Co-occurrence of Anxiety Disorders and Eating Disorders
I. Introduction
Considering the growing preoccupation of teenage girls with their weight and their bodies, eating disorders have become even more of a concern. In light of the fact that mortality in anorexia nervosa is among the highest of all psychiatric disorders, it is increasingly important to understand what causes eating disorders and how best to treat them (Herzog et al., 1996). A meaningful area of research to consider when trying to understand eating disorders is comorbidity. Such psychiatric disorders such as anxiety disorders, affective disorders, personality disorders, and substance abuse have been found to coexist, at least to some degree, with the eating
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The DSM-IV outlines five criteria for bulimia nervosa (APA, 1994). One, there are recurrent episodes of binge eating. Binge eating is defined as eating in a discrete period of time an amount of food that is definitely larger that most people would consume in a similar period of time. The binge eating must also be characterized by a sense of lack of control over eating. Two, there are recurrent inappropriate compensatory behaviors in order to prevent weight gain such as self-induced vomiting, the misuse of laxatives or diuretics, fasting, or excessive exercise. Three, the binge eating and inappropriate compensatory behavior both occur, on average, at least twice a week for three months. Four, self-evaluation is unduly influenced by body shape and weight. Five, the disturbance does not occur exclusively during episodes of anorexia nervosa. There are two types of bulimia nervosa: the purging type (the person regularly engages in self-induced vomiting or the misuse of laxatives or diuretics) and the nonpurging type (the person uses other compensatory strategies such as fasting or excessive exercise).
Anxiety is defined as “a mood state characterized by marked negative affect and somatic symptoms of tension in which a person apprehensively anticipates future danger or misfortune” (Durand & Barlow, 1997). There are many disorders which fall under the heading
Bulimia nervosa, also called bulimia is a possible life threating eating disorder. A person that suffers from bulimia may secretly binge their food. They may eat large amount of food and then purge their food to get rid of the additional calories that they’ve digested. Bulimia is categorized in two ways, purging bulimia and non-purging bulimia. Purging bulimia is when a person regularly self-induces vomiting after eating. Non-purging bulimia is when an individual may use other methods to try to prevent weight gain, such as fasting, extreme dieting, or overly exercising.
Bulimia nervosa is an eating disorder with psychological, physiological, developmental, and cultural components. The disorder is commonly characterized by binge eating followed by inappropriate compensatory behaviors, such as self-induced vomiting, excessive exercise, fasting, and the misuse of diuretics, laxatives or enemas. Patients properly diagnosed with bulimia nervosa endure many psychological and physiological problems. In order to alleviate these problems for the patient, usually some type of intervention is required. Considering the financial costs to the patient who seeks treatment, it is important to
The two most common eating disorders are bulimia nervosa and anorexia nervosa. Both disorders, primarily affect young women, therefore the majority of the research on eating disorders has been done with women subjects. The onset of bulimia is between adolescence and early adulthood while the onset of anorexia is between early and late adolescence. Not only is the onset different but the disorders are unique. Bulimia nervosa is characterized by loss of control over eating which leads to food binges. These episodes are interspersed with episodes of purging, such as vomiting or laxative abuse, to keep weight down. The goal of anorexia is also to keep weight down , but to a
Eating disorder is a term used to describe several psychological disorders characterized by abnormal eating habits. Some of the most common eating disorders include anorexia nervosa, bulimia nervosa, and binge eating disorder. Anorexia nervosa is probably the most well-known of these. A person suffering from anorexia nervosa will obsess over weight gain and show unusual anxiety related to weight gain. Depending upon the type (binge-eating/purging type or restricting type) a person will either consume food and then attempt to “purge”, a term used to describe a method of forced removal of food from the body such as self-induced vomiting, or they will restrict the amount of food consumed. In most cases the person will be under healthy weight and often see themselves as average weight or even overweight. In bulimia nervosa and binge eating disorders the affected person will eat excessive amounts of food. People suffering from these diseases report feeling out of control during their binge eating episodes. In bulimia nervosa binge eating episodes are followed by some method of purging whereas in binge eating disorder they are not, although the person normally expresses feelings of guilt or embarrassment afterwards. People suffering from bulimia nervosa are usually average weight which can make detection difficult. Those with binge eating disorder are normally
According to the Mayo Clinic (2016), eating disorders are “conditions related to persistent eating behaviors that negatively impact your health, your emotions, and your ability to function in important areas of life.” One such eating disorder is anorexia nervosa. Not to be confused with anorexia, which is simply a general loss of appetite that can be attributed to many medical ailments, anorexia nervosa is a serious eating disorder and mental illness (Nordqvist, 2015). Anorexia nervosa is estimated to affect about .9% of women and .3% of men in their lifetime (“Eating Disorder Statistics & Research,” n.d.). In general, the disorder is commonly characterized by a distorted body image or self-concept, critically low weight (with respect to the patient’s height and age), and an irrational fear of becoming fat or an intense desire to be thin. There are two subtypes to this eating disorder: restrictive and binge/purge. In the restrictive type, the individual limits caloric intake and may compulsively over-exercise. In the binge/purge type, the individual consumes a considerable amount of food in a short period of time (binging) and then deliberately vomits (purging), takes laxatives, or fasts intensely in order to compensate for the food eaten (“General Information: Anorexia Nervosa,” n.d.). In either case, anorexia nervosa is undoubtedly a dangerous and alarming illness.
Bulimia nervosa is an eating disorder characterized by binge eating as well as by self-induced vomiting and/or laxative abuse (Mitchell, 1986). Episodes of overeating typically alternate with attempts to diet, although the eating habits of bulimics and their methods of weight control vary (Fairburn et al., 1986). The majority of bulimics have a body weight within the normal range for their height, build, and age, and yet possess intense and prominent concerns about their shape and weight (Fairburn et al., 1986). Individuals with bulimia nervosa are aware that they have an eating problem, and therefore are often eager to receive help. The most common approach to
However, there are two types of AN which are coded and evaluated differently among the mental health community. These two different types are identified as a restricted type and a binge eating/purging type of anorexia nervosa. As each are coded different among the notes, the restricted type of AN is considered when self-starvation is not associated with concurrent purging such as self-inducing vomiting or the use of laxatives. On the other hand, the binge eating/purging type of AN is when a person regularly engages in purging activities to help control their weight gain.
Bulimia Nervosa refers to when an individual over-eats excessively and then takes action to purge the body of the intake. There are five criteria for Bulimia Nervosa in the DSM-IV, which include: recurring episodes of binge eating, recurring actions of purging, the patterns must continue at least twice a week for three months or more, a huge emphasis on body weight in self-evaluation, and the actions must occur apart
Bulimia has come to be known as bulimia nervosa for its similarity to another eating disorder known as anorexia nervosa, and also known as the binge- purge disorder for its cycle of bingeing and purging. Like anorexia, bulimia is normally developed during adolescences or early adulthood and “both are characterized by severely restricting food consumption.” (“Bulimia Nervosa”) However, unlike anorexia, bulimia is also characterized by binge eating. Binge
According to the DSM-5, eating disorders are characterized by a persistent disturbance of eating–related behavior that results in non-normative eating patterns which leads to impaired physical and psychosocial functioning, (American Psychiatric Association, 2013). Bulimia Nervosa is an eating disorder characterized by recurrent episodes of binge eating with inappropriate compensatory behaviors to prevent weight gain. Binge eating is described as eating an amount of food definitely larger than normal with a sense of lack of control. Compensatory behaviors include misuse of laxatives, self-induced vomiting, diuretics, fasting and excessive exercise, (Comer, 2014) . Another key feature is
It is now defined as “Recurring episodes of eating significantly more food in a short period of time than most people would eat under similar circumstances, with episodes marked by feelings of lack of control.… The person may have feelings of guilt, embarrassment, or disgust and may binge eat alone to hide the behavior”. It is important to note that there is a difference between over-eating and binge-eating, while over-eating is a recognizable problem for many people, “binge-eating is much less common, far more severe, and associated with significant physiological and psychological problems” (DSM 5). Binge Eating Disorder is similar to Bulimia Nervosa in that we see episodes of eating large amounts of food, the difference being that there is no purging after the binging episode. It is seen highly among obese patients, but, perhaps due to a reluctance to relate obesity with an eating disorder, it was not recognized as distinct from Bulimia Nervosa until the early 1990s (Gordon, 2000).
Bulimia nervosa, also known as bulimia, is a serious, potentially life-threatening eating disorder in which the person secretly eats food. There are two different types of Bulimia that include Purging and Nonpurging. Purging bulimia is where a people regularly vomits or uses laxatives after eating a large amount of food. Nonpurging bulimia is where a people uses different methods such as fasting or excessive exercise to remove calories in order to prevent gaining weight. Some symptoms of bulimia are being worried about body and gaining weight, uncontrollable eating, feeling discomfort after eating, large binge eating episode, vomit or exercise after eating, misusing laxatives, restricting calories, and excessive use of dietary supplements. The exact cause of bulimia are unknown, but some doctors say that it is caused by
What is Anxiety? As defined by Understanding Psychology by Glencoe, Anxiety is a general state of dread or uneasiness that a person feels in response to a real or imagined danger. Anxiety affects 19 million Americans annually and anxiety disorder happens to be the most common mental illness in America. There are many different types of anxiety disorder such as: Panic Disorder, Obsessive – Compulsion Disorder, Phobias, and a few more. Although there is no cure for anxiety disorders, there are treatments to reduce symptoms.
The correlation between eating disorders and other psychological disorders is very important for our understanding of the causes and possible treatments for eating disorders. It is known that many people with eating disorders also fit the criteria for several DSM-IV psychological disorders. If researchers can find patterns of comorbidity between these two types of disorders they may be able to better diagnose and treat patients with both of these disorders. The question that I pose it what is the relationship between eating disorders and personality disorders(axis 11 disorders in DSM-IV)? It is important to look for comorbidity between the two disorders to determine the impact they have on each
Bulimia Nervosa is the diet-binge-purge cycle. It is an illness that is mostly found in young females. This cycle involves a strict diet, uncontrollable eating and then unhealthy strategies to get rid of the food and therefore the guilt. This addictive eating disorder is based on guilt. The individual tends to under-consume and thereby becoming very hungry. Once the individual gives in and allows one’s self to eat, the person begins to over-eat. After finishing the large quantities of food, the individual begins to feel immense