Appearance and disappearance of functional gastrointestinal disorders in patients with eating disorders

Boyd, Catherine; Abraham, Suzanne; Kellow, John

doi:10.1111/j.1365-2982.2010.01576.x

Cited by 47 publications

(60 citation statements)

References 15 publications

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“…In terms of FGIDs, adult studies have demonstrated that even after 12 months of treatment, almost 80% of adults with AN continue to meet the criteria for FGIDs, 43 suggesting that FGIDs can persist independent of treatment outcome; however, in our study cohort, FGIDs were less common at T1 than has been reported in adults. Irritable bowel syndrome was the most common FGID in our patients with AN, and even this became less common after nutritional rehabilitation, suggesting that early intervention in a younger population may help prevent the development of long-term comorbidities.…”

Section: Discussioncontrasting

confidence: 69%

Effect of Nutritional Rehabilitation on Gastric Motility and Somatization in Adolescents with Anorexia

Pérez

Coley

Crandall

et al. 2013

The Journal of Pediatrics

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Objective To examine gastric function, as well as the presence of somatic complaints, anxiety symptoms, and functional gastrointestinal disorders (FGIDs), in adolescents with anorexia nervosa (AN) before and after nutritional rehabilitation. Study design Sixteen females with AN and 22 healthy controls with similar demographic profiles were included. Gastric emptying (measured as residual gastric volume) and gastric accommodation (measured as postprandial antral diameter) were assessed with abdominal ultrasonography. Participants completed the Children's Somatization Inventory (CSI), the Screen for Child Anxiety-Related Emotional Disorders, and the Questionnaire on Pediatric Gastrointestinal Symptoms–Rome III version. All testing was repeated 3–4 months later. Results Body mass index in the AN group improved over time (P = .012). Fasting gastric parameters were similar in the 2 groups. Maximum postprandial antral diameter was significantly greater in controls compared with the AN group (P = .008). Only adolescents with AN demonstrated a significant increase in maximum postprandial diameter at repeat testing (P = .009). There was no difference in residual gastric volume between the 2 groups. Initial CSI scores were higher in adolescents with AN (P < .0001), including higher scores for nausea and abdominal pain. CSI scores were significantly lower in adolescents with AN (P = .035). Initial scores on the Screen for Child Anxiety-Related Emotional Disorders were significantly higher in adolescents with AN (P = .0005), but did not change over time. Adolescents with AN met significantly more criteria for FGIDs (P = .003). Conclusion Adolescents with AN have impaired gastric accommodation that improves after nutritional rehabilitation, have significantly more somatic complaints, and meet more criteria for anxiety disorders and FGIDs. After nutritional rehabilitation, somatization improves and FGIDs become less common, but symptoms of anxiety persist.

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Section: Discussioncontrasting

confidence: 69%

Effect of Nutritional Rehabilitation on Gastric Motility and Somatization in Adolescents with Anorexia

Pérez

Coley

Crandall

et al. 2013

The Journal of Pediatrics

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“…The literature provides consistent evidence that children with EDs have a high rate of gastrointestinal disorders and inflammatory bowel diseases (see Table ). Boyd, Abraham, and Kellow () and Boyd, Abraham, and Kellow () studies have found that 97–98% of inpatients with an ED had a gastrointestinal disorder, 53% had three or more gastrointestinal disorders, and 77% continued to have a gastrointestinal disorder at 12‐month follow‐up (Boyd et al, ). Children with AN specifically have a high rate of gastrointestinal disorders or symptoms (75–79%) compared to healthy children and the severity of AN is positively associated with gastrointestinal symptoms (Lee, Ng, Kwok, Thomas, & Becker, ; Perez, Coley, Crandall, Di Lorenzo, & Bravender, ).…”

Section: Resultsmentioning

confidence: 99%

Are children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review

Conviser

Fisher

McColley

2018

Intl J Eating Disorders

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“…Somatization has not been well deepened in the ED population, even if some studies have recently described the relationship between functional symptomatology and ED, in particular the gastroenteric functional symptoms [74,75]. From a clinical standpoint, it could be difficult to diagnose as organic or functional a gastrointestinal disease referred by ED patients; anyway it is well-known that ED patients’ body sensations – often inappropriately experienced – can influence the disease and its course [11].…”

Section: Discussionmentioning

confidence: 99%

Psychosomatic syndromes and anorexia nervosa

et al. 2013

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BackgroundIn spite of the role of some psychosomatic factors as alexithymia, mood intolerance, and somatization in both pathogenesis and maintenance of anorexia nervosa (AN), few studies have investigated the prevalence of psychosomatic syndromes in AN. The aim of this study was to use the Diagnostic Criteria for Psychosomatic Research (DCPR) to assess psychosomatic syndromes in AN and to evaluate if psychosomatic syndromes could identify subgroups of AN patients.Methods108 AN inpatients (76 AN restricting subtype, AN-R, and 32 AN binge-purging subtype, AN-BP) were consecutively recruited and psychosomatic syndromes were diagnosed with the Structured Interview for DCPR. Participants were asked to complete psychometric tests: Body Shape Questionnaire, Beck Depression Inventory, Eating Disorder Inventory–2, and Temperament and Character Inventory. Data were submitted to cluster analysis.ResultsIllness denial (63%) and alexithymia (54.6%) resulted to be the most common syndromes in our sample. Cluster analysis identified three groups: moderate psychosomatic group (49%), somatization group (26%), and severe psychosomatic group (25%). The first group was mainly represented by AN-R patients reporting often only illness denial and alexithymia as DCPR syndromes. The second group showed more severe eating and depressive symptomatology and frequently DCPR syndromes of the somatization cluster. Thanatophobia DCPR syndrome was also represented in this group. The third group reported longer duration of illness and DCPR syndromes were highly represented; in particular, all patients were found to show the alexithymia DCPR syndrome.ConclusionsThese results highlight the need of a deep assessment of psychosomatic syndromes in AN. Psychosomatic syndromes correlated differently with both severity of eating symptomatology and duration of illness: therefore, DCPR could be effective to achieve tailored treatments.

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Appearance and disappearance of functional gastrointestinal disorders in patients with eating disorders

Cited by 47 publications

References 15 publications

Effect of Nutritional Rehabilitation on Gastric Motility and Somatization in Adolescents with Anorexia

Effect of Nutritional Rehabilitation on Gastric Motility and Somatization in Adolescents with Anorexia

Are children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review

Psychosomatic syndromes and anorexia nervosa

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