Bulimia in children and adolescents

Provisional posttraumatic stress disorder is associated with greater severity of eating disorder and comorbid symptoms in adolescents treated in residential care

“…PTSD is known to be both predicted by and is a predictor of psychiatric comorbidity, and their association is bidirectional (Geng et al., 2019). Our hypothesis that severity is related to PTSD is based on a rich scientific literature showing that elevated psychiatric comorbidity is highly linked to the presence of prior trauma and in particular a diagnosis of PTSD (Brady et al., 2000; Brewerton, 2002, 2006, 2007; Dansky et al., 2000; Goldstein et al., 2016; Kessler et al., 1995; Kilpatrick et al., 2003; McLaughlin et al., 2013; Merikangas et al., 2010; Qassem et al., 2021). Furthermore, adolescent PTSD is characterized by developmental abnormalities in frontolimbic circuitry that may contribute to increasing threat reactivity, weaker emotion regulation and higher rates of internalizing symptoms, such as anxiety and depression (Herringa, 2017; Herringa et al., 2013).…”

Diagnostic criteria for anorexia nervosa: Looking ahead to DSM-V

“…There are several obvious reasons including a practical one (e.g., so the third party payers can reimburse for services, at least in the United States), as well as James E. Mitchell, MD 1,2 * Tricia Cook-Myers, MD 1,2 Stephen A. Wonderlich, PhD 1,2 ABSTRACT In considering possible revisions to the diagnostic criteria for anorexia nervosa (AN), questions can be raised regarding the 85% cutoff and consideration could be given to using a body mass index (BMI) score instead. clinical reasons (e.g., so that clinicians can communicate about patients and understand, at least to some degree, what problems are present).…”

“…Several researchers have also discussed the inadequacies of the DSM criteria and the high prevalence of EDNOS in children and adolescence. [2][3][4] A diagnosis of EDNOS in a patient with a subsyndromal form of AN communicates very little information, and medical professionals and insurance providers may see these individuals as less severely ill, which may not be justified. However, to somehow capture additional EDNOS patients into the AN criteria would probably increase the prevalence of the disorder markedly, an outcome not compatible with the spirit of DSM-IV, which was to ''hold the line'' on further characterizing people as having psychopathology, and would be undesirable from the vantage of third-party payers in the United States.…”

Üniversite Öğrencilerinde Çocukluk Çağı Travması ve Yeme Tutumları İlişkisi

“…Analiz sonuçlarına göre, katılımcıların cinsel istismara maruz kalma düzeyleri arttıkça diyet yapma yani şişmanlatıcı yiyeceklerden kaçınma ve daha zayıf olma ile aşırı uğraşı gösterme ile ilgili yeme tutumlarının daha fazla bozulduğu belirlenmiştir. ÇÇT' nin YB üzerindeki etkisini inceleyen çalışmalara göre, cinsel istismarın YB ya da yeme semptomları için spesifik olmayan bir risk faktörü olduğu saptanmıştır (Brewerton, 2002, 2005, Jacobi ve ark. 2004.…”