Anorexia Nervosa Among Adolescent Females : Primacy, Causation, And Treatment

Incidences of Anorexia Nervosa have appeared to increase sharply in the USA, UK and western European countries since the beginning of the 60s (Gordon, 2001). The increasing prevalence of the disease has led the World Health Organisation to declare eating disorders a global priority area within adolescent mental health (Becker et al. 2011). Anorexia has in many ways become a modern epidemic (Gordon, 2000) and with a mortality rate of 10% per decade (Gorwood et al. 2003), the highest of any mental disorder (Bulik et al. 2006), it is an epidemic that social and biological scientists have been working tirelessly to understand.

Dr. Levenkron talks about Anorexia Nervosa as a pathological distortion of today’s society of being “Fashion-model thin.” This source is reliable because it is told from a doctor's/psychotherapists perspective of the disease. It informs and broadens my research on the pathological aspect of the disease. Dr. Steven Levenkron uses case studies and specific strategies to explain and help cure the disease.

Around 10-15% of all Americans suffer from an eating disorder. “More than 7 million women suffer from an eating disorder whereas only one million men suffer from an eating disorder” (Mirasol). In modern society, we are surrounded by media and images. Both men and women struggle to meet the expectations set forth in magazines, websites, and on television. The pressure to imitate the ideal body can lead many down unhealthy paths. Teens today face a lot more challenges which leads them to illnesses like Anorexia, Bulimia, and Binge eating. Although there are a lot of similarities in this disease, the differences can also affect people differently, which means different treatments are required.

Anorexia nervosa, otherwise stated as anorexia, is an eating disorder that occurs when an individual restricts themselves from necessary energy intake which leads to significantly low body weight. Other characteristics of this disorder include: intense fear of becoming fat or gaining weight, persistent behavior that interferes with weight gain, and disturbances of perception and experience of their own body weight and shape (DSM V, 2013). Effective treatments are still trying to be researched for this disorder, as there is not a “one size fits all” for people of all age groups, living situations, etc. Since adolescents with anorexia are such a vulnerable population,

Eating disorders in the United States are becoming more and more prominent as the years go by. Up to 24 million people in the United States suffer from eating disorders (ANAD, 2015), according to a secondary source research by the National Association of Anorexia Nervosa and Associated Disorders (ANAD), the oldest and the most prominent organization aimed at fighting various eating disorders in the United States. Prominently, eating disorders in adolescents continue to be a serious problem and may result in premature death or life-long medical and psychosocial morbidity (Vale, B., Brito, S., Paulos, L., & Moleiro, P., 2014). According to a peer-reviewed, primary source by eating disorder specialists, eating disorders are classified according to Diagnostic and Statistical Manual of Mental Disorders, 4th edition , as anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified (Vale, B., Brito, S., Paulos, L., & Moleiro, P., 2014). The two major eating disorders, anorexia nervosa and bulimia nervosa, are very common amongst adolescents, specifically young girls. While the symptoms of anorexia nervosa is more evident through the dramatic change in body weight, bulimia nervosa can be overlooked as many with the disease have a normal body weight (Mulheim, 2012).

Beauty standards in the media are one of many reasons feeding and eating disorders are a rising problem. The unrealistic body types of being extremely thin, in pop culture, are influential factors for many teens, especially teen girls. According to the Diagnostic Statistical Manual of Mental Disorders, fifth edition (DSM-5), anorexia nervosa is a “restriction of energy intake, intense fear of gaining weight, and a disturbance in the perception of one’s body size” (American Psychiatric Association, 2013). Individuals diagnosed with anorexia tend to place a high value on their shape and weight, which can interfere with their daily lives. Individuals diagnosed tend to view of their body shape in a distorted representation. The motivation to become

About one in 200 persons in the United States will develop anorexia nervosa at some time. Ninety Percent are women (Anorexia Nervosa—Part 1 1). Anorexia is defined as an emotional disorder characterized by refusing to diet or eat. This is targeting young girls all across the world! This calamity is struck by something every person loves, social media. The media realm needs to be ceased from the websites that support dieting, celebrities displaying perfectionist bodies, and the social media world: their main victim to such disease are young teens. In particular media plays a role in anorexia in young teens because of social media and celebrities, the model industry, and the “thigh gap”.

Anorexia nervosa, a medical condition defined by an abnormal or pronounced lack of appetite, has become a household recognized condition due to its prevalence and impact. Anorexia nervosa is a major eating disorder that disrupts everyday life, resulting in extreme thinness, hormonal imbalances, behavioral signs, and health issues that can lead to death. While the disease strikes across all gender, races, and classes, the victims affected are typically young, healthy, and attractive women of successful families. The average girl affected usually ages between thirteen and nineteen years old (Landau 3). This disorder has increased rapidly over the last ten years, becoming more common each year (Landau 2-3). Women faced with both a biological

Anorexia Nervosa, a DSM-5 diagnosis, is characterized by energy restriction leading to a significantly low body weight, in addition to psychological comorbidities involving anxiety, depression, fear of weight gain, body image disturbances, and lack of recognition of the seriousness of the disease and low body weight. Even though this disease has a lifetime prevalence of 1-2.3%, with an average mortality rate of 5-10%, current research on an initial, gold standard anorexia nervosa treatment is scarce (2-4,7). Treatment choice is currently based on

Much to our perceived attention is the idealised image that most aspire to have. In attempting to achieve such a look involves drastic measures for some and possibly fatal. There is ample of evidence to suggest that such measures revolve around an individual’s eating habits thus leading to unhealthy disordered eating patterns. Eating disorders refer to abnormal eating habits characterised by excessive or insufficient intake of food and develop from a number of interrelated issues. Much of the research into eating disorders has focused particularly on anorexia nervosa and bulimia nervosa and its developmental causes. Anorexia nervosa is a psychological disorder characterised by delusions of being overweight resulting in conspicuous

Anorexia Nervosa is a fairly common and very consequence psychiatric disorder that affects a person’s desire to consume nutrients because they believe that they are overweight. Women are more likely then men to develop this specific disorder and teenagers aged 15 to 19 are at the highest risk of anyone (Berends, Van Meijel, & Van Elburg, 2012). Individual’s affected by Anorexia Nervosa Disorder will refuse to maintain a healthy body weight for their size and instead will starve themselves in an attempt to loose weight. The lack of nutrients within their body and lack of fats left after starving themselves affects not only their physical functioning but also their psychological functioning. There has been much advancement in developing treatment for individuals affected by Anorexia Nervosa. Treatment typically consists of careful monitoring of the individual’s food intake, their weight, BMI, and their psychological state. However relapse is extremely common after full treatment occurs. It is estimated that 30-50% of individuals who are treated for Anorexia Nervosa will relapse, with the likelihood of relapse decreasing to almost zero two years after discharge (Berends, Van Meijel, & Van Elburg, 2012). Determining if an individual is going through relapse has been broken down into six key symptoms:

AN (Anorexia Nervosa) is the most visible eating disorder, is a serious psychiatric illness characterized by an inability to maintain a normal healthy body weight or, in individuals who are still growing, despite increasing weight loss and frank emancipation, individuals with AN strive for additional weight loss, see themselves as fat even when they are severely underweight, and often engaged in unhealthy weight loss behaviors (e.g. purging, dieting, excessive exercise, and fasting). (Bulk, Trace, Kleiman and Mazzeo, 2014). AN not only has harmful physical side effects but has psychological impacts as well. According to Serpell, Treasure, Teasdale and Sullivan (1998), one of the most interesting features of anorexia nervosa which sets it apart from many other conditions is highly valued in nature of anorexic symptoms.

Female adolescents can develop eating disorders because of the way the media portrays models. Adolescent girls’ attitude of the thin ideal leads to body dissatisfaction, which in return puts them at risk for serious eating disorders like bulimia and anorexia nervosa. Bulimia is an emotional disorder involving distortion of body image and an obsessive desire to lose weight, in which bouts of extreme overeating are followed by depression and self-induced vomiting, purging, or fasting. Anorexia nervosa is an emotional disorder characterized by an obsessive desire to lose weight by refusing to eat. Kara L. Kerr who is currently studying psychology, sociology, and women’s and gender studies at the University of Tulsa claims that “Approximately 40 percent of anorexia nervosa cases occur in females ages fifteen to nineteen” (1). Females’ that are the ages of fifteen to nineteen should not be worrying about the presentation of their

Dieting is another major ramification of eating disorders to girls of all ages in America. Many girls have a negative mentality that makes them believe they are not skinny enough because of the photos posted on media today. This negative mentality results in unhealthy weight management and feeble relationships with food; these girls are excessively dieting and exercising in fear of gaining weight (“Teen Health and Wellness”). The ideal beauty image today is to be emaciated. Anorexia Nervosa is an eating disorder distinguished by an obsessive eagerness of losing weight by refusing to eat, the dangers of anorexia, and every other eating disorder are extremely high. Anorexia has the highest death rate of all mental illnesses: fifteen to twenty percent of anorexics die within the first ten years, while eighteen to twenty percent die within the first twenty years of being anorexic (“Mirasol Eating Disorder Recovery Centers”). The death rate correlated with eating disorders is twelve times higher than any other causes of death of females aged fifteen to twenty four (“Mirasol Eating Disorder Recovery Centers

Today in our society, there is a strong emphasis placed on body shape and appearance as seen in much of our media (Grigg et. al, 1996). Unfortunately, the ideal body image encouraged by society is often unhealthily thin and unrealistic and may therefore contribute to the prevalence of body distortion and ED , may times women will engage in disordered eating in hopes of attaining the false ideal. Even girls aged 5–8 years of age are already living in an appearance culture in which both peers and the media influence body image and dieting awareness ( Dohnt & Tiggermann, 2006). The vast majority of people with eating disorders in the United States are adolescents and young adult women. Eating disorders, in addition to causing various physical health problems, are associated with illnesses such as depression, substance abuse, anxiety, and especially OCD (Rubenstein et. al, 1992).