A systematic review of effectiveness of complementary and adjunct therapies and interventions involving equines. J Child Adolesc Psychopharmacol. The etiology of eating disorders is unknown and probably multifactorial. Laxative abuse causes hemorrhoids and rectal prolapse. If onset is prepubertal, the sequence of pubertal events is delayed or even arrested growth ceases; in girls the breasts do not develop and there is a primary amenorrhoea; in boys the genitals remain juvenile. Enquiries in this regard should be directed to the British Psychological Society. View in own window. Earn up to 6 CME credits per issue.
Anorexia nervosa can cause a number of serious health consequences. Clinical trials have shown significant improvement in bulimia nervosa with cognitive behavior therapy and interpersonal psychotherapy. Bulimia nervosa involves the uncontrolled eating of an abnormally large amount of food in a short period, followed by compensatory behaviors, such as self-induced vomiting, laxative abuse, or excessive exercise. Appendix 17, Diagnostic criteria for eating disorders. Indications for hospitalization include significant electrolyte abnormalities, arrhythmias or severe bradycardia, rapid persistent weight loss in spite of outpatient therapy, and serious comorbid medical or psychiatric conditions, including suicidal ideation. In partial remission : After full criteria for anorexia nervosa were previously met, Criterion A low body weight has not been met for a sustained period, but either Criterion B intense fear of gaining weight or becoming fat or behavior that interferes with weight gain or Criterion C disturbances in self-perception of weight and shape is still met. Bulimia nervosa More than one-half of patients with eating disorders meet criteria for a current or past episode of major depression.
An attendant or parent may have to be present while they change. Read the Issue. Higher caloric intake in hospitalized adolescents with anorexia nervosa is associated with reduced length of stay and no increased rate of refeeding syndrome [published correction appears in J Adolesc Health. Psychological symptoms include heightened emotional arousal, reduced tolerance of stress, emotional dysregulation, social withdrawal, and self-critical perfectionistic traits. Restricting Type: This is a subtype that is typically associated with the stereotypical view of anorexia nervosa. Severe hypoglycemia may lead to seizures. Curr Opin Psychiatry.