous inconsistencies and the limited literature on males with eating disorders, we aimed to examine changes in presentation rates over time and any differences between males and females. Method: In a cohort of 2,554 new patients assessed by a specialized service for adults over a 21-year period, we examined rates by gender over time. We also carried out a detailed comparison of selected clinical and demographic variables on a series of 65 males and females matched by diagnosis and date of assessment. Results: Approximately 5% of patients were male and there was no evidence of a change in presentation rate by gender over time. Males were more likely to be diagnosed as not having a clinical eating disorder and less likely to abuse laxatives, but otherwise there was little difference in clinical presentation. Conclusion: Eating disorders continue to present predominantly in females and the proportion of males remains broadly stable. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008 [source] Anorexia nervosa and gender identity disorder in biologic males: A report of two casesINTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 1 2004Anthony P. Winston Abstract Gender identity disorder is a rare disorder of uncertain etiology. The emphasis on body shape in this disorder suggests that there may be an association with anorexia nervosa. Method We report two cases of anorexia nervosa and gender identity disorder in biologic males who presented to an eating disorders service. Results One was treated successfully as an outpatient and subsequently underwent gender reassignment surgery. The other patient required admission and prolonged psychotherapy. Discussion Differences between the two cases are discussed. Issues of gender identity should be considered in the assessment of male patients presenting with anorexia nervosa. © 2004 by Wiley Periodicals, Inc. Int J Eat Disord 36: 109,113, 2004. [source] | ||||||||||