Eating disorders in old age
International Journal of Eating DisordersPublished 1 January 1988
L. K. George Hsu, Ben Zimmer
Citations65
SJR quartileQ1
SJR score1.70
SNIP1.46
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TL;DR
There are 5 women over the age of 55 with an eating disorder described and the correct diagnosis and treatment of these disorders were emphasized.
Abstract
There are 5 women over the age of 55 with an eating disorder described. In view of a possible increase in the eating disorders among the elderly, the correct diagnosis and treatment of these disorders were emphasized.
Keywords
Psychology
SpringerReferenceDiagnostic and Statistical Manual of Mental Disorders
20,887 Citations2012
This chapter provides a brief critical overview of the Diagnostic and Statistical Manual of Mental Disorders.
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Among predictors of an unfavourable outcome were found a relatively late age of onset, a longer duration of illness, previous admissions to psychiatric hospitals, a disturbed relationship between the patient and other members of the family, and premorbid personality difficulties.
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Poor outcome could be positively associated with clinical data such as longer duration of illness, older age of onset and presentation, lower weight during illness and at presentation, presence of symptoms such as bulimia, vomiting, and anxiety when eating with others, poor childhood social adjustment, and poor parental relationships.
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The outcome of a disease may be defined as the long-term result of a pathological process which has come to an end but has resulted in various defects which hamper bodily or mental functioning.
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It is recommended that future research in this area attempt to identify subpopulations of patients with affective disorder and eating disorders by means of a longitudinal, multilevel strategy with serial determinations.
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A retrospective study of the incidence of anorexia nervosa in the industrialized canton of Zurich, Switzerland, during three randomly selected sampling periods from 1956 to 1975 finds that the incidence increased significantly, and was not due to the fact that nowadays anorectic patients are hospitalized earlier or that they are hospitalized for less severe illness.
The British Journal of PsychiatryOutcome of Anorexia Nervosa in Males
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Good outcome in terms of weight was associated with good psychological and social functioning, while poor outcome was clearly associated with a longer duration of illness, previous treatment, and greater weight-loss during illness, although not with any specific dietary behaviour.
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Outcome was encouraging in about half of the patients and several psychiatric indicators, such as duration of illness and response to treatment, were identified.
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The present report amplifies on the existing literature with data from 65 consecutive bulimic patients treated with a variety of antidepressants, and offers practical recommendations for pharmacological treatment of bulimia, derived from experience in the center.
American Journal of PsychiatryUndiagnosed vomiting in an older woman: unsuspected bulimia
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A 56-year-old woman with rapid cycling bipolar disorder, whose unexplained vomiting proved attributable to bulimia, is reported on.
