Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-45l2p Total loading time: 0 Render date: 2024-04-27T07:31:53.967Z Has data issue: false hasContentIssue false

Case 26 - The young woman who was “nothing but skin and bones”

Published online by Cambridge University Press:  19 October 2021

Takesha Cooper
Affiliation:
University of California, Riverside
Gerald Maguire
Affiliation:
University of California, Riverside
Stephen Stahl
Affiliation:
University of California, San Diego
Get access

Summary

Pretest self-assessment question (answer at the end of the case)

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. (2013). Eating and feeding disorders. In: Diagnostic and Statistical Manual of Mental Disorders, 5th edn. Arlington, VA: American Psychiatric Association, 2013. Available from: https://doi.org/10.1176/appi.books.9780890425596.dsm10Google Scholar
Arcelus, J, Mitchell, AJ, Wales, J, Nielsen, S. Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies. Arch Gen Psychiatry 2011; 68:72431. https://doi.org/10.1001/archgenpsychiatry.2011.74CrossRefGoogle ScholarPubMed
Attia, E, Steinglass, JE, Walsh, BT, et al. Olanzapine versus placebo in adult outpatients with anorexia nervosa: a randomized clinical trial. Am J Psychiatry 2019; 176:449–56. https://doi.org/10.1176/appi.ajp.2018.18101125Google Scholar
Baker, JH, Schaumberg, K, Munn-Chernoff, MA. Genetics of anorexia nervosa. Curr Psychiatry Rep 2017; 19:84. https://doi.org/10.1007/s11920-017-0842-2CrossRefGoogle ScholarPubMed
Bulik, CM, Tozzi, F, Anderson, C, et al. The relation between eating disorder and components of perfectionism. Am J Psychiatry 2003; 160:366–8. https://doi.org/10.1176/appi.ajp.160.2.366Google Scholar
Duncan, L, Yilmaz, Z, Gaspar, H, et al. Significant locus and metabolic genetic correlations revealed in genome-wide association study of anorexia nervosa. Am J Psychiatry 2017; 174:850–8. https://doi.org/10.1176/appi.ajp.2017.16121402Google Scholar
Frank, G, DeGuzman, M, Shott, M, et al. Association of brain reward learning response with harm avoidance, weight gain, and hypothalamic effective connectivity in adolescent anorexia nervosa. JAMA Psychiatry 2018; 75:1071–80. https://doi.org/10.1001/jamapsychiatry.2018.2151CrossRefGoogle ScholarPubMed
Frank, G, Shott, M, Hagman, J Mittal, V. Alteration in brain structures related to taste reward circuitry in ill and recovered anorexia nervosa and in bulimia nervosa. Am J Psychiatry 2013; 170:1152–60. https://doi.org/10.1176/appi.ajp.2013.12101294CrossRefGoogle ScholarPubMed
Frostad, S, Danielsen, YS, Rekkedal, , et al. Implementation of enhanced cognitive behaviour therapy (CBT-E) for adults with anorexia nervosa in an outpatient eating-disorder unit at a public hospital. J Eat Disord 2018; 6:12. https://doi.org/10.1186/s40337-018-0198-yGoogle Scholar
Hussain, AA, Hübel, C, Hindborg, M, et al. Increased lipid and lipoprotein concentrations in anorexia nervosa: a systematic review and meta‐analysis. Int J Eat Disord 2019; 52:611–29. https://doi.org/10.1002/eat.23051Google Scholar
Kaye, WH, Wierenga, CE, Bischoff-Grethe, A, et al. Neural insensitivity to the effects of hunger in women remitted from anorexia nervosa. Am J Psychiatry 2020; 17:601–10. https://doi.org/10.1176/appi.ajp.2019.19030261Google Scholar
Lebow, J, Sim, LA, Erwin, PJ, Murad, MH. The effect of atypical antipsychotic medications in individuals with anorexia nervosa: a systematic review and meta-analysis. Int J Eat Disord 2013; 46:332–9. https://doi.org/10.1002/eat.22059Google Scholar
Lock, J. Pocket Guide for the Assessment and Treatment of Eating Disorders. Washington, DC: American Psychiatric Association Publishing, 2019.Google Scholar
Luz Neto, LMD, Vasconcelos, FMN, Silva, JED, et al. Differences in cortisol concentrations in adolescents with eating disorders: a systematic review. J Pediatr (Rio J) 2019; 95:1826. https://doi.org/10.1016/j.jped.2018.02.007CrossRefGoogle ScholarPubMed
Mahon, PB, Hildebrandt, TB, Burdick, KE. New genetic discoveries in anorexia nervosa: implications for the field. Am J Psychiatry 2017; 174:821–2. https://doi.org/10.1176/appi.ajp.2017.17050574Google Scholar
March, M, Wildes, J. Evidence-based psychological treatment for eating disorders. In: Gabbard, GO, ed. Gabbard’s Treatments of Psychiatric Disorders, 5th edn. Washington, DC: American Psychiatric Publishing, 2014. Available from: https://psychiatryonline.org/doi/full/10.1176/appi.books.9781585625048.gg30Google Scholar
Mehles, P. Anorexia nervosa in adults and adolescents: medical complications and their management. In: Yager, J, Solomon, D, eds. UpToDate, 2019. Available from: https://www.uptodate.com/contents/anorexia-nervosa-in-adults-and-adolescents-medical-complications-and-their-management (accessed March 26, 2021).Google Scholar
Norris, ML, Spettigue, W, Buchholz, A, et al. Olanzapine use for the adjunctive treatment of adolescents with anorexia nervosa. J Child Adolesc Psychopharmacol 2011; 21:213–20. https://doi.org/10.1089/cap.2010.0131Google Scholar
Stahl, S. Olanzapine. In: Stahl’s Essential Psychopharmacology: Prescriber’s Guide, 6th edn. Cambridge, UK: Cambridge University Press, 2017; pp. 527–36.Google Scholar
Walter, K, Bulik, C, Plotnicov, K, et al. The genetics of anorexia nervosa collaborative study: methods and sample description. Int J Eat Disord 2013; 41:289300. https://doi.org/10.1002/eat.20509Google Scholar
Watson, HJ, Yilmaz, Z, Thornton, LM et al. Genome-wide association study identifies eight risk loci and implicates metabo-psychiatric origins for anorexia nervosa. Nat Genet 2019; 51:1207–14. https://doi.org/10.1038/s41588-019-0439-2.CrossRefGoogle ScholarPubMed
Yager, J, Devlin, MJ, Halmi, KA, et al. Treatment of Patients with Eating Disorders, 3rd edn. In: American Psychiatric Association Guideline Watch. Available from: https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/eatingdisorders-watch.pdfGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×