Eating Out at Restaurants With Children and Teens.

Eating out at restaurants with children and teens.

Filed under: Eating Disorders

JAMA Pediatr. 2013 Jan 1; 167(1): 100
Moreno MA, Furtner F, Rivara FP

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Thiamine-responsive pulmonary hypertension.

Filed under: Eating Disorders

BMJ Case Rep. 2013; 2013:
Asakura T, Kodera S, Kanda J, Ikeda M

The aim of this report is to call attention to a poorly recognised cause of pulmonary hypertension, thiamine deficiency. A 78-year-old woman without alcoholism or malabsorption presented with progressive dyspnoea and generalised oedema. Echocardiography showed signs of right ventricular overload with an estimated systolic pulmonary artery pressure of 50 mm Hg. Increased lactate concentrations prompted us to investigate thiamine deficiency. A 3-month history of picky eating, relying exclusively on white rice as the staple food, and low blood concentrations of thiamine confirmed the diagnosis. She recovered fully after 12 days of intravenous thiamine administration. Thiamine deficiency should be considered in all patients with pulmonary hypertension of unknown origin.
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Life-History Strategy, Food Choice, and Caloric Consumption.

Filed under: Eating Disorders

Psychol Sci. 2013 Jan 9;
Laran J, Salerno A

Do people’s perceptions that they live in a harsh environment influence their food choices? Drawing on life-history theory, we propose that cues indicating that the current environment is harsh (e.g., news about an economic crisis, the sight of people facing adversity in life) lead people to perceive that resources in the world are scarce. As a consequence, people seek and consume more filling and high-calorie foods, which they believe will sustain them for longer periods of time. Although perceptions of harshness can promote unhealthy eating, we show how this effect can be attenuated and redirected to promote healthier food choices.
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Psychosomatic syndromes and anorexia nervosa.

Filed under: Eating Disorders

BMC Psychiatry. 2013 Jan 9; 13(1): 14
Abbate-Daga G, Delsedime N, Nicotra B, Giovannone C, Marzola E, Amianto F, Fassino S

ABSTRACT: BACKGROUND: In spite of the role of some psychosomatic factors as alexithymia, mood intolerance, and somatization in both pathogenesis and maintenance of Anorexia nervosa (AN), few studies have investigated the prevalence of psychosomatic syndromes in AN. The aim of this study was to use the Diagnostic Criteria for Psychosomatic Research (DCPR) to assess psychosomatic syndromes in AN and to evaluate if psychosomatic syndromes could identify subgroups of AN patients. METHODS: 108 AN inpatients (76 AN restricting subtype, AN-R, and 32 AN binge-purging subtype, AN-BP) were consecutively recruited and psychosomatic syndromes were diagnosed with the Structured Interview for DCPR. Participants were asked to complete psychometric tests: Body Shape Questionnaire; Beck Depression Inventory; Eating Disorder Inventory–2, and Temperament and Character Inventory. Data were submitted to cluster analysis. RESULTS: Illness denial (63%) and alexithymia (54.6%) resulted to be the most common syndromes in sample. Cluster analysis identified three groups: moderate psychosomatic group (49%), somatization group (26%), and severe psychosomatic group (25%). The first group was mainly represented by AN-R patients reporting often only illness denial and alexithymia as DCPR syndromes. The second group showed more severe eating and depressive symptomatology and frequently DCPR syndromes of the somatization cluster. Thanatophobia DCPR syndrome was also represented in this group. The third group reported longer duration of illness and DCPR syndromes were highly represented; in particular, all patients were found to show the alexithymia DCPR syndrome. CONCLUSIONS: These results highlight the need of a deep assessment of psychosomatic syndromes in AN. Psychosomatic syndromes correlated differently with severity of eating symptomatology and duration of illness: therefore, DCPR could be effective to achieve tailored treatments.
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