An epidemiological study of anorexia nervosa and bulimia in primary care was performed using the General Practice Research Database (GPRD).The GPRD screened between 1988 1994 for newly diagnosed cases nervosa. The validity computer diagnosis established by obtaining clinical details from a random sample general practitioners (GPs).Incidence rates detection GPs 1993 4.2 per 100,000 population nervosa, 12.2 relative risks females to males 40:1 47:1 A threefold increase recording found 1993....

Both clinical and empirical studies suggest that insecure attachment is common in eating disordered populations. Clinical have addressed mother-daughter interactions, but there has been little research into the mother's own patterns whether might be intergenerational transmission of these patterns. We aimed to examine status patients with severe anorexia nervosa their mothers, using 'gold standard' Adult Attachment Interview (AAI). predicted: (1) a high level insecurity among (women or...

Anorexia nervosa is a mental disorder with high long-term mortality. Patients are ambivalent about treatment and often avoid it. Of necessity, compulsory sometimes must be considered. A report from the Mental Health Act Commission has helped to reduce previous confusion.To identify premorbid clinical features that predisposed admissions, short-term benefits of mortality rates (derived National Register).Eighty-one patients were compared 81 voluntary patients.Predisposing factors admission...

The aim of this clinical report is to introduce the concept motivational interviewing and psychology change into context anorexia nervosa. We outline transtheoretical model consider its relevance chart development brief interventions using concepts from psychotherapy practice. Finally we illustrate use enhancement therapy for © 1997 John Wiley & Sons, Ltd Eating Disorders Association.

There is a wide literature suggesting abnormal mother-daughter and familial attachment patterns in individuals with eating disorders. We surmised that this insecurity would extend to adult relationships.The Reciprocal Attachment Questionnaire (RAQ) was administered all inpatients outpatients at tertiary referral disorders unit over given period of time, controls. The RAQ operationalizes the key components reciprocal attachment, close theoretical agreement Adult Interview.Patients scored...

The objective was to apply the 'trans-theoretical' model of change a group patients with eating disorders. Patients were studied in an in-patient setting. Two sets questionnaires used, one assess 'stage' change, other measure 'processes' used achieve change. Three stages and eight processes examined. Thirty-five completed study. Highest scores found contemplation, lowest precontemplation stage. most frequently self-reevaluation, helping relationships consciousness raising, different...

Abstract Objective: Individuals with borderline personality disorder (BPD) often engage in dysregulated eating behaviors, such as binge‐eating and purging. Rejection sensitivity, or the tendency to worry about expect rejection most situations, may be involved this relationship by increasing intensity frequency of emotion dysregulation. Method: Using a sample which included individuals diagnosed BPD, structural equation model was constructed using BPD symptoms measures dysregulation,...

ABSTRACT Objective In a previous study we found that compulsory inpatient treatment was associated with an increase in the number of deaths over following 5 years when compared to non‐compulsory admission. This aimed examine longer term mortality patients admitted compulsorily. Method The outcome admission ( n = 81) and comparison group specialized eating disorder unit at Maudsley Hospital period 1983‐95 traced two decades through National Register held by Health Service (NHS) Central...

Osteopenia is a known complication of anorexia nervosa. Most studies have focused on the features illness which predict bone complications. The few reports recovery been conflicting, with some suggesting restoration normal mass from nervosa, while others suggest that improvement may only be partial. This first report density in long-term recovered group.We measured hip and lumbar spine 18 women, using dual energy X-ray absorptiometry.We found an unexpectedly high incidence osteopenia, 14...

Background Increased central serotonin (5-HT) function has been hypothesised to be a vulnerability trait in anorexia nervosa. Methods Eighteen women with history of DSM–III–R nervosa and 18 female controls were examined. The subjects had recovered weight menstrual function. A placebo-controlled d-fenfluramine test was used. Subjects ingested or placebo after three hours offered ‘free’ meal. amounts eaten recorded plasma Cortisol prolactin levels measured. Questionnaires related eating...

The process model of emotion regulation posits that the tendency to use cognitive reappraisal is associated with positive outcomes (e.g., greater emotion) while expressive suppression adverse negative emotion). Many studies using adult samples support this theory. However, development reappraisal/expressive and how these tendencies relate depressive symptoms in adolescents remain unclear. To address questions, 639 Chinese aged 12-18 years old were asked report their as well symptoms. General...

Abstract Based on the autonomic nervous system (ANS) study by klein Selle, Verschuere, Kindt, Meijer, & Ben Shakhar (2016), 15 participants pretended to perform a crime shown video, which 16 other witness. Both groups then experienced P300‐based Concealed Information Test (CIT) protocol called complex trial protocol. showed CIT effects, with larger probe than irrelevant P300s at Pz. However, this effect was significantly in suspect group. In contrast, only group delayed N200/N300...

Speculation about the etiology of eating disorders has gone through different phases, variously favoring familial, organic, and psychosocial factors. Recent evidence particularly contributed to our understanding organic view. We review for an contribution illness present a series cases in which factors were present. The illustrate complex interaction between biological psychological In particular, growth hormone-producing pituitary adenoma was discovered patient following successful...

Previous research indicated that the skin conductance response of autonomic nervous system in Concealed Information Test (CIT) is typically increased subjects who are financially and otherwise incentivized to defeat CIT (the paradoxical "motivational impairment" effect). This not case for RT-based CITs, nor P300 tests based on three-stimulus protocol detection cognitive malingering (although these same as CITs). The present report first attempt study effect financial motivation P300-based...

Abstract In psychophysiological research, bootstrapping procedures are often used to classify individual participants. How many iterations required for a reliable bootstrap test is not universally agreed upon. To investigate the number of needed stable estimate, we reanalyzed P300 data collected in concealed information paradigms. We also distinguished between and permutations approaches. compared results several studies using 100 versus 1,000 10,000 bootstrap, concluded that were adequate...

The aim of this paper is to review the place outpatient treatment in management anorexia nervosa. theoretical background one short form psychotherapy, used two randomized trials therapy, introduced. practical application cognitive analytical therapy (CAT), illustrated by its use a case severe Finally, modifications standard CAT for nervosa are discussed. © 1997 John Wiley & Sons, Ltd.