The International journal of eating disorders
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Case Reports
Anorexia nervosa and gender identity disorder in biologic males: a report of two cases.
Gender identity disorder is a rare disorder of uncertain etiology. The emphasis on body shape in this disorder suggests that there may be an association with anorexia nervosa. ⋯ Differences between the two cases are discussed. Issues of gender identity should be considered in the assessment of male patients presenting with anorexia nervosa.
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Syncope is a potentially dangerous symptom of anorexia nervosa that is usually attributed to bradycardia, dehydration, or hypoglycemia. ⋯ We hypothesize that inducible syncope in these two patients is due to increased vagal tone and baroreceptor sensitivity. Physicians should be aware that patients with anorexia nervosa may be able to induce syncope with isometric exercise and that this potentially dangerous behavior needs to be addressed during treatment.
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To determine the frequency and type of herbal remedies and the reasons for herbal remedy use by adolescents with eating disorders. ⋯ Adolescents with eating disorders frequently used herbal remedies for both weight control and non-weight control purposes. They did not regularly inform their physicians about their use of herbal remedies and physicians did not regularly inform their patients about this use. The generally high prevalence of herbal remedy use in this population suggests that health care providers need to be knowledgeable and should enquire about patients' use of these products. The perceived benefits, adverse effects, and herb-drug interactions of self-prescribed herbal remedies consumed by adolescents with eating disorders are unknown and further research is needed.
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The purpose of this study was to demonstrate the existence and the importance of the distinction between self-oriented and socially prescribed perfectionism in the Eating Disorder Inventory Perfectionism subscale (EDI-P). ⋯ It is suggested that future research should acknowledge the empirical and theoretical implications of having EDI-SOP and EDI-SPP in the EDI-P. It is cautioned that EDI-SOP and EDI-SPP are a partial representation of an already published multidimensional model of trait perfectionism.
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The fear of weight gain appears to be a barrier to quitting in some smokers, particularly in women. However, not all female smokers have the same concerns about weight, and not all quitters are equally susceptible to gaining weight after cessation. We hypothesized that among females, dieters, compared to nondieters, would report more weight gain after smoking cessation and would tend to smoke more for weight control purpose. ⋯ The dieters/former smokers' comparatively high weight gain after smoking cessation is discussed in terms of possible changes in dietary intake, metabolic rate, and physical activity.