Sex-specific issues in eating disorders: a clinical and psychopathological investigation

Valente, Stefano; Girolamo, Giulia di; Forlani, Martina; Biondini, Anna; Scudellari, Paolo; Ronchi, Diana De; Atti, Anna Rita

doi:10.1007/s40519-017-0432-7

Cited by 33 publications

(20 citation statements)

References 43 publications

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“…Interestingly, the report of compensatory behaviors represented in our sample is similar to those reported in past studies examining EDs in men, suggesting that men engage in more fasting and excessive exercise than women (Valente et al, 2017). This finding indicates that compensatory behaviors among veteran men meeting criteria for an ED may be similar to those found among civilian men meeting criteria for an ED.…”

Section: Discussionsupporting

confidence: 86%

Prevalence of eating disorders and comorbid psychopathology in a US sample of treatment‐seeking veterans

Vaught

Piazza

Raines

2021

Intl J Eating Disorders

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Objective: Eating disorders (EDs) are a well-studied public health issue in the general population. Less is known, however, about the prevalence of such conditions and levels of comorbid psychopathology among military and veteran populations. The current study sought to describe the probable prevalence of EDs and levels of comorbid psychopathology using a racially diverse treatment-seeking sample of US veteran men and women.Method: Veterans (N =254) presenting for routine clinical care completed self-report questionnaires assessing EDs, posttraumatic stress disorder, depression, and shame.Results: Thirty-one percent of the sample met probable criteria for either bulimia nervosa (BN), binge-eating disorder, or purging disorder. Although overall ED prevalence estimates were similar across men and women, estimates of BN were higher among Black veterans compared to White veterans or veterans who identified as a race other than Black or White. Further, mean levels of psychopathology were significantly higher in veterans with a probable ED compared to those without.

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Section: Discussionsupporting

confidence: 86%

Prevalence of eating disorders and comorbid psychopathology in a US sample of treatment‐seeking veterans

Vaught

Piazza

Raines

2021

Intl J Eating Disorders

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“…Eating disorders affect females approximately 10 times more often than males (Striegel‐Moore et al, ; Valente et al, ). Our study and the animal model developed in this experiment provide an improved understanding of the mechanisms underlying the sexually dimorphic effect of MS not only at the onset of food restriction but also in terms of the behavioral response.…”

Section: Discussionmentioning

confidence: 99%

“…Considering the markedly different incidence of AN in men and women (a 1:5 ratio; Valente et al, ) and the sexually dimorphic effect observed in the ABA model (Achamrah et al, ; Hancock & Grant, ), we performed our study in rats of both sexes. We expect to confirm previously published data showing that females are more susceptible than males to the effects of a combined MS and ABA protocol.…”

Section: Introductionmentioning

confidence: 99%

Sexually dimorphic behavioral effects of maternal separation in anorexic rats

Farinetti

Aspesi

Marraudino

et al. 2019

Developmental Psychobiology

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Exposure to negative events during the neonatal period is one of the leading factors contributing to the development of psychiatric disorders, including anorexia nervosa. In this study, we investigated the effects of maternal separation (MS) on the development of anorexia in rodents using the mild‐stress form of the activity‐based anorexia (ABA) model (2 hr of free access to a running wheel and a 1‐hr feeding test) in both male and female rats. We assessed anxiety‐like and locomotor behavior and hyperactivity with the open field and elevated plus maze tests. Our results showed that ABA rats of both sexes displayed hyperactive behavior associated with reduced anxiety‐like behavior when compared to controls. However, a sexually dimorphic effect of MS emerged in anorexic rats: while the females exposed to MS + ABA were hyperactive with diminished anxiety‐related behaviors compared to females of the ABA group, MS in males attenuated or did not alter the effects of the ABA protocol. In conclusion, our data reveal that the synergistic effects of MS and ABA on physical activity and anxiety‐like behavior act in opposite directions in the two sexes.

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“…The combination of self-induced vomiting and laxative–diuretic abuse is more typical in males than in females [22]. The presentation of female AN patients with these symptoms may therefore suggest the need for a thorough clinical history as well as the possibility of employing an addiction intervention strategy, such as SMARPP.…”

Section: Discussionmentioning

confidence: 99%

Controlling the laxative abuse of anorexia nervosa patients with the Serigaya Methamphetamine Relapse Prevention Program workbook: a case report

Toyoshima

Kusumi

2019

BioPsychoSocial Med

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BackgroundThere is no consensus on effective treatment for laxative abuse in patients with eating disorders. Here, we report the case of a patient with laxative abuse who showed some improvement through an intervention based on the Matrix model.Case presentationA woman diagnosed with anorexia nervosa-binge eating/purging type (AN-BP) steadfastly denied laxative abuse and would not admit to suffering from an eating disorder. This led to low motivation for undergoing conventional psychotherapy, psychoeducation, and cognitive behavioral therapy. These were ineffective and followed by repeated cycles of hospitalization and discharge. The patient’s general condition, as depicted by her laboratory and clinical parameters, deteriorated due to the medical complications resulting from laxative abuse.Focusing on laxative abuse, we considered an intervention for drug addiction. Because the patient could maintain a diet diary and acknowledged laxative abuse as a drug addiction, we introduced the Serigaya Methamphetamine Relapse Prevention Program (SMARPP) workbook as a self-administered treatment. The patient meticulously completed the treatment and experienced a gradual improvement in laxative abuse. She has not been re-hospitalized in 4 years, currently performs household chores, and demonstrates improved social function.ConclusionsIn patients with AN-BP, the SMARPP workbook may be effective in treating laxative abuse.

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Sex-specific issues in eating disorders: a clinical and psychopathological investigation

Cited by 33 publications

References 43 publications

Prevalence of eating disorders and comorbid psychopathology in a US sample of treatment‐seeking veterans

Prevalence of eating disorders and comorbid psychopathology in a US sample of treatment‐seeking veterans

Sexually dimorphic behavioral effects of maternal separation in anorexic rats

Controlling the laxative abuse of anorexia nervosa patients with the Serigaya Methamphetamine Relapse Prevention Program workbook: a case report

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