Professional Documents
Culture Documents
Eating Disorders
Eating Disorders
3
Rate per 100
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Anorexia Control
N ervosa
Proband Group
Support for A Primary Role of Fear
and Anxiety Related Traits in AN
Comorbidity with anxiety disorders
major anxiety syndromes occur in upwards of
80% of AN patients, roughly 4 times the rate in
the general female population
Association with ‘anxious’ personality
phenotype – tendency toward greater
restraint, caution, regimentation, and
perfectionism compared to persons without
AN
Anxiety in Families
Stavro et al (submitted)
50
Rate per 100
40
30
20
10
0
Parents Parents
of AN of
Controls
AN: Risk Factors & Prognosis
Risk factors for AN: puberty; perfectionistic
personality; family h/o affective, OCD, and Anxiety
D/O; impaired family interactions, stressful life
events (e.g., sexual abuse, beginning college, leaving
home, etc.)
Prognostic indicators for AN: age of onset (12 - 18 is
better b/c prior to 18 y/o families can mandate
treatment; prior to 12 y/o is bad prognosis);
bulimic/purging symptoms lead to a worse prognosis
(restrictors do better); chronicity of illness (>6 years
of illness with little treatment benefit); weight at
treatment; repeated hospitalizations; poor social
functioning
BN: Risk Factors & Prognosis
Books
Strober and Schneider “Just A Little Too Thin”, 2005
Pipher “Hunger Pains - The Modern Woman’s Tragic
Quest For Thinness”, 1995
Natenshon “When Your Child Has An Eating
Disorder”, 1999