HISTORICAL BACKGROUND OF ANOREXIA NERVOSA Anorexia nervosa’s (AN) first descriptions began during the twelfth and thirteenth century with the historical Saint Catherine of Siena (Deans, 2011). It is related to participating in religious functions and medieval practices of self-starvation (Deans, 2011). Furthermore, the death of popular singer, Karen Carpenter in 1983 created the societal awareness about the effect of anorexia nervosa and become widely known at the end of the twentieth century (Rader, 2012). Nowadays, anorexia nervosa has become more common, especially in the western countries such as the United States. The reason of increment in the prevalence rate is believed to be influenced by the fashion and media industries (Rader, 2012). The statistics show about 10 million females and 1 million males in the United States alone are dealing with the eating disorders (Witmer, n.d). Moreover, eating disorders mortality rate could be higher of any other psychiatric disorders and Crow et al. (2009, p. 1342) claimed that there was a crude mortality rate of 4% for anorexia nervosa. In 1873, Sir William Gull, British physician formed the termed “anorexia nervosa (Apepsia Hysterica, Anorexia Hysterica)” (Gull, 1997, p. 498). The term anorexia nervosa (AN) is a Greek origin means without appetite or desire which describe “nervous absence of appetite”. Anorexia nervosa is the first eating disorders stated in the Diagnostic and Statistical Manual of Mental Disorders DSM-I, characterized by restricting on food intake even they are starving, always have a false appearance of their body shape although extremely thin (Kazdin, 2000). The latest Eating Disorder Diagnostic Criteria from DSM 5 has revised from DSM IV-TR in 2013. The... ... middle of paper ... ...rexic patients by the National Institute for Clinical Excellence (NICE). Long et al., (2012, p. 2) suggested that the anorexic patients whose no improvement after an suitable psychotherapy with higher suicide risk should hospitalization for at least 12 months. Nutritional rehabilitation are used in the treatment of anorexia (Marzola, Nasser, Hashim, Shih, & Kaye, 2013). It has focused on the changing of the AN patients on their unhealthy eating behavior and concern on the accurate amount of calories the AN patient’s needs (Marzola et al., 2013). Finally, there is no effective treatment for the anorexia nervosa but a positive thinking for anorexia patient’s itself is very important. I think the sufficient support and attention from the family and society would help the anorexic patients. Thus, there are relation influences among biological, psychological, and social.
Anorexia Nervosa may be described directly as an eating disease classified by a deficit in weight, not being able to maintain weight appropriate for one’s height. Anorexia means loss of appetite while Anorexia Nervosa means a lack of appetite from nervous causes. Before the 1970s, most people never heard of Anorexia Nervosa. It was identified and named in the 1870s, before then people lived with this mental illness, not knowing what it was, or that they were even sick. It is a mental disorder, which distorts an individual’s perception of how they look. Looking in the mirror, they may see someone overweight
Anorexia nervosa is a psychosociological disease which affects young women. Anorexia is mainly a female's disease which has been evident for centuries-however, in the past twenty years, the incidence of this disorder has risen to horrifying proportions. It is characterized by the refusal to maintain body wight over a minimal normal weight for age and height; intense fear of gaining weight; a distorted body image; and, amenorrhea. (http://www.pgi.edu/hagopian.htm) This disorder becomes a disease when the mind starts to cause problems with one's physical well-being. A connection has been found between sociocultural pressures to achieve, familial characteristics, and individual personality traits.
"Anorexia Nervosa--Part I." Harvard Mental Health Letter. Feb. 2003: 1-4. SIRS Issues Researcher. Web. 06 Mar. 2014.
To begin with, Anorexia Nervosa is an on going problem around the world. People with Anorexia need to get treatment because symptoms are bad for their health. Anorexia is mainly seen in women in their late teens to early twenties. According to Mayo Clinic Staff, a group of physicians, scientists, and other medical experts from Arizona, Florida and Minnesota, "...symptoms of anorexia nervosa are related to starvation, but the disorder also includes emotional and behavior issues related to an unrealistic perception of body weight and an extremely strong fear of gaining weight or becoming fat". Physical symptoms are not the only symptoms or damages done to the body. When thinking of anorexia, one typically thinks that physical symptoms are the only symptoms, such as a person so skinny you can see their bones. That is not the case with Anorexia Nervosa. One does not only suffer from, "...Extreme weight loss...Thin appearance...Dehydration...Swelling of arms or legs" but also suffer from emotional and behavioral issues such as, "...Refusal to eat...Fear of
Anorexia is a mental illness that can be identified by its victims starving themselves in order to drop weight to dangerous levels. Most often, anorexics will restrict their food or exercise excessively in order to decrease their body weight. Anorexia has the highest mortality rate of any mental illness. This is mainly due to suicide and the complications that occur consequently from starvation. These complications include heart and kidney failure as well as osteoporosis and muscle atrophy. Females may also stop menstruating. The gastrointestinal, cardiovascular, and endocrine systems may also be affected. Thus, Anorexia has detrimental effects on a person’s physical and mental health.
Anorexia Nervosa is an eating disorder characterized by severe restriction of food, an intense fear of gaining weight, a distorted body image and a body mass index of less than 18.5 (Kring, Johnson, Davison, Neale, 2013). There are two subtypes of anorexia, Restricting and Binge Eating/Purging. An individual who falls under the Restricting subtype severely restricts food intake, while an individual who falls under the Bing Eating/Purging subtype regularly engages in binge eating and purging. Anorexia typically begins in adolescence and primarily affects women. The disorder is more common in women than in men mainly because of the cultural emphasis that is placed on women’s beauty. Individuals with anorexia generally have a low self-esteem, a very critical self-evaluation and a belief that they can never be too thin. Due to the seriousness of the disorder, the issue of whether or not an individual should have the right the refuse life-sustaining treatment is highly debated.
Anorexia nervosa (AN) is an disorder that has been most commonly diagnosed in adolescence with the highest at-risk group being women between ages 15 and 22 years old (Hodes, et al., 2000). In the United States, the occurrence of anorexia nervosa is estimated between 0.5% and 2% of the general population, and 0.8 million of the juvenile population (Fisherman, 2006). AN is an illness that has been around for quite some time but has recently become progressively more relevant in society today. This increase could be due to social factors such as the pressure to fit into society’s ideal body image, environmental, psychological, or other social factors may be contributing to the more rapidly development of AN. The exact causes of this disorder are unknown but anorexia has become the third most common chronic illness among adolescents and currently the incidents of AN are increasing in western countries (ANAD, 2014).
ANAD. “Eating Disorders Statistics”. National Association of Anorexia Nervosa & Associated Disorders, Inc., 2013.Web. 18 Nov 2013.
In 1978, Brunch called anorexia nervosa a 'new disease' and noted that the condition seemed to overtake ?the daughters of the well-to-do, educated and successful families.? Today it is acknowledged and accepted that anorexia affects more than just one gender or socio-economic class; however, much of the current research is focused on the female gender. ?Anorexia nervosa is characterized by extreme dieting, intense fear of gaining weight, and obsessive exercising. The weight loss eventually produces a variety of physical symptoms associated with starvation: sleep disturbance, cessation of menstruation, insensitivity to pain, loss of hair on the head, low blood pressure, a variety of cardiovascular problems and reduced body temperature. Between 10% and 15% of anorexics literally starve themselves to death; others die because of some type of cardiovascular dysfunction (Bee and Boyd, 2001).?
As one can see, eating disorders are real diseases with a biological basis that affect the brain and body and should be treated as any other disease. At least 24 million Americans suffer from eating disorders, which have the highest mortality rate of any mental illness. Twenty percent of people with eating disorders will die prematurely due to complications related to the disease. Schizophrenia, depression and a...
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.
Anorexia nervosa usually begins in adolescence, but can develop at any time throughout one’s life. It...
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...