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Vomitophobia in atypical anorexia nervosa

Published online by Cambridge University Press:  13 August 2021

A. Bryukhin ,
T. Lineva  and
E. Okonishnikova
A. Bryukhin
Affiliation:
Department Of Psychiatry And Medical Psychology, RUDN University Moscow., Moscow, Russian Federation
T. Lineva
Affiliation:
Department Of Psychiatry And Medical Psychology, RUDN University Moscow., Moscow, Russian Federation
E. Okonishnikova*
Affiliation:
Department Of Psychiatry And Medical Psychology, RUDN University Moscow., Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

In atypical anorexia nervosa, one of the causes of restrictive eating behavior is prolonged vomitophobia, which leads to a pronounced degree of alimentary exhaustion.

Objectives

To study the existence and prevalence of vomitorium atypical anorexia nervosa

Methods

Psychopathological, anamnestic, psychological

Results

It was found that in atypical anorexia nervosa, vomitophobia is observed in 30% of cases. The initial stage is a psychotraumatic situation unrelated to eating behavior. In the future, the pathological fear of vomiting is fixed, which is due to the presence of personal deviations and anxiety disorders. The initial stage of an eating disorder is a psychotraumatic situation that is not directly related to eating behavior. However, after Psychotrauma, there is anxiety with its subsequent somatization and vegetative dysfunction of the gastrointestinal tract. In the future, the pathological fear of nausea and vomiting is fixed, which is due to the presence of significant personal characteristics and persesting of anxiety disorders. Dysmorphophobic experiences appear as you lose weight and have an inverted character-discontent with thinness, exhaustion.

Conclusions

The presence of massive vomitorium leads to restrictive eating behavior. Therefore, there is a need to differentiate this pathology from typical anorexia nervosa with vomiting and from hypochondriac disorders. Against the background of adequate complex therapy with food rehabilitation, anti-anxiety medication, psychotherapy, atypical anorexia nervosa with vomitophobia undergoes a fairly rapid reverse dynamics with the appearance of a critical attitude to the existing pathological eating behavior. The prognosis in these cases is quite favorable.

Disclosure

No significant relationships.

Keywords

eating disorderVomitophobia
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S700 - S701
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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