A critique of the literature on etiology of eating disorders

Rikani, Azadeh A; Choudhry, Zia; Choudhry, Adnan Maqsood; Ikram, Huma; Asghar, Muhammad Waheed; Kajal, Dilkash; Waheed, Abdul; Mobassarah, Nusrat Jahan

doi:10.5214/ans.0972.7531.200409

Cited by 145 publications

(103 citation statements)

References 25 publications

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“…Anorexia nervosa (AN) is a severe mental disorder with an estimated mortality rate of 10% [75]. Dysbiosis in the gut microbiota is thought to be an important environmental factor involved in the pathophysiology of AN [76].…”

Section: Eating Disordersmentioning

confidence: 99%

Gut microbiota, metabolism and psychopathology: A critical review and novel perspectives

Groen

Clercq

Nieuwdorp

et al. 2018

Critical Reviews in Clinical Laboratory Sciences

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Section: Eating Disordersmentioning

confidence: 99%

Gut microbiota, metabolism and psychopathology: A critical review and novel perspectives

Groen

Clercq

Nieuwdorp

et al. 2018

Critical Reviews in Clinical Laboratory Sciences

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“…Many different psychological, biological, environmental, familial, and sociocultural factors have been implicated in the origin and course of the disorder (Rikani et al, 2013; Lock et al, 2015). Indeed, the potential role of family factors has been increasingly recognized both in the complex pathogenic and maintenance mechanisms and in the effectiveness of the therapeutic strategies for patients with anorexia nervosa (Lyke and Matsen, 2013; Anastasiadou et al, 2014; Lock et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Triadic Interactions in Families of Adolescents with Anorexia Nervosa and Families of Adolescents with Internalizing Disorders

et al. 2017

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The latest studies and practice guidelines for the treatment of adolescent patients with anorexia nervosa agree in pointing out the key role played by parents in determining the young patients’ therapeutic possibilities and outcomes. Still family functioning has usually been studied using only self-reported instruments. The aim of the present study is therefore to investigate the triadic interactions within the families of adolescents with anorexia nervosa using a semi-standardized observational tool based on a recorded play session, the Lausanne Trilogue Play (LTP). Parents and adolescent daughters, consecutively referred to adolescent neuropsychiatric services, participated in the study and underwent the observational procedure (LTP). The 20 families of adolescent girls with anorexia nervosa (restricting type) were compared with 20 families of patients with internalizing disorders (anxiety and depression). The results showed different interactive patterns in the families of adolescents with anorexia nervosa: they had greater difficulties in respecting roles during the play, maintaining the joint attention and in sharing positive affect, especially in the three-together phase (third phase). The majority of these families (12) exhibited collusive alliances. The parental subsystem appeared frequently unable to maintain a structuring role, i.e., providing help, support and guidance to the daughters, while the girls in turn often found it hard to show independent ideas and develop personal projects. Parents experienced difficulty in carving out a couple-specific relational space, from which the ill daughter was at least temporarily excluded also when they were asked to continue to interact with each other, letting the daughter be simply present in a third-part position (fourth phase). The study of the triadic interactions in the families of adolescents with anorexia nervosa may help to shift the attention from the exclusive mother–daughter relation to the involvement of the father, and of the parental couple as a whole. The family functioning is in fact well established as a maintaining factor of anorexia nervosa or vice versa as a facilitating factor in the therapeutic process.

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“…Many factors including female sex, family and friend relation, cultural factors, environmental factors including media, and cognitive and physical properties affect behavioral characteristics involved in the occurence of eating disorders (9). It has been proposed that a family pathology affecting the child's autonomous development and encouraging the child to stay childish is present.…”

Section: Discussionmentioning

confidence: 99%

Diabulimia, a Type I diabetes mellitus-specific eating disorder

Kınık¹,

Gönüllü²,

Vatansever³

et al. 2017

Turk Pediatri Ars

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Type I diabetes mellitus is the most common endocrinologic disorder affecting pediatric patients. Diet regimen adaptations in patients with diabetes may result in focusing on only diet and weight control, which causes eating disorders more often in these patients. Diabulimia is an eating disorder specific to patients with diabetes characterized by limiting and/or skipping insulin dosing. It is well observed that diet management and insulin treatment are withheld for body appearence and social acceptance issues, especially in patients whose disease is diagnosed during adolescence. We hereby present a patient who was diagnosed as having diabetes at the age of 12 years and skipped insulin doses in order to control weight and was subsequently diagnosed as having diabulimia. (Turk Pediatri Ars 2017; 52: 46-9)

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A critique of the literature on etiology of eating disorders

Cited by 145 publications

References 25 publications

Gut microbiota, metabolism and psychopathology: A critical review and novel perspectives

Gut microbiota, metabolism and psychopathology: A critical review and novel perspectives

Triadic Interactions in Families of Adolescents with Anorexia Nervosa and Families of Adolescents with Internalizing Disorders

Diabulimia, a Type I diabetes mellitus-specific eating disorder

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