Abstract
Disordered eating behaviors can complicate the treatment of a gastrointestinal disorder but even more significant a primary eating disorder. Reaching an accurate diagnosis requires knowledge and recognition of both psychiatric and medical disorders. The female to male ratio for primary eating disorders is 10:1. The well-described mind-gut axis creates a dynamic relation between disordered eating and gastrointestinal symptoms in that each can exacerbate the other. Making a correct diagnosis requires a thorough patient assessment and an understanding of how psychiatric symptoms can interplay with somatic symptoms, especially gastrointestinal symptoms. This chapter will give an overview of how to correctly diagnose a primary eating disorder and the general treatment paradigm of such conditions.
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References
Katzman DK, Kearney SA, Becker AE. Feeding and eating disorders. In: Feldman M, Friedman LS, Brandt LJ, editors. Sleisenger and Fordtran’s gastrointestinal and liver disease. Philadelphia: Saunders; 2016. p. 130–46.
Satherly R, Howard R, Higgs S. Disordered eating practices in gastrointestinal disorders. Appetite. 2015;84:240–50.
Gracie DJ, Ford AC. Irritable bowel syndrome-type symptoms are associated with psychological comorbidity, reduced quality of life, and health care use in patients with inflammatory bowel disease. Gastroenterology. 2017;153:324–5.
Freeman K. Irritable Bowel Syndrome. In: Carey WD, editor. Current clinical medicine. Philadelphia: Saunders; 2010. p. 468–73.
Bern EM, O’Brien RF. Is it an eating disorder, gastrointestinal disorder, or both? Curr Opin Pediatr. 2013;25:463–70.
Kress IU, Paslakis G, Erim Y. Differential diagnoses of food-related gastrointestinal symptoms in patients with anorexia nervosa and bulimia nervosa: a review of the literature. Z Psychsom Med Psychother. 2018;64:4–15.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Arlington: American Psychiatric Association Publishing; 2013.
Zayas L, Wang S, Coniglio K, Becker K, Murray H, Klosterman E, et al. Gender differences in eating disorder psychopathology across DSM-5 severity categories of anorexia nervosa and bulimia nervosa. Int J Eat Disord. 2018;51(9):1098–102.
Hudson JI, Hiripi E, Pope HG Jr, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007;61(3):348–58.
Dahlgren CL, Wisting L, Rø Ø. Feeding and eating disorders in the DSM-5 era: a systematic review of prevalence rates in non-clinical male and female samples. J Eat Disord. 2017;5(1):56.
Thapliyal P, Mitchison D, Mond J, Hay P. Gender and help-seeking for an eating disorder: findings from a general population sample. Eat Weight Disord. 2018;31:1–6.
Striegel-Moore RH, Rosselli F, Perrin N, et al. Gender difference in the prevalence of eating disorder symptoms. Int J Eat Disord. 2009;42(5):471–4.
Furnham A, Badmin N, Sneade I. Body image dissatisfaction: gender differences in eating attitudes, self-esteem, and reasons for exercise. J Psychol. 2002;136(6):581–96.
Grillot CL, Keel PK. Barriers to seeking treatment for eating disorders: the role of self-recognition in understanding gender disparities in who seeks help. Int J Eat Disord. 2018;51(11):1285–9.
Fordtran JS, Feldman MD. Factitious gastrointestinal disease. In: Feldman M, Friedman LS, Brandt LJ, editors. Sleisenger and Fordtran’s gastrointestinal and liver disease. Philadelphia: Saunders; 2016. p. 363–73.
Cleavers E, Tack JF, Tornblom H, Luyckx K, Ringstrom G, Van Oudenhove L, Simren M. Psychological symptoms predict changes in gastrointestinal symptoms in irritable bowel syndrome. Gastroenterology. 2017;152(5):S193.
Kirkcaldy RD, Kim TJ, Carney CP. A somatoform variant of obsessive-compulsive disorder: a case report of OCD presenting with persistent vomiting. Prim Care Companion J Clin Psychiatry. 2004;6(5):195–8.
Demaria F, De Crescenzo MD, Caramadre AM, D’Amico A, Diamanti A, Fattori F, Casini MP, Vicari S. Mitochondrial neurogastrointestinal encephalomyopathy presenting as anorexia nervosa. J Adolesc Health. 2016;59(6):729–31.
Reid M, Burr J, Williams S, Hammersley R. Eating disorders patients’ views on their disorders and on an outpatient service: a qualitative study. J Health Psychol. 2008;13(7):956–60.
Palsson OS, Whitehead WE. Psychological treatments in functional gastrointestinal disorders: a primer for the gastroenterologist. Clin Gastroenterol Hepatol. 2013;11(3):208–16.
Linardon J, Wade TD, de la Piedad Garcia X, Brennan L. The efficacy of cognitive-behavioral therapy for eating disorders: a systematic review and meta-analysis. J Consult Clin Psychol. 2017;85(11):1080.
Galsworthy-Francis L, Allan S. Cognitive behavioural therapy for anorexia nervosa: a systematic review. Clin Psychol Rev. 2014;34(1):54–72.
Fairburn CG, Jones R, Peveler RC, Hope RA, O’Connor M. Psychotherapy and bulimia nervosa: longer-term effects of interpersonal psychotherapy, behavior therapy, and cognitive behavior therapy. Arch Gen Psychiatry. 1993;50(6):419–28.
Kass AE, Kolko RP, Wilfley DE. Psychological treatments for eating disorders. Curr Opin Psychiatry. 2013;26(6):549.
Wilson GT, Wilfley DE, Agras WS, Bryson SW. Psychological treatments of binge eating disorder. Arch Gen Psychiatry. 2010;67(1):94–101.
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Heinemann, J., Barry, C. (2019). Differential Diagnoses Between Primary Eating Disorders and Disordered Eating Secondary to a Primary Gastrointestinal Disorder. In: Beniwal-Patel, P., Shaker, R. (eds) Gastrointestinal and Liver Disorders in Women’s Health . Springer, Cham. https://doi.org/10.1007/978-3-030-25626-5_1
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