101573: Typical and Atypical Restrictive Anorexia Nervosa: Weight History, Body Image, Psychiatric Symptoms, and Response to Outpatient Treatment IJED July 2009

About the Course:

Objective: Few studies have examined the characteristics of atypical restrictive anorexia nervosa (AN) with a well-powered design. The study aims to explore this issue, with particular attention paid to psychopathology and response to outpatient treatment. Method: The sample consists of 365 subjects with restrictive AN and 204 with atypical AN. Three types of atypical AN were included: subthreshold (all the criteria except weight); partial (AN without amenorrhea); and AN subjects without fear of gaining weight. Results: AN subjects without fear of weight gain reported the lowest lifetime BMI and subthreshold AN the highest. Partial AN subjects reported the highest levels of psychiatric symptoms and novelty seeking. All types of atypical AN showed high rates of dropout, whereas subthreshold AN subjects showed the highest level of full remission after treatment. Discussion: Before considering a revision of the diagnostic criteria of AN, further studies on adequately large samples are needed.

This article is from the July 2009 issue of the International Journal of Eating Disorders, the official journal of the Association for Eating Disorders.

Publication Date:

July 2009

Authors

Paolo Santonastaso, MD; Romina Bosello, MD; Elena Tenconi, PhD; Daniela Degortes; Angela Favaro, MD, PhD,

About the Authors:

Paolo Santonastaso, MD, is Professor of Psychiatry at the Medical School of the University of Padua (Italy), Department of Neurosciences. He is the Head of the Eating Disorder Unit of the Padua Hospital.

Romina Bosello, MD

Elena Tenconi, PhD, has a Master degree in clinical psychology; she is now post-doctoral student at the Department of Neurosciences, University of Padua.

Daniela Degortes, is psychologist, has a Master degree in Clinical Psychology; she works at the Eating Disorders Unit of the Padua Hospital.

Angela Favaro, MD, PhD, is Aggregate Professor of Psychiatry at the Medical School of the University of Padua, Department of Neurosciences.

Recommended For:

This course is recommended for health care professionals, especially psychologists, counselors, social workers, and nurses who seek knowledge about the diagnosis and treatment of eating disorders It is appropriate for an intermediate level to advanced levels of participants’ knowledge.

Course Objectives:

  1. Classify the differences between typical and atypical anorexia nervosa cases concerning dropout rates and response to outpatient treatment.

  2. Assess the main clinical differences of typical and atypical anorexia nervosa cases, as regards weight history, body image, and psychopathology.

  3. Identify the diagnostic features and differential diagnosis of the different types of atypical restrictive anorexia nervosa cases.

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