Advertisement

Understanding Anorexic Behaviour

  • Jane Morris
Chapter

Abstract

  • What can go wrong in the management of acute and severe cases of anorexia nervosa?

  • How can we improve the quality of acute medical care for such patients? Why are patients not always managed in psychiatric settings?

  • How can we diagnose and understand the so-called ‘eating disorders’—what are the physical and psychological conditions ‘which may mimic them’? Are they diagnoses of exclusion?

  • What are the causes of eating disorders and how can they be distinguished from ‘lifestyle choices’ or bad behaviour?

  • How common are anorexia and bulimia nervosa, and is there any increase in recent years?

  • What is the prognosis, and what should be our expectations for patients with severe anorexia nervosa?

Notes

Jane Morris

is a Consultant Psychiatrist in the Eden Unit, Aberdeen, and Clinical Lead for the North of Scotland managed Clinical Network for Eating Disorders.

References

  1. 1.
    Arcelus J, Mitchell A, Wales J, et al. Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Arch Gen Psychiatry. 2011;68(7):724–31.CrossRefPubMedGoogle Scholar
  2. 2.
    MARSIPAN guideline for the management of really seriously ill patients with anorexia nervosa, CR 162 and 189. http://www.rcpsych.ac.uk/usefulresources/publications/collegereports/cr/cr189.aspx.
  3. 3.
  4. 4.
    Collier D, Treasure J. The aetiology of eating disorders. Br J Psychiatry. 2004;185(5):363–5.CrossRefPubMedGoogle Scholar
  5. 5.
    Whitney J, Murray J, Gavan K, Todd G, Whitaker W, Treasure J. Experience of caring for someone with anorexia nervosa: qualitative study. Br J Psychiatry. 2005;187(5):444–9.  https://doi.org/10.1192/bjp.187.5.444.CrossRefPubMedGoogle Scholar
  6. 6.
    Hudson J, Hiripi E, Pope H, Kessler R. The prevalence and correlates of eating disorders in the National Comorbidity Survey replication. Biol Psychiatry. 2006;61(3):348–58.  https://doi.org/10.1016/j.biopsych.2006.03.040.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    KeskiRahkonen AMD, Hoek HWMD, Susser ESMD, et al. Epidemiology and course of anorexia nervosa in the community. Am J Psychiatry. 2007;164(8):1259–65.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Eden UnitRoyal Cornhill HospitalAberdeenUK

Personalised recommendations