A Case Study of Anorexia Nervosa Driven by Religious Sacrifice

Davis, Amelia A.; Nguyen, Mathew

doi:10.1155/2014/512764

Cited by 21 publications

(9 citation statements)

References 6 publications

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“…Anorexia has been widely reported in industrialized and Western cultures when compared to developing countries 2,8,11 . In the era of globalization, the availability of easy access to the Internet and international media has changed body image portrayal in developing countries like Ethiopia 2,8 .…”

Section: Discussionmentioning

confidence: 99%

A case report of anorexia nervosa in a 23‐year‐old Ethiopian woman

Tessema,

Megersa,

Abebe

et al. 2023

Clinical Case Reports

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Key Clinical MessagesLimited studies on AN in Africa, including Ethiopia. Internet and media have changed body image portrayal in developing countries. A need for a multidisciplinary approach to treatment, training on positive coaching styles, and future research.AbstractThe Global Burden of Disease had estimated anorexia nervosa (AN) or bulimia nervosa to be 13.6 million people. The lifetime prevalence of AN ranges from 2.4 to 4.3 percent. During their lifetime, up to 4% of females and up to 0.3% of males suffer from anorexia nervosa. Studies assessing AN in Africa, including Ethiopia, are limited. This case report describes a 23‐year‐old female patient who presented with anorectic symptoms and signs in Ethiopia. This case report describes a 23‐year‐old female patient who participated in sports activities. She had a low body weight based on a BMI of 13.15 kg/m2 and lost around 10 kg within the past 6 months. She feared gaining weight or becoming fat, thus restricting food intake. The findings on psychiatric evaluation encompassing detailed history and mental state examination suggested the diagnosis of Extreme anorexia nervosa, restricting type; adult malnutrition; major depressive disorder (MDD) (in remission); low risk of aggression; low risk of suicide; severe functional impairment. The general management principles implemented in this patient included assessment of medical complications, weight restoration, psychological intervention, medication for comorbid depression, and long‐term psychological and biological treatment follow‐up to avoid relapse. The presented case of a 23‐year‐old Ethiopian female patient who is athletic shows weight‐controlled sports activities and the manifestation of anorexia nervosa. Easy access to the Internet and media has changed body image portrayal in developing countries including Ethiopia. There is a need for a multidisciplinary approach involving psychiatrists, psychologists, internists, and nutritionists for the management of AN. The early screening and management of medical complications are crucial. There is a need for close monitoring of vital signs, restriction of caffeine, excess fluid, and salt, and limiting excessive exercise. Furthermore, to assess micronutrient deficiencies, vitamin supplements should be prescribed in the form of multivitamin and thiamine preparations. The need for future training about positive coaching styles for coaches is mandatory to reduce the future impacts on young athletes. There is a need for future research on eating disorders in developing countries such as Ethiopia.

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Section: Discussionmentioning

confidence: 99%

A case report of anorexia nervosa in a 23‐year‐old Ethiopian woman

Tessema,

Megersa,

Abebe

et al. 2023

Clinical Case Reports

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“…It remains however still unclear whether this is due to an increase in prevalence or an increase in awareness among professionals. Moreover, anecdotal reports of anorexia nervosa with a strong religious connotation -thus showing a certain overlap with anorexia mirabilis -can be found in the specialized psychiatric literature [4].…”

Section: Main Textmentioning

confidence: 99%

St. Catherine of Siena (1347–1380 AD): one of the earliest historic cases of altered gustatory perception in anorexia mirabilis

et al. 2018

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St. Catherine of Siena suffered from an extreme form of holy fasting, a condition classified as anorexia mirabilis (also known as inedia prodigiosa). Historical and medical scholarships alike have drawn a comparison between this primaeval type of anorexia with a relatively common form of eating disorder among young women in the modern world, anorexia nervosa. St. Catherine's condition was characterised by a disgust for sweet taste, a condition also described in anorexia nervosa, and characterised by specific neurophysiological changes in the brain. St. Catherine's case may be considered one of the oldest veritable descriptions of altered gustation (dysgeusia). Moreover, a more compelling neurophysiological similarity between anorexia mirabilis and anorexia nervosa may be proposed.

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“…Examples of self-starvation appeared already in the Hellenistic era, and since the 12 th and 13 th centuries this form of self-harming has been reported as a religious act [1]. Even today's psychiatry is confronted with cases of anorexia nervosa driven by the idea of religious sacrifice [2]. In the 17 th and 18 th century, the Age of Enlightenment crucially changed philosophical views and sciences gained in importance, medical domains included.…”

Section: Introductionmentioning

confidence: 99%

Music, dance and painting to treat eating disorders; The Chinese TIBET-Model

Mastnak¹

2022

World J. Adv. Res. Rev.

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Eating disorders are considered an increasing public health problem, also in China. They comprise a broad spectrum of medical conditions such as anorexia nervosa, avoidant/restrictive food intake disorder, bulimia and binge eating, which often go hand in hand with considerable mental and physiological issues such as obesity and metabolic syndrome. Scientific research and clinical experience suggest distinct therapeutic interventions; many of them are related to cognitive behavioural therapy and psychoeducation. The present article introduces artistic approaches comprising music, dance and painting, the so called TIBET-Model, which is based on five principles, namely trance, identity, beauty, exploration and transition, hence the term. This model can be applied as add-on therapy, complementary therapy or main therapeutic intervention, depending on the patient’s attitude toward creative and aesthetic processes, as well as therapeutic responses.

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A Case Study of Anorexia Nervosa Driven by Religious Sacrifice

Cited by 21 publications

References 6 publications

A case report of anorexia nervosa in a 23‐year‐old Ethiopian woman

A case report of anorexia nervosa in a 23‐year‐old Ethiopian woman

St. Catherine of Siena (1347–1380 AD): one of the earliest historic cases of altered gustatory perception in anorexia mirabilis

Music, dance and painting to treat eating disorders; The Chinese TIBET-Model

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