Somatotypspezifische Anthropometrie und Essstörungen

Neumärker, Klaus‐Jürgen; Greil, Holle; Brümmerhoff, A.; Bzufka, M. W.; Dudeck, Ursula; Neumärker, Ursula; Rohde, W; Fallgatter, A.J.; Jabs, B.; Pfuhlmann, Bruno; Bartsch, Andreas J.

doi:10.1024//1422-4917.29.3.239

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Kanner sah in dem von ihm beschriebenen Störungsbild keine andere Form einer Schizophrenie, sondern ein "distinct syndrom", als deren Ursache er vor allem eine gestörte Mutter-Kind-Beziehung sah, was sich später als Irrtum erwies (28). Häfner betont zur Differenzierung den unterschiedlichen Verlauf zwischen frühkindlichem Autismus und der Schizophrenie.…”

Section: Der Fehlende Oder Verlorene Bezug Zur Hauptrealitätunclassified

Schizophrenie

Demoulin-Lempp¹,

Lempp²

2011

Nervenheilkunde

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ZusammenfassungAusgehend von der Forderung Manfred Bleulers, dass die Feststellung einer Realitätsbezugsstörung die Voraussetzung für die Diagnose einer Schizophrenie sein müsse, werden die Ursachen der Schizophrenie mit der des frühkindlichen Autismus in ihrer gegenseitigen Beziehung überprüft. Bei beiden Störungen besteht eine Realitätsbezugsstörung. Beim frühkindlichen Autismus wird der Realitätsbezug in den ersten Lebensjahren nicht oder mangelhaft entwickelt, verbunden mit einem Mangel an Empathiefähigkeit. Bei den Schizophrenien dagegen verläuft der Aufbau des Realitätsbezuges entwicklungspsychologisch zunächst völlig normal. Er geht erst mit Ausbruch der schizophrenen Psychose verloren. Neue Untersuchungen zeigen, dass die Empathiefähigkeit bei später an Schizophrenie Erkrankten in übermäßigem Grade entwickelt wird. Es entspricht kinderpsychiatrischer Erfahrung, dass eine übermäßige Empathie autistische Persönlichkeitszüge begründen können. Beide psychischen Störungen sind damit entwicklungspsychologisch Teilleistungsstörungen, die zusammen mit genetischen und reaktiven Faktoren als Ursachen mit jeweils fließenden Übergängen zu Normvarianten berücksichtigt werden müssen.

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Section: Der Fehlende Oder Verlorene Bezug Zur Hauptrealitätunclassified

Schizophrenie

Demoulin-Lempp¹,

Lempp²

2011

Nervenheilkunde

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Perspectives of eating disorders from the Charité Hospital in Berlin

Neumärker¹,

Bartsch²

2003

European Child & Adolescent Psychiatry

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Eating disorders have attracted steadily expanding clinical and scientific attention since second half of the 19(th) century and, particularly, after the core descriptions of anorexia nervosa had been delivered by Gull and Lasègue. In this review, we attempt to illustrate perspectives on eating disorders that have emerged since then from the work at the Charité Hospital in Berlin. It is shown that the professional fate of care for eating disorders has been tied closely to the maturation of the specialty of child and adolescent psychiatry and psychotherapy in the 20(th) century. From the early beginnings of Theodor Ziehen (1862-1950) heading the Psychiatric and Neurological University Clinic of the Charité Hospital in Berlin and being devoted to child psychiatry and psychology, the issue of eating disorders has been pursued at the Charité throughout the vicissitudes of time. After a ward for children suffering from mental illnesses was instituted by Karl Bonhoeffer (1868-1948) in 1921, child and adolescent psychiatry and psychotherapy has constituted itself first in terms of a division and finally as a separate department at the Charité Hospital. Over the years, quite a remarkable body of work on eating disorders has accumulated in this institution. It is emphasised that the value of contributions inherited appears not just of historical interest. The past has addressed psychotherapeutic, anthropological, biological, psychometric, neuropsychological, and transcultural aspects which continue to yield insights into the nature of eating disorders. Tasks and prospects ahead are based upon this background, and some of these are outlined briefly.

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Shall the anthropometry of physique cast new light on the diagnoses and treatment of eating disorders?

Bartsch¹,

Brümmerhoff

Greil³

et al. 2003

European Child & Adolescent Psychiatry

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Body weight is crucial to eating disorders. Beyond gender, age, and height it is determined by anthropometric features of physique, i. e. somatotypes. We investigated their impact on the anthropometric and metabolic assessment of nutritional status, psychometrics, and other clinical aspects of eating disorders. In 133 eating disordered girls (ICD-10 & DSM-IV criteria) of well-recorded catamneses, various somatometric measures (n = 133), serum leptin (n = 30), plasma tryptophan (n = 108), and psychometric scales (n = 119; EDI-64 & EAT-40) were examined, preferably on repeated occasions of their treatment and in comparison to 41 healthy controls. Somatotyping was performed by gender- and age-specific quintiles of Strömgren's Metrik Index (MI) derived from 6995 volunteers constituting the anthropometric reference.Somatotypes represent a significant factor for assessing nutritional status. Exhibiting higher EDI-64 bulimia ratings at admission, more prevalent self-induced vomiting and purgative substance abuse as well as prolonged refractory illnesses with more previous inpatient treatment trials but later admissions, heavier somatotypes were significantly underrepresented in our total clinical sample but more prevalent among bulimic eating disorders (p < 0.05). Neglecting the anthropometry of physique biases against the detection and treatment of eating disorders in heavier somatotypes at weights below general average. Henceforth, this shall be avoided by somatotyping according to frame indices.

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Somatotypspezifische Anthropometrie und Essstörungen

Cited by 3 publications

References 7 publications

Schizophrenie

Schizophrenie

Perspectives of eating disorders from the Charité Hospital in Berlin

Shall the anthropometry of physique cast new light on the diagnoses and treatment of eating disorders?

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