BACKGROUND No epidemiologic survey examining eating disorders in Japan has been done at a national level since 1992. The prevalence of anorexia nervosa, as assessed by questionnaires to hospitals, is thought to be underestimated because patients with anorexia nervosa tend to avoid consultations. In conformity with the School Health and Safety Act of Japan, schools are required to have physician...

To study action monitoring in anorexia nervosa, behavioral and EEG measures were obtained in underweight anorexia nervosa patients (n=17) and matched healthy controls (n=19) while performing a speeded choice-reaction task. Our main measures of interest were questionnaire outcomes, reaction times, error rates, and the error-related negativity ERP component. Questionnaire and behavioral results i...

BACKGROUND Given our poor understanding of the very long-term course of anorexia nervosa. many questions remain regarding the potential for recovery and relapse. The purpose of the present study was to investigate long-term outcome and prognosis in an anorexic sample 21 years after the initial treatment. METHOD A multidimensional and prospective design was used to assess outcome in 84 patient...

Aims and method A community intensive treatment service for severe anorexia nervosa is described. The service is multidisciplinary but driven by a focus on psychological formulation. Psychological and dietetic interventions are grounded in a process of active risk management. Evaluations of safety, cost and acceptability of the service are described. Results Patients are highly satisfied with t...

Hypothalamic-pituitary-adrenal axis impairment in anorexia nervosa is marked by hypercortisolemia, and psychiatric disorders occur in the majority of patients with Cushing's syndrome. Here we report a patient diagnosed with anorexia nervosa who also developed Cushing's syndrome. A 26-year-old female had been treated for anorexia nervosa since she was 17 years old, and also developed depression ...

Introduction Anorexia nervosa has an important burden on both patients and families, with comorbidities such as depression obsessive symptoms. These are more resistant to pharmacological treatment than in non-anorexia patients, due biological psychological mechanisms. Electroconvulsive therapy is the best available for making it a consider anorexia though only case reports exist. Objectives To ...

Anorexia nervosa is a psychiatric eating disorder with multisystemic complications. Several dermatologic abnormalities have been described but an association with purpura is rare. We report two cases of anorexia nervosa presenting with diffuse reticulate purpura over the trunk and extremities. The skin lesions resolved after the patients’ nutritional status improved. We emphasize that the diffu...