Serious and enduring anorexia nervosa from a developmental point of view: How to detect potential risks at an early stage and prevent chronic illness?

The International Journal of Eating Disorders
Beate Herpertz-Dahlmann

Abstract

This commentary on serious and enduring anorexia nervosa adopts the position of a developmental psychiatrist. It argues that this perspective illuminates the etiology and course of severe and enduring anorexia nervosa (SE-AN) and could thus help to develop treatments targeting typical early characteristics of patients with SE-AN. Based on a detailed knowledge of contributing factors, a risk score for SE-AN should be designed by which the probability of chronicity could be calculated at an early stage and preventive measures be taken. As the formation of habits seems to play an important role in establishing a chronic course of AN, psychotherapeutic techniques that include "habit reversal" should be considered during the early stage. Another recommended step in preventing SE-AN is the identification of resilience factors that are associated with a late favorable outcome.

References

Feb 17, 2018·The International Journal of Eating Disorders·Beate Herpertz-DahlmannKatharina Bühren
Mar 15, 2018·Frontiers in Psychiatry·Valentina CardiJanet Treasure
Jul 25, 2018·Current Psychiatry Reports·Blair UniackeJoanna Steinglass
Jan 15, 2019·The International Journal of Eating Disorders·Allan S Kaplan, Michael Strober
Jul 2, 2019·The British Journal of Psychiatry : the Journal of Mental Science·Joanne C DemmlerJacinta O A Tan
May 3, 2020·The International Journal of Eating Disorders·Stephen A WonderlichHans W Hoek

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Anorexia Nervosa

Anorexia nervosa (AN) is a psychiatric condition characterized by severe weight loss and secondary problems associated with malnutrition. Here is the latest research on AN.