DSM-IV Versus DSM-5: Implementation of Proposed DSM-5 Criteria in a Large Naturalistic Database.

DSM-IV versus DSM-5: implementation of proposed DSM-5 criteria in a large naturalistic database.

Filed under: Eating Disorders

Int J Eat Disord. 2012 Apr; 45(3): 353-61
Birgegård A, Norring C, Clinton D

Problems with the current DSM-IV eating disorder (ED) section have resulted in proposed changes toward the upcoming DSM-5 (http://www.dsm5.org/ProposedRevisions/Pages/EatingDisorders.aspx). We investigated consequences of these by implementing the proposal in a large naturalistic database.Patients were 2,584 children/adolescents and adults enrolled at specialized ED clinics in Sweden. DSM-IV diagnoses anorexia nervosa, bulimia nervosa, and “not otherwise specified” examples were compared with DSM-5 anorexia, bulimia, and binge ED, as well as atypical anorexia, subthreshold bulimia, and binge eating, purging disorder, and the residual unspecified category. Assessment methods included a semistructured diagnostic interview and self-ratings of ED and psychiatric symptoms.We studied age-separated diagnostic distributions and explained variance in clinical variables associated with the two systems. Results showed some improvement of diagnostic specification as well as a slight increase in explained variance.Remaining problems with the proposed changes were also highlighted, and possible further refinement is discussed.
HubMed – eating


Acquired Tracheoesophageal Fistula through Esophageal Diverticulum in Patient Who Had a Prolonged Tracheostomy Tube – A Case Report -.

Filed under: Eating Disorders

Ann Rehabil Med. 2011 Jun; 35(3): 436-40
Jung JH, Kim JS, Kim YK

Acquired tracheoesophageal fistula through esophageal diverticulum is infrequent. We report tracheoesophageal fistula through esophageal diverticulum in a 55-year-old male who had a prolonged tracheostomy tube during 6 months, and a NG tube during 18 months. He suffered from recurrent pneumonia. He complained of a cough associated with eating, and production of sputum mixed with food. To help evaluate the aspiration to the lung and the cause of aspiration, he was tested using gastrointestinal scintigraphy (gastric emptying study), a chest CT scan (pre & post contrast), and esophagoduodenoscopy. The chest CT scan revealed an acquired tracheoesophageal fistula through esophageal diverticulum, and esophagoduodenoscopy revealed a 3 mm sized fistula that was located -33 cm from the upper incisor. We treated the tracheoesophageal fistula by clipping under esophagoduodenoscopy. The symptoms of fever, cough, and aspiration were no long observed after the clipping was completed.
HubMed – eating


Subclinical Bulimia Predicts Conduct Disorder in Middle Adolescent Girls.

Filed under: Eating Disorders

Eur Eat Disord Rev. 2012 Apr 16;
Viinamäki A, Marttunen M, Fröjd S, Ruuska J, Kaltiala-Heino R

This study investigates the comorbidity and longitudinal associations between self-reported conduct disorder and subclinical bulimia in a community-based sample of Finnish adolescents in a 2-year prospective follow-up study. There are 2070 adolescents who participated in the survey as ninth graders (mean age 15.5) and followed-up 2?years later. The Youth Self-Report Externalizing scale was used to measure conduct disorder and DSM-IV-based questionnaire to measure bulimia. Co-occurrence of female conduct disorder and subclinical bulimia was found at ages 15 and 17. Subclinical bulimia among girls at age 15 was a risk factor for conduct disorder at age 17, but conduct disorder at age 15 was not predictive of subclinical bulimia at age 17. The pathway from bulimia to conduct disorder may be suggestive of an association with future borderline personality disorder among girls. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.
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Eating breakfast enhances the efficiency of neural networks engaged during mental arithmetic in school-aged children.

Filed under: Eating Disorders

Physiol Behav. 2012 Apr 4;
Pivik RT, Tennal KB, Chapman SD, Gu Y

To determine the influence of a morning meal on complex mental functions in children (8-11y), time-frequency analyses were applied to electroencephalographic (EEG) activity recorded while children solved simple addition problems after an overnight fast and again after having either eaten or skipped breakfast. Power of low frequency EEG activity [2Hertz (Hz) bands in the 2-12Hz range] was determined from recordings over frontal and parietal brain regions associated with mathematical thinking during mental calculation of correctly answered problems. Analyses were adjusted for background variables known to influence or reflect the development of mathematical skills, i.e., age and measures of math competence and math fluency. Relative to fed children, those who continued to fast showed greater power increases in upper theta (6-8Hz) and both alpha bands (8-10Hz; 10-12Hz) across sites. Increased theta suggests greater demands on working memory. Increased alpha may facilitate task-essential activity by suppressing non-task-essential activity. Fasting children also had greater delta (2-4Hz) and greater lower-theta (4-6Hz) power in left frontal recordings-indicating a region-specific emphasis on both working memory for mental calculation (theta) and activation of processes that suppress interfering activity (delta). Fed children also showed a significant increase in correct responses while children who continued to fast did not. Taken together the findings suggest that neural network activity involved in processing numerical information is functionally enhanced and performance is improved in children who have eaten breakfast, whereas greater mental effort is required for this mathematical thinking in children who skip breakfast.
HubMed – eating


Cognitive-behavioral guided self-help for eating disorders: Effectiveness and scalability.

Filed under: Eating Disorders

Clin Psychol Rev. 2012 Mar 9; 32(4): 343-357
Wilson GT, Zandberg LJ

Given the well-documented shortage of cognitive-behavioral therapy (CBT) for eating disorders, there is a compelling need for advances in dissemination. Guided self-help based on cognitive-behavioral principles (CBTgsh) provides a robust means of improving implementation and scalability of evidence-based treatment for eating disorders. It is a brief, cost-effective treatment that can be implemented by a wide range of mental health providers, including non-specialists, via face-to-face contact and internet-based technology. Controlled studies have shown that CBTgsh can be an effective treatment for binge eating disorder and bulimia nervosa, although it is contraindicated for anorexia nervosa. Several studies have shown that CBTgsh can be as effective as more complex specialty therapies and that it is not necessarily contraindicated for patients with comorbid conditions. Mental health providers with relatively minimal professional credentials have in some studies obtained results comparable to specialized clinicians. Establishing the nature of optimal “guidance” in CBTgsh and the level of expertise and training required for effective implementation is a research priority. Existing manuals used in CBTgsh are outdated and can be improved by incorporating the principles of enhanced transdiagnostic CBT. Obstacles to wider adoption of CBTgsh are identified.
HubMed – eating


¿Manorexic¿ who eats only soft foods because he is terrified he will choke on

Filed under: Eating Disorders

Marc Corn, who currently weighs just 7st 12, spoke out about his condition after NHS figures last week revealed hospital admissions for male sufferers of eating disorders had doubled since last year. The 23-year-old, from Basildon, Essex, revealed as a …
Read more on Daily Mail


Leeds student conquers eater disorder and the skies

Filed under: Eating Disorders

A student who has battled with an eating disorder has conquered the skies with a parachute jump. Sonia Johar and her sister Hema have raised more than £850 for eating disorder charity Beat. Sonia, 19, said she was delighted to finish the skydive.
Read more on Yorkshire Evening Post


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