The International journal of eating disorders
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This study examined two related and confused body image constructs--overevaluation and body image dissatisfaction--and tested their distinctiveness by examining their longitudinal associations with changes in self-esteem and negative affect. ⋯ These findings demonstrate that evaluating oneself by shape and weight is related to, but not the same as, being dissatisfied about shape and weight. Given that overevaluation is less likely to be influenced by mood, it appears to be a more stable marker for disturbance in body image than body image dissatisfaction. This distinction has important implications for how clinicians and researchers assess these constructs.
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A 22-year-old woman is presented with acute gastric dilation after an eating binge, who died of complications of acute reperfusion syndrome. ⋯ Acute gastric dilatation is very uncommon and is of various etiologies, two of these being anorexia nervosa and bulimia. Several cases documenting complications of gastric dilatation were published; however, such severe complications, involving gastric infarction and compression of the aorta with ischemic injury of the bowels and lower extremities, are rare.
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The objective of this study was to compare symptoms, premorbid personality phenotypes, and short-term outcome between males and females with anorexia nervosa. ⋯ Although gender has little effect on the clinical features of anorexia nervosa, the illness runs a more protracted early course in females. Possible mechanisms underlying greater persistence of morbidity in females include sexual dimorphisms in brain neurotransmission, gender differences in attitudes regarding ideal body weight, and anxiety-related personality phenotypes associated with anorexia nervosa.
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Patients with anorexia or bulimia nervosa are reported to show high levels of alexithymia and to have difficulties recognizing facially displayed emotions. The current study tested whether it could be that facial emotion recognition is a basic skill that is independent from alexithymia. ⋯ We suggest that the reported alexithymia of patients with eating disorders is complex and independent from basic facial emotion recognition.
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Perfectionism and obsessionality are core features of eating disorders (ED), yet the nature of their relation remains unknown. Understanding the relation between these traits may enhance our ability to identify relevant behavioral endophenotypes for ED. ⋯ Perfectionism appears to be more closely associated with obsessive-compulsive personality symptoms rather than OCD. The pairing of perfectionism with OCPD may be a relevant core behavioral feature underlying vulnerability to ED.