Anorexia tardive: a diagnosis of exclusion?

Russell, Janice; Berg, Jennifer; Lawrence, J. R.

doi:10.5694/j.1326-5377.1988.tb112819.x

Cited by 12 publications

(11 citation statements)

References 5 publications

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“…Specifically, the EAT‐26 subscale analyses indicate Oral Control features similar to classical anorexia 15 but with less frequent dieting behavior compared to more frequent dieting behavior seen in younger anorectics. These data are consistent with previous assertions that anorexia nervosa presenting in late life may differ from anorexia nervosa of the young 13 , 14 …”

Section: Discussionsupporting

confidence: 93%

“…The depressed subjects (GDS 2 15) tended to give anorexic responses more frequently, but this finding was not consistent across all questions, and only one difference reached statistical significance. Analysis by definite (GDS 2 15), mild (GDS [11][12][13][14], and no (GDS 5 10) depression revealed no changes in these relationships. When these same seven questions were evaluated by cognitive status, the anorexic response levels in subjects with and without impairment were almost identical except that 36% of cognitively impaired subjects expressed the anorexic response to the 'food controls my life" item compared to 15% of unimpaired subjects (P = 0.003).…”

Section: Resultsmentioning

confidence: 99%

“…Several research tasks are evident. Differences between an anorexia nervosa‐like illness presenting for the first time in older age (anorexia tardive) 13 , 14 and anorexia nervosa beginning earlier in life with recurrence at older ages needs to be elucidated. The psychological underpinnings of both conditions need greater exploration.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, subgroup sample sizes were too small to permit additional exploration of the relationship among anorexia nervosa symptoms, malnutrition, and either depression or pulmonary disease. It is important to remember, of course, that what initially may appear to be anorexia nervosa will occasionally clarify itself subsequently as an early manifestation of physical illness 14 …”

Section: Discussionmentioning

confidence: 99%

“…Cases suggestive of classical anorexia nervosa have been described in older individuals 2 , 8 – 13 . However, other examples of unexplained anorexia in elderly persons appeared to have characteristics that deviated from patterns seen in young anorexics 13 , 14 . Whether or not anorexia unexplained by physical illness has the same psychological substratum in young and old, what is quite unclear from the available literature is how often maladaptive eating attitudes and body image occur in older individuals and what are the most salient features when they do occur.…”

mentioning

confidence: 95%

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Abnormal Eating Attitudes and Body Image in Older Undernourished Individuals

Miller¹,

Morley²,

Rubenstein³

et al. 1991

J American Geriatrics Society

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An anorexia nervosa-like syndrome has been reported in older persons. To gain additional insight into this condition, a questionnaire designed to assess the severity of eating disorders (the EAT-26) was administered to 183 male outpatients. Thirty-four subjects were found to be undernourished by midarm circumference measurement and 21 by weight adjusted for age-sex-height. Approximately 60% of malnourished subjects acknowledged inappropriate self-control around food, up to 26% described other unsuitable eating attitudes, and 3% to 52% evidenced various forms of distorted body image. They scored high on EAT-26 Oral Control subscale but low to normal on Dieting and Bulimia and Food Preoccupation subscales. These results indicate that abnormal eating attitudes and body image occur in an important minority of undernourished elderly males, but the pattern of abnormalities differs from that seen in classical anorexia nervosa. This association deserves additional investigation, with special attention to the psychopathology producing high Oral Control responses and to females as well as males. In the meantime, clinicians need to consider anorexia-like attitudes when caring for malnourished seniors.

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Section: Discussionsupporting

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 95%

See 3 more Smart Citations

Abnormal Eating Attitudes and Body Image in Older Undernourished Individuals

Miller¹,

Morley²,

Rubenstein³

et al. 1991

J American Geriatrics Society

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Anorexia in the elderly—an annotation

Hall

Driscoll

1993

Int. J. Eat. Disord.

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Genuine anorexia nervosa starting in the elderly is thought relatively uncommon. Some previously reported cases may have been elderly depressives with loss of appetite rather than true eating disorder. The condition also has to be distinguished from “late onset” anorexia in mature but younger women. Two illustrative patients are briefly reported. Some possible psychological mechanisms in this syndrome are discussed in the context of the relatively small total number of previously reported single cases. © 1993 by John Wiley & Sons, Inc.

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Anorexia nervosa in an elderly man

Riemann

McNally

Meier

1993

Int. J. Eat. Disord.

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Anorexia nervosa (AN) rarely develops after the age of 30 years, and rarely occurs in men. We report a case of chronic AN in a 72‐year‐old man, who reported a 20‐year history of extreme low body weight, persistent fears of obesity, and feelings of being fat even at 93 Ib. Also reported were episodes of self‐induced vomiting, laxative abuse, and excessive exercising. Patient's scores on a battery of questionnaires were also consistent with a diagnosis of AN. © 1993 by John Wiley & Sons, Inc.

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Anorexia tardive: a diagnosis of exclusion?

Cited by 12 publications

References 5 publications

Abnormal Eating Attitudes and Body Image in Older Undernourished Individuals

Abnormal Eating Attitudes and Body Image in Older Undernourished Individuals

Anorexia in the elderly—an annotation

Anorexia nervosa in an elderly man

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