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Nervosa Patients (nervosa + patient)

Distribution by Scientific Domains
Psychology85%

Kinds of Nervosa Patients

  • anorexia nervosa patient
    		•

    Selected Abstracts

    Let eating disorder patients decide: Providing choice may reduce early drop-out from inpatient treatment

    EUROPEAN EATING DISORDERS REVIEW, Issue 3 2009
    Walter Vandereycken
    Abstract Premature drop-out from treatment is a highly prevalent phenomenon among eating disorder (ED) patients. In a specialized inpatient treatment unit a major change was made in the admission strategy in 2001, giving a maximum of personal choice to the patients. A quasi-experimental research was carried out comparing 87 patients treated till 2000 (,old' strategy) with 87 patients treated from 2001 on (,new' strategy). The results indicate that the provision of choice at the beginning of treatment significantly reduced drop-out during the first weeks of inpatient treatment. No differences between both strategies on later drop-out and weight change (in anorexia nervosa patients) during inpatient treatment were found. The results are discussed in the light of the importance placed on dynamics of personal choice, autonomy and volition within the framework of the self-determination theory (SDT). Copyright © 2009 John Wiley & Sons, Ltd and Eating Disorders Association. [source]

    Assessing motivation to change in bulimia nervosa: the bulimia nervosa stages of change questionnaire

    EUROPEAN EATING DISORDERS REVIEW, Issue 1 2007
    Esteve Martinez
    Abstract Objective To assess motivation to change in adolescent patients with bulimia nervosa through the Bulimia Nervosa Stages of Change Questionnaire (BNSOCQ), an instrument adapted from the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) already validated in anorexic patients. Method Subjects were 30 bulimia nervosa patients (mean age,=,16.3 years) who were receiving treatment at an eating disorders unit. The evaluation instruments were: the BNSOCQ, the Eating Disorders Inventory (EDI-2) and the Beck Depression Inventory (BDI). The BNSOCQ was re-administered 1 week later to evaluate test-retest reliability. Results The BNSOCQ demonstrated good internal consistency (Cronbach's alpha,=,0.94) and one week test-retest reliability (Pearson's r,=,0.93). Negative significant correlations were found between the BNSOCQ and several EDI-2 scales (Pearson's r between ,0.51 and ,0.84) and the BDI (r,=,,0.74). Conclusion The study provides initial support for the reliability and validity of the BNSOCQ as a self-report instrument for assessing motivation to change in adolescents with bulimia nervosa. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association. [source]

    Prevalence of personality disorders in patients with eating disorders: a pilot study using the IPDE

    EUROPEAN EATING DISORDERS REVIEW, Issue 4 2004
    Izaskun Marañon
    Abstract Objective The present study aims to determine the comorbidity of personality disorders (PD) with anorexia and bulimia nervosa, and to establish the major personality characteristics of eating disorders subtypes. Method Using the International Personality Disorders Examination (IPDE), the study investigated the personality profiles of 66 outpatients with eating disorders. Statistical analyses were carried out using non-parametric methods such as the Kruskal-Wallis H test and Mann-Whitney U. Results 51.5% of the overall sample met criteria for at least one personality disorder. Purging anorexia nervosa patients were the most affected. The most common personality disorders were obsessive-compulsive, avoidant, dependent, borderline and not otherwise specified. Discussion More than half of the subjects with AN and BN met the criteria for at least one PD. This finding is a challenge for clinical practice. Implications for further research in this area are commented on. Copyright © 2004 John Wiley & Sons, Ltd and Eating Disorders Association. [source]

    Topiramate treatment in bulimia nervosa patients: A randomized, double-blind, placebo-controlled trial

    INTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 4 2005
    Cerstin Nickel MD
    Abstract Objective The aim of the current study was to test the influence of topiramate on behavior, body weight, and health-related quality of life (HRQOL) in bulimic patients. Method Thirty patients with bulimia nervosa were treated with topiramate in a 10-week randomized, double-blind, placebo-controlled study. The subjects were randomly assigned to receive topiramate (topiramate group [TG]; n = 30) or a placebo (control group [CG]; n = 30). Primary outcome measures were changes in the frequency of binging/purging, in body weight, and on the SF-36 Health Survey (SF-36) scales. Results In comparison to the CG group (according to the intent-to-treat principle), significant changes in the frequency of binging/purging (a > 50% reduction: TG, n = 11 [36.7%]; CG, n = 1 [3.3%]; p < .001), body weight (difference in weight loss between the two groups: 3.8 kg, 95% confidence interval [CI] = ,5.4 to ,2.1; p < .001), and SF-36 (all ps < .001) could be seen. All patients tolerated topiramate well. Conclusion Topiramate appears to safe and effective in influencing the frequency of binging/purging, body weight, and HRQOL in bulimic patients. © 2005 by Wiley Periodicals, Inc. [source]

    Incidence of severe anorexia nervosa in Switzerland: 40 years of development

    INTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 3 2004
    Gabriella Milos
    Abstract Objective The current study examined the development of the incidence of severe anorexia nervosa with five sampling periods covering the years 1956,1995 in a geographically defined region of Switzerland. Method Applying the same methodology as in the earlier sampling periods, the medical records of all hospitals of the canton of Zurich were screened manually for first-time hospitalizations of female anorexia nervosa patients during the years 1993,1995. Incidence rates were compared with the previous sampling period (1956,1985). Results The incidence rate of severe anorexia nervosa in the total population and the rate in the population at risk (females 12,25 years old) did not differ significantly from the incidence rates of 1983,1985. Discussion The incidence of severe anorexia nervosa in the canton of Zurich rose significantly during the 1960s and 1970s. Since then, the incidence appears to have reached a plateau. © 2004 by Wiley Periodicals, Inc. Int J Eat Disord 35: 250,258, 2004. An erratum to this article is published in International Journal of Eating Disorders (2004) 36(1) 118,119. [source]

    Excessive exercise in anorexia nervosa and bulimia nervosa: Relation to eating characteristics and general psychopathology

    INTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 4 2002
    Eva Peñas-Lledó
    Abstract Objective Excessive exercise is a well-known phenomenon in anorexia nervosa, but less is known about its role in bulimia nervosa. In addition, there is little evidence regarding the psychopathological processes that might act as predisposing, triggering, or maintaining factors for such exercise. The present study examined the presence of excessive exercise in different women with eating disorders, and its psychopathological correlates. Methods Case notes from 63 anorexia nervosa and 61 bulimia nervosa patients were examined. Two-way multivariate analyses of variance (diagnosis × use of excessive exercise) were used to determine the impact of the two factors upon eating characteristics (EAT-40 and BITE) and psychopathological symptoms (SCL-90-R). Results While high levels of depression were more likely among all patients who used excessive exercise, levels of anxiety and somatization were particularly high only among those anorexics who exercised excessively. Discussion Possible explanatory models are advanced to account for this pattern of findings, focusing on the possible use of exercise as an affect regulation strategy among anorexia nervosa patients. Further research is suggested to test and develop this model, and possible clinical implications are outlined. © 2002 by Wiley Periodicals, Inc. Int J Eat Disord 31: 370,375, 2002. [source]

    Lifetime substance abuse, family history of alcohol abuse/dependence and novelty seeking in eating disorders: Comparison study of eating disorder subgroups

    PSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 1 2009
    Isabel Krug phd
    Aim:, To assess lifetime substance abuse, family history of alcohol abuse/dependence, and novelty seeking in three different eating disorder groups (anorexia nervosa,restrictive; anorexia nervosa,binge eating/purging; anorexia nervosa to bulimia nervosa). Method:, A total sample of 371 eating disorder patients participated in the current study. Assessment measures included the prevalence of substance abuse and family history of alcohol abuse/dependence as well as the novelty-seeking subscale of the Temperament and Character Inventory,Revised. Results:, Significant differences across groups were detected for lifetime substance abuse, with anorexia nervosa,restrictive individuals exhibiting a significant lower prevalence than the anorexia nervosa to bulimia nervosa and anorexia nervosa,binge eating/ purging patients (P < 0.01). For family history of alcohol abuse/dependence the same pattern was observed (P = 0.04). Novelty seeking was associated with substance abuse (P = 0.002), with the anorexia nervosa to bulimia nervosa group exhibiting significantly higher scores on the novelty-seeking scale than the other two groups (P < 0.001). But family history of alcohol abuse/dependence was not related to novelty seeking (P = 0.092). Conclusion:, Lifetime substance abuse appears to be more prevalent in anorexia nervosa patients with bulimic features. Higher novelty-seeking scores may be associated with diagnosis cross-over. [source]