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Related Concept Videos

Binge Eating Disorders01:23

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Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
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Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
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Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
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Anorexia Nervosa01:28

Anorexia Nervosa

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Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
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Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
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[Eating and feeding disorders : New developments].

Manfred M Fichter1,2, Norbert Quadflieg3

  • 1Schön Klinik Roseneck, Am Roseneck 6, 83209, Prien, Deutschland. mfichter@schoen-klinik.de.

Der Nervenarzt
|October 7, 2021
PubMed
Summary

This overview details eating disorders using ICD-11 criteria, highlighting binge-eating disorder as the most common. Cognitive behavioral therapy is the primary treatment for anorexia nervosa, bulimia nervosa, and binge-eating disorder.

Keywords:
Anorexia nervosaBinge-eating disorderBulimia nervosaCognitive behavioral psychotherapyPsychotherapy, psychodynamic

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Public Health

Background:

  • Eating and feeding disorders represent a significant public health concern.
  • The International Classification of Diseases, 11th Revision (ICD-11) introduces updated criteria for these disorders.
  • Binge-eating disorder is recognized as a new and prevalent condition.

Purpose of the Study:

  • To provide a comprehensive overview of eating and feeding disorders based on ICD-11 criteria.
  • To discuss differential diagnosis, epidemiology, etiology, pathogenesis, and therapeutic approaches.
  • To highlight key differences in prevalence and gender distribution among disorders.

Main Methods:

  • Literature review and synthesis of current research on eating disorders.
  • Analysis of diagnostic criteria according to the forthcoming ICD-11.
  • Examination of etiological factors and treatment efficacy.

Main Results:

  • Binge-eating disorder is identified as the most frequent eating disorder with a more balanced gender ratio compared to anorexia nervosa and bulimia nervosa.
  • Socio-cultural, biological, and psychological factors contribute to the etiology of eating disorders.
  • Cognitive behavioral psychotherapy is the most validated treatment for anorexia nervosa, bulimia nervosa, and binge-eating disorder.

Conclusions:

  • Updated ICD-11 criteria will refine the classification and understanding of eating disorders.
  • Binge-eating disorder requires specific attention due to its high prevalence and demographic distribution.
  • Cognitive behavioral psychotherapy remains the gold standard treatment, with limited evidence for psychopharmacological interventions in anorexia nervosa.