Case Report
Volume 3 Issue 4 - 2021
Anorexia Nervosa and Family Relations: A Case Report
Tang Chia-Chen1, Wei Ching-Wen2* and Chen Chang3
1Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei City, Taiwan
2Adjunct Assistant Professor, Department of Surgery, Cheng-Hsin General Hospital, Taipei and School of Yuanpei University of Medical Technology, Hsinchu, Taiwan
3Resident, Department of Psychiatry, Far Eastern Memorial Hospital, New Taipei City, Taiwan
*Corresponding Author: Wei Ching-Wen, Adjunct Assistant Professor, Department of Surgery, Cheng-Hsin General Hospital, Taipei and School of Yuanpei University of Medical Technology, Hsinchu, Taiwan.
Received: January 12, 2021; Published: March 09, 2021




Abstract

In clinical practice, when a patient exhibits idiopathic vomiting, a differential diagnosis can be performed to check for gastrointestinal diseases. After making in-depth inquiries about the patient’s medical history and conducting physical assessments, a major mental disorder may instead be identified. This case report presents a 20-year-old female who spent her adolescent years being verbally abused by her peers for being plump. She then developed feelings of dejection and engaged in self-harm and was subsequently diagnosed with anxiety and given medications to regulate her behaviors. A year ago, her mother’s passing and her father’s remarriage had such a great impact on her that she started attempting to lose weight through improper methods. Two weeks ago, she exhibited idiopathic vomiting after her meals and was forced to seek treatment by her family. Based on in-depth inquiries, physical assessments, mental state examinations, and psychological tests, the patient was found to have an obsessive fear of gaining weight and was diagnosed with anorexia nervosa. The medical team’s main treatment approach included several measures such as cognitive behavioral therapy, nutritional therapy, family therapy, and drug therapy, which led to improvements in the patient’s cognitive dysfunction and abnormal mental/physical behaviors. She was discharged after her body weight steadily returned to 34 kg. The patient was also tracked post-discharge to check her and her family members’ compliance with cognitive behavioral therapy exercises. For patients who exhibit repetitive idiopathic vomiting patterns, if their clinical symptoms do not line up with those of internal medicine diseases, then a differential diagnosis of anorexia nervosa should be conducted to enable timely treatments.

 

Keywords: Anorexia Nervosa; Cognitive Behavioral Therapy; Family Relations

References

  1. Godier LR and Park RJ. “A novel measure of compulsive food restriction in anorexia nervosa: Validation of the self-starvation scale (SS)”. Eating Behaviors 17 (2015): 10-13.
  2. Demmler JC., et al. “Shining the light on eating disorders, incidence, prognosis and profiling of patients in primary and secondary care: National data linkage study”. The British Journal of Psychiatry 1 (2019): 1-8.
  3. Fichter MM and Quadflieg N. “Mortality in eating disorder-results of a large prospective clinical longitudinal study”. The International Journal of Eating Disorders4 (2016): 391-401.
  4. Golden NH., et al. “Position paper of the society for adolescent health and medication: Medical management of restrictive eating disorders in adolescents and young adults”. The Journal of Adolescent Health1 (2015):121-125.
  5. Pu JJ and Jackson T. “Biological, psychological, and social factors associated with anorexia nervosa”. Advances in Psychological Science12 (2016): 1873-1881.
  6. Lee YW. “A nursing experience of applying the structural family therapy method to a patient suffering from anorexia nervosa”. Chang Gung Nursing2 (2018): 346-356.
  7. Moskowitz L and Weiselberg E. “Anorexia nervosa/antyocal anorexia nervosa”. Current Problems in Pediatric and Adolescent Health Care4 (2017): 70-84.
  8. Duncan L., et al. “Significant locus and metabolic genetic correlations revealed in genome-wide association study of anorexia nervosa”. The American Journal of Psychiatry9 (2017): 850-858.
  9. Haleem DJ. “Serotonin neurotransmission in anorexia nervosa”. Behavioral Pharmacology5-6 (2012): 478-495.
  10. Maïmoun L., et al. “Effects of the two types of anorexia nervosa (binge eating/purging and restrictive) on bone metabolism in female patients”. Clinical Endocrinology6 (2018): 863-872.
  11. American Psychiatric Association. “Diagnostic and statistical manual of mental disorders DSM-5” (2013).
  12. Zipfel S., et al. “Anorexia nervosa: Aetiology, assessment, and treatment”. The Lancet Psychiatry12 (2015): 1099-1111.
  13. Westmoreland P., et al. “Medical complications of anorexia nervosa and bulimia”. The American Journal of Medicine1 (2016): 30-37.
  14. Norris D., et al. “The mental status examination”. American Family Physician8 (2016): 635-641.
  15. Jáuregui LI., et al. “Eating behaviour disorders and personality. A study using MCMI-II”. Atencion Primaria4 (2009): 201-206.
  16. Lu FY., et al. “Self-concept mediate the relationship between childhood maltreatment and abstinence motivation as well as self-efficacy among drug addicts”. Addictive Behaviors 68 (2017): 52-58.
  17. Chen X. “Progress on treatment of anorexia nervosa”. Sichuan Mental Health1 (2017): 93-96.
  18. Gelin Z., et al. “Two models of multiple family therapy in the treatment of adolescent anorexia nervosa: A systematic review”. Eating and Weight Disorders1 (2016): 19-30.
  19. Himmerich H., et al. “Olanzapine treatment for patients with anorexia nervosa”. Canadian Journal of Psychiatry7 (2017): 506-507.
  20. McClelland J., et al. “Repetitive transcranial magnetic stimulation (rTMS) treatment in enduring anorexia nervosa: A case series”. European Eating Disorders Review2 (2016): 157-163.
  21. Berends T., et al. “Relapse prevention in anorexia nervosa: Experiences of patients and parents”. International Journal of Mental Health Nursing5 (2018): 1546-1555.
Citation: Wei Ching-Wen., et al. “Anorexia Nervosa and Family Relations: A Case Report”. EC Nursing and Healthcare 3.3 (2021): 10-17.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


June Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the June issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for upcoming Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before July 06, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk