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Interventions for anorexia nervosa
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Anorexia Nervosa is described as an intricate eating disorder that has includes three main components, namely: going to extremes to not maintain a healthy body weight; having an intense fear of putting on weight and having a distorted body image (Melinda Smith, 2014). 1. What causes Anorexia Nervosa? There are many possible causes of this lifestyle disease. These include psychological causes, biological causes and may it may also arise from family and social pressures (Melinda Smith, 2014). • Psychological Causes Research has proven that the teenagers that are most at risk for becoming anorexic are the stereotypical ‘over-achieving’ teenagers (Melinda Smith, 2014). These individuals appear to excel in everything that they do, and are usually obedient to their parents (Melinda Smith, 2014). Most of their peers will think that they are happy and in control of everything in their lives, however these teenagers usually feel inadequate and helpless (Melinda Smith, 2014). They then feel that the one thing that they do have control of in life is their weight and body image. This, coupled with the negative emotions they feel about themselves causes them to view themselves in a very negative light (Melinda Smith, 2014). This then leads to the distorted body image that starts the vicious cycle of anorexia. • Biological Causes It has been proven that teenagers with siblings who have anorexia, or who come from families where anorexia is common are 10 to 20 more times at risk of becoming anorexic than teenagers who do not (Melinda Smith, 2014). Once a teenager starts becoming anorexic, the brain starts to decrease the secretion of the hormones serotonin and norepinephrine (Melinda Smith, 2014). These are the hormones that are asso... ... middle of paper ... ...13 to 15, 50% believe that they are overweight (Disorders, 2014) • Only 1 in every 10 eating disorders is treated (Disorders, 2014). • 80% of patients who do receive treatment do not receive sufficient treatment (Disorders, 2014) • Even with treatment, approximately 3% of individuals suffering from anorexia will die (Disorders, 2014). • Only 60% of sufferers make a full recovery, 20% make a partial recovery but are still in danger of becoming anorexic again and 20% do not recover at all (Disorders, 2014). There are little to no statistics on anorexia in South Africa, as it is not yet a very common disease. However, articles suggest that if data was collected, the statistics would be almost identical (Disorders, 2014). It is however noted that 90% of sufferers are female (Alexander, 2007) and that most commonly it occurs in young adults (Alexander, 2007).
Anorexia Nervosa placed third behind asthma and type 1 diabetes as the most chronic disease which affects young people. It is estimated that teens and young adults betwixt the ages 15 and 24 who suffer from Anorexia have 10 times the chance of dying when compared to those of similar age. Of individuals with anorexia, only .25% are males which is why most times its after death males are identified as being anorexic. About 10% individuals die from complications of the disease. That number duplicates to about 20% if combined with the patients who have anorexia and who suicide, thus making it the most life-threatening and fatal mental disease in
Anorexia nervosa is characterized by a distorted body image. The individual is severely underweight and thinks they are fat or has a fear of becoming fat (Comer, 2013).
The DSM-IV definition of anorexia nervosa has four conditions. The definition states: "I) Refusal to maintain body weight for age and height; 2) intense fear of gaining weight or becoming fat, even though underweight; 3) disturbance in the way in one's body weight, size, or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight; and 4) in females, ammenorrhea" (1). There remain two kinds of an nervosa as well the restricting ": "the person has not regularly engaged in binge-eating or purging behavior-" and the binge-eating/purging type.- "in which the person has regularly engaged in these behaviors" (1). Anorexia nervosa usually occurs during adolescence and in females. This definition becomes important in understanding the relationship between anorexia nervosa and obsessivecompulsive disorder.
Many causes are attributed to anorexia, and scientists have studied the personalities, genetics, environments, and biochemistry of people suffering from this disorder. Women most often share various traits--although the more that is learned, the more complex each individual case becomes--low self-esteem, feelings of helplessness, and a fear ...
Anorexia nervosa is a disease that revolves around the thought of “Never being skinny enough.” Once someone starts to live an anorexic lifestyle nothing else in his or her life matters anymore. Family, friends and other activities are pushed aside because all that matters in the life of someone with anorexia is losing weight (Anorexia Nervosa). However, anorexia isn’t just about eating unhealthy. Anorexia is about malnutrition, excessive weight loss and starvation of the body. Anorexia isn’t a very popular disease. Anorexia appears in less than one percent of girls (Rosen, Meghan).
Anorexia is a serious and life threatening condition. It can result in death due to starvation, heart failure, or electrolyte imbalance. The first step in helping someone suffering with anorexia is to diagnose the physical characteristics attributed with the disease...
Today, as many as 10 out of 100 young teens struggle with an eating disorder. Each year, many teens develop eating disorders, or problems related to their weight, body image, and food. Anorexia is a serious eating disorder associated with an intense fear of weight gain and food. People who suffer from anorexia limit the amount of food they eat and have a distorted view of their body size and shape and may become dangerously thin. That is because the disorder affects not only their body but also their mind. Although the cause of anorexia is not fully understood, there is evidence that physical, biological, and social triggers are part of problems in anorexia. All of these causes revolve around the society we are living in today.
"Anorexia Nervosa Facts Sheet." . US Federal Government, 16 Jul 2012. Web. 6 Nov 2013. .
Seeing an empty box of over-the-counter diet pills in the bathroom at school a couple of weeks ago really got me thinking: what is the ideal body image that we throw at teenagers today? More and more we see people equate success and popularity with beauty and, especially, with being thin. The media, one of the biggest influences on young people, is crammed with images of "the perfect body," and American life seems to revolve around health clubs, diet pills, and fat-free foods. As contributing factors to eating disorders continue to rise in everyday life, so do the statistics. Fifteen percent of the teenagers diagnosed with Anorexia Nervosa will die this year, and as many as 1 in 5 college students are engaging in some form of bulimic behavior. Anorexia is found chiefly in adolescents, especially young women, and female anorexics outnumber males 15 to 1. With numbers this high, someone you know, literally, may be dying to be thin.
The stage of adolescence contains major changes which can bring stress, confusion, and anxiety. Feelings of self-consciousness, low self esteem and comparison with peers start occurring during this time. Along with the physical changes there is also hormonal and brain changes that affect the adolescent physically, mentally, emotionally, and psychologically. During this time a person can feel tremendous pressure to find their place in the world among a great deal of confusion (“Eating Disorders and Adolescence,” 2013). Body image concerns and peer pressure are heightened during the period of adolescence, and are potential risk factors in the development of an eating disorder. While eating disorders can affects males and females of all ages, the average age of onset for Anorexia Nervosa, Bulimia Nervosa, and disordered eating takes place during adolescence. These disorders are often a coping mechanism for people to attempt to gain control of their situation when they feel helpless among other aspects of life (“Eating Disorders and Adolescence,” 2013). Eating disorders in children and teens can lead to a number of serious physical problems and even death (Kam, n.d.).
Anorexia Nervosa is a mental condition which affects one’s both physical and mental health. It is a condition that causes one to have a distorted self-image and forces themselves to starve even if their body weight is already dangerously low. They often restrict their food intake to the point where they are extremely thin. Anorexia is found to occur most often in women, especially those who are aged 15 to 35. There have been cases reported as early as the age of 7 and as late as the age of 80. Researchers believe that about 5 to 10 percent of women overall have a distorted body image but approximately 1 to 2 percent of those women suffer from anorexia nervosa. Often at times anorexia can begin during the early teen years. Over 90 percent of the victims of anorexia are found to be women but yet many cases go unnoticed or unreported.
Out of all mental illnesses found throughout the world, eating disorders have the highest mortality rate. Anorexia nervosa is one of the more common eating disorders found in society, along with bulimia nervosa. Despite having many definitions, anorexia nervosa is simply defined as the refusal to maintain a normal body weight (Michel, 2003). Anorexia nervosa is derived from two Latin words meaning “nervous inability to eat” (Frey, 2002). Although anorexics, those suffering from anorexia, have this “nervous inability to eat,” it does not mean that they do not have an appetite—anorexics literally starve themselves. They feel that they cannot trust or believe their perceptions of hunger and satiation (Abraham, 2008). Anorexics lose at least 15 percent of normal weight for height (Michel, 2003). This amount of weight loss is significant enough to cause malnutrition with impairment of normal bodily functions and rational thinking (Lucas, 2004). Anorexics have an unrealistic view of their bodies—they believe that they are overweight, even if the mirror and friends or family say otherwise. They often weigh themselves because they possess an irrational fear of gaining weight or becoming obese (Abraham, 2008). Many anorexics derive their own self-esteem and self-worth from body weight, size, and shape (“Body Image and Disordered Eating,” 2000). Obsession with becoming increasingly thinner and limiting food intake compromises the health of individuals suffering from anorexia. No matter the amount of weight they lose or how much their health is in jeopardy, anorexics will never be satisfied with their body and will continue to lose more weight.
The biological underpinnings are only part of anorexia the mechanics is careful not to dismiss the point of the studies to culture and psychological issues of and catalysts for eating disorders. (“Case”) The studies are put together. This teenage girl in Fijian caused bad eating disorders in just three years. Anne Becker showed us the introduction of a television into the population of Fijian.(“Case”) The media has contributed to eating disorders in America’s teens.
Anorexia Nervosa (AN) was the first eating disorder to be classified, with some specific diagnostic criteria developed in the 1970s (Fairburn & Brownell, 2002). AN is a serious psychiatric disorder in terms of aetiology and epidemiology. 0.48% of prevalence of AN is estimated in girls who fall under the 15-19 age group (Lock et al., 2012). In AN, pathological thoughts and behaviours concerning food and weight, as well as emotions about appearance, eating and food co-occur (Lock et al., 2012). These thoughts, feelings and behaviours lead to changes in body composition and functions that are the direct results of starvation (Lock et al., 2012). The illness in adolescents causes severe affects physically and emotionally, and affects the social development of the individual. The causes of AN are not known but most of the researchers and clinicians agree that AN has multiple determinants (Garner et al., 1982) that emerge in a developmental sequence. Many physiological symptoms, common to semi-starvation irrespective of causes such as depressed mood, irritability, social withdrawal, loss of sexual libido, preoccupation with food, obsessional ruminations and rituals, as well as reduced alertness and concentration are also associated with Anorexia nervosa (Fairburn & Brownell, 2002). The illness is also associated with premorbid perfectionism, introversion, poor peer relations, and low self-esteem (Fairburn & Brownell, 2002). Patients suffering from AN, are also known to suffer from other physical consequences of starvation and other weight losing behaviours. The body’s response to starvation includes bone marrow suppression with increased susceptibility to overwhelming infection, which in the longer term may lead to health consequences s...
Anorexia may not be noticed in early stages. The Anorexic usually chooses to wear layered and baggy clothes to hide the “ugly fat body” .An Anorexic may have ritualistic eating patterns such as cutting food into little tiny pieces and weighing themselves. These can be found in people who are on a healthy diet, but in Anorexics these behaviors are extremely exaggerated. Other warnings are deliberate self-starvation with weight loss, fear of gaining weight, refusal to eat, denial of hunger, constant exercising, sensitivity to cold, absent or irregular periods, loss of scalp perception of being fat when the person is really to this. Some other associated features are depressed mood, somatic sexual dysfunction, and ...