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Unformatted text preview: Module 2 --- Article 5 TREATMENT HIGHLIGHTS eating disorders Characteristics of anorexia nervosa are found to persist several years after treatment. in addition, anorexia nervosa is associated with a high lifetime incidence of other disorders. The status of 70 women who had been treated for anorexia nervosa an average of 12 years earlier was compared to that of a random community sample of 98 women with no lifetime history of anorexic symptoms. Assessments included a structured diagnostic interview as well as several self-report inventories. The interviews revealed that 15.7% of the anorexia group continued to meet at least subthreshold levels of anorexia nervosa. The current weights and the desired weights were lower in the anorexia group than in the comparison group. The anorexia group indicated a higher drive for thinness, higher levels of perfectionism and cognitive control over eating behavior, and less susceptibility to hunger than the comparison group. There were higher lifetime incidences of major depression, alcohol dependence, and several anxiety disorders (including obsessive-compulsive disorder, panic disorder, separation anxiety disorder, and overanxious disorder) in the anorexia group versus the comparison group. Even while controlling for the presence of these other disorders, social and occupational functioning was lower in the anorexia group than the comparison group. The authors conclude that even though only a minority of the women continued to have anorexic symptoms several years after treatment, associated anorexic features (eg, low body weight and perfectionism) and psychological disorders were prevalent. The authors also conclude that treatments of anorexia nervosa that focus primarily on weight gain but neglect the detection and treatment of associated psychopathology may be inadequate. Sullivan PF, Bulik CM, Fear JL, & Pickering A. Outcome of anorexia nervosa: A case-control study. American Journal of Psychiatry, 155:939-946, 1998. Support: Canterbury Medical Research Foundation; New Zealand Health Research Council. ©Copyright 2011 MWK Publishing LLC; from The Complete Practitioner: Mental Health Applications (Vol. 1, No. 9 -- September 1998) For next article, go to next page. ...
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This note was uploaded on 02/10/2011 for the course PCO 4930 taught by Professor Neimeyer during the Spring '09 term at University of Florida.
- Spring '09