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Anorexia Nervosa: Some Observations on “Dieters” and “Vomiters”, Cholesterol and Carotene

Published online by Cambridge University Press:  29 January 2018

S. Bhanji  and
D. Mattingly
D. Mattingly
Affiliation:
University of Exeter Postgraduate Medical School, Barrack Road, Exeter, EX2 5DW
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Summary

Twenty consecutive cases of anorexia nervosa admitted to a general medical ward were found to consist of ten who reduced weight by means of dieting and ten who in addition employed self-induced vomiting. Clinical and biochemical differences between ‘dieters' and ‘vomiters' were less pronounced than those reported elsewhere. However, the ‘vomiters' had higher scores on the anxiety, somatic and depression subscales of the Crown–Crisp Experiential Index and lower serum carotene concentrations. The implications of these findings are discussed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 139 , Issue 3 , September 1981 , pp. 238 - 241
Copyright
Copyright © Royal College of Psychiatrists, 1981 

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References

Beumont, P. J. V., George, G. C. W. & Smart, D. E. (1976) ‘Dieters’ and ‘Vomiters and Purgers’ in anorexia nervosa. Psychological Medicine, 6, 617–22.Google ScholarPubMed
Bhanji, S. (1979) Anorexia nervosa: physicians' and psychiatrists' opinions and practice. Journal of Psychosomatic Research, 23, 7—11.Google Scholar
Blendis, L. M. & Crisp, A. H. (1968) Serum cholesterol levels in anorexia nervosa. Postgraduate Medical Journal, 44, 327–30.Google Scholar
Crisp, A. H. (1965) Clinical and therapeutic aspects of anorexia nervosa—a study of 30 cases. Journal of Psychosomatic Research, 9, 67—78.CrossRefGoogle ScholarPubMed
Crisp, A. H., Blendis, L. M. & Pawan, G. L. S. (1968) Aspects of fat metabolism in anorexia nervosa. Metabolism, 17, 1109–18.Google Scholar
Crisp, A. H., Fenton, G. W. & Scotton, L. (1968) A controlled study of the EEG in anorexia nervosa. British Journal of Psychiatry, 114, 1149–60.Google Scholar
Crisp, A. H. & Stonehill, E. (1967) Hypercarotenaemia as a symptom of weight phobia. Postgraduate Medical Journal, 43, 721–5.Google Scholar
Dally, P. J. (1959) Carotenaemia occurring in a case of anorexia nervosa. British Medical Journal, i, 1333.Google Scholar
Halmi, K. & Fry, M. (1974) Serum lipids in anorexia nervosa. Biological Psychiatry, 8, 159–67.Google ScholarPubMed
Hsu, L. K. G. & Crisp, A. H. (1980) The Crown-Crisp Experiential Index (CCEI) profile in anorexia nervosa. British Journal of Psychiatry, 136, 567–73.Google Scholar
Hurd, H. P., Palumbo, P. J. & Gharib, H. (1977) Hypothalamic-endocrine dysfunction in anorexia nervosa. Mayo Clinic Proceedings, 52, 711–6.Google Scholar
Kanis, J. A., Brown, P., Fitzpatrick, K., Hubert, D. J., Horn, D. B., Narin, I. M., Shirling, D., Strong, J. A. & Walton, H. J. (1974) Anorexia nervosa: a clinical, psychiatric and laboratory study. Quarterly Journal of Medicine, 43, 321–38.Google Scholar
Klinefelter, H. F. (1965) Hypercholesterolaemia in anorexia nervosa. Journal of Clinical Endocrinology and Metabolism, 25, 1520–1.Google Scholar
Lupton, M., Simon, L., Barry, V. & Klawans, H. (1976) Biological aspects of anorexia nervosa. Life Sciences, 18, 1341–8.Google Scholar
Mordasini, R., Klose, G. & Greten, H. (1978) Secondary type II hyperlipoproteinemia in patients with anorexia nervosa. Metabolism, 27, 71–9.Google Scholar
Naish, J. M. (1979) Problems of deception in medical practice. Lancet, ii, 139–42.Google Scholar
Nestel, P. J. (1974) Cholesterol metabolism in anorexia nervosa and hypercholesterolaemia. Journal of Clinical Endocrinology and Metabolism, 38, 325–7.Google Scholar
Pops, M. A. & Schwabe, A. D. (1968) Hypercarotenemia in anorexia nervosa. Journal of the American Medical Association, 205, 533–4.Google Scholar
Robboy, M. S., Sato, A. S. & Schwabe, A. D. (1974) The hypercatotenemia in anorexia nervosa: a comparison of vitamin A and carotene levels in various forms of menstrual dysfunction and cachexia. American Journal of Clinical Nutrition, 27, 362–7.Google Scholar
Russell, G. (1979) Bulimia nervosa: an ominous variant of anorexia nervosa. Psychological Medicine, 9, 429–48.Google Scholar
Stonehill, E. & Crisp, A. H. (1977) Psychoneurotic characteristics of patients with anorexia nervosa before and after treatment and at follow-up 4—7 years later. Journal of Psychosomatic Research, 21, 187–93.Google Scholar
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