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Peñas-Lledó E Vaz Leal FJ Waller G 《The International journal of eating disorders》2002,31(4):370-375
OBJECTIVE: Excessive exercise is a well-known phenomenon in anorexia nervosa, but less is known about its role in bulimia nervosa. In addition, there is little evidence regarding the psychopathological processes that might act as predisposing, triggering, or maintaining factors for such exercise. The present study examined the presence of excessive exercise in different women with eating disorders, and its psychopathological correlates. METHODS: Case notes from 63 anorexia nervosa and 61 bulimia nervosa patients were examined. Two-way multivariate analyses of variance (diagnosis x use of excessive exercise) were used to determine the impact of the two factors upon eating characteristics (EAT-40 and BITE) and psychopathological symptoms (SCL-90-R). RESULTS: While high levels of depression were more likely among all patients who used excessive exercise, levels of anxiety and somatization were particularly high only among those anorexics who exercised excessively. DISCUSSION: Possible explanatory models are advanced to account for this pattern of findings, focusing on the possible use of exercise as an affect regulation strategy among anorexia nervosa patients. Further research is suggested to test and develop this model, and possible clinical implications are outlined. 相似文献
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Characterization and correlates of exercise among adolescents with anorexia nervosa and bulimia nervosa
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Jason M. Nagata MD MSc Jennifer L. Carlson MD Jessica M. Kao MBA Neville H. Golden MD Stuart B. Murray PhD Rebecka Peebles MD 《The International journal of eating disorders》2017,50(12):1394-1403
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Vestergaard P Emborg C Støving RK Hagen C Mosekilde L Brixen K 《The International journal of eating disorders》2002,32(3):301-308
OBJECTIVE: To study fracture risk in patients with anorexia nervosa (AN), bulimia nervosa (BN), or eating disorders not otherwise specified (EDNOS). METHOD: Cohort study including all Danes diagnosed with AN (n = 2,149), BN (n = 1,294), or EDNOS (n = 942) between 1977 and 1998. Each patient was compared with three randomly drawn age- and gender-matched control subjects. RESULTS: Fracture risk was increased in AN after diagnosis compared to controls (incidence rate ratio: 1.98, 95% CI: 1.60-2.44), but not before. The increased fracture risk persisted more than 10 years after diagnosis. A significant increase in fracture risk was found before diagnosis in BN (1.31, 95% CI: 1.04-1.64), with a trend towards an increase after diagnosis (1.44, 95% CI: 0.93-2.22). EDNOS patients had a significant increase in fracture risk before (1.39, 95% CI: 1.06-1.81) and after diagnosis (1.77, 95% CI: 1.25-2.51). DISCUSSION: The increased fracture risk many years after diagnosis indicates permanent skeletal damage. 相似文献
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OBJECTIVE: The goals of the current study were to compare the relapse rates obtained when definitions of both remission and relapse were systematically varied and to propose some consensus definitions related to relapse in bulimia nervosa (BN). METHOD: This was an uncontrolled, prospective follow-up study based on 46 women who met criteria for BN (based on criteria in the 3rd Rev. ed. of the Diagnostic and Statistical Manual of Mental Disorders [Washington, DC: American Psychiatric Association]) before treatment and were abstinent or had low frequency symptoms after treatment. Assessments were conducted every 3 months for up to 19 months. Data were analyzed with Kaplan-Meier survival analysis. RESULTS: Relapse rates at 19 months ranged from 21% to 55% depending on the definitions of remission and relapse applied. DISCUSSION: Relapse rates are strongly influenced by definitions of remission and relapse. We propose that partial remission, defined as a maximum of two symptom episodes per month for 2 months, should constitute eligibility for relapse and relapse should be defined as meeting full diagnostic criteria for 3 months. 相似文献
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Time trends in lifetime incidence rates of first‐time diagnosed anorexia nervosa and bulimia nervosa across 16 years in a danish nationwide psychiatric registry study
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Hans‐Christoph Steinhausen MD PhD DMSc Christina Mohr Jensen MSc 《The International journal of eating disorders》2015,48(7):845-850
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