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Neurobiology of Avoidant/Restrictive Food Intake Disorder 回避型/限制型食物摄入障碍的神经生物学
Psychiatric Annals Pub Date : 2024-02-01 DOI: 10.3928/00485713-20240117-02
Sophie Scharner
{"title":"Neurobiology of Avoidant/Restrictive Food Intake Disorder","authors":"Sophie Scharner","doi":"10.3928/00485713-20240117-02","DOIUrl":"https://doi.org/10.3928/00485713-20240117-02","url":null,"abstract":"\u0000 Avoidant/restrictive food intake disorder (ARFID) is a complex, phenotypically heterogenous, and often severe feeding and eating disorder. Genetic studies suggest that ARFID is highly heritable, and that genes involved in taste perception and neurodevelopmental disorders may confer increased risk for the disorder. Neuroimaging studies are limited but point toward greater activation in reward circuitry among individuals with ARFID who are also overweight or obese, compared to those of normal weight. Endocrine studies have identified maladaptively high satiety-promoting (Peptide YY, cholecystokinin, oxytocin) and low hunger-promoting (ghrelin) hormone levels among individuals with ARFID, which may contribute to disease etiology and/or maintenance. Although research is limited, emerging insights into the pathophysiology of this common and impairing disorder may pave the way for the development of novel biological and pharmacological treatments.\u0000 \u0000 [\u0000 Psychiatr Ann.\u0000 2024;54(2):e47–e50.]\u0000 \u0000","PeriodicalId":506992,"journal":{"name":"Psychiatric Annals","volume":"126 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiological Association of Parental Substance Use History and Mental Health Disorders in Central Morocco 摩洛哥中部地区父母药物使用史与精神疾病的流行病学关联
Psychiatric Annals Pub Date : 2024-02-01 DOI: 10.3928/00485713-20231204-01
Abdelmounaim Baslam, Hajar Azraida, Aboufatima Rachida, Samia Boussaa, Abderrahman Chait
{"title":"Epidemiological Association of Parental Substance Use History and Mental Health Disorders in Central Morocco","authors":"Abdelmounaim Baslam, Hajar Azraida, Aboufatima Rachida, Samia Boussaa, Abderrahman Chait","doi":"10.3928/00485713-20231204-01","DOIUrl":"https://doi.org/10.3928/00485713-20231204-01","url":null,"abstract":"This cross-sectional study investigated the prevalence of substance use disorders and explored associations between parental substance use disorder history and mental health disorders among psychiatric hospital inpatients in central Morocco. A total of 723 participants were included in the study. Data were collected using a structured questionnaire and medical records, covering psychiatric diagnoses, sociodemographic characteristics, substance use disorders among patients and their parents, as well as the patient's psychiatric history and length of hospital stay.\u0000 Participants were divided into two groups: those with parental history of substance use disorders (PSUD) and those without. Patients' mean ages were 34.40 years (± 11) and 35.5 years (± 12), respectively. The prevalence of substance use was notably high among participants, with cannabis use being the most prevalent (90.6%). Educational level was associated with PSUD, with participants having no formal education showing a higher likelihood of having parents with SUD (unadjusted odds ratio, UOR = 2.11, 95% CI = 1.1 to 4.03). Polysubstance use was also associated with the PSUD group (UOR = 2.42, 95% CI = 1.73 to 3.40).\u0000 \u0000 Regarding psychiatric disorders, one in five patients in the PSUD group had schizophrenia (21.35%), followed by acute psychotic episodes (20.5%), depression (20.29%), and anorexia (8.24%). The study revealed a high overall prevalence of substance use among participants with mental health disorder, highlighting the significance of parental SUD history as a predictor for patients' mental health disorders. This suggests the need for special attention and preventive measures.\u0000 \u0000 [\u0000 Psychiatr Ann\u0000 . 2024;54(2):e56–e66.]\u0000 \u0000","PeriodicalId":506992,"journal":{"name":"Psychiatric Annals","volume":"30 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139817605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thinking About the System (or Lack Thereof) of Psychiatric Care 思考精神病治疗体系（或缺乏体系）的问题
Psychiatric Annals Pub Date : 2024-02-01 DOI: 10.3928/00485713-20240119-02
Andrew A. Nierenberg
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引用次数: 0
Epidemiological Association of Parental Substance Use History and Mental Health Disorders in Central Morocco 摩洛哥中部地区父母药物使用史与精神疾病的流行病学关联
Psychiatric Annals Pub Date : 2024-02-01 DOI: 10.3928/00485713-20231204-01
Abdelmounaim Baslam, Hajar Azraida, Aboufatima Rachida, Samia Boussaa, Abderrahman Chait
{"title":"Epidemiological Association of Parental Substance Use History and Mental Health Disorders in Central Morocco","authors":"Abdelmounaim Baslam, Hajar Azraida, Aboufatima Rachida, Samia Boussaa, Abderrahman Chait","doi":"10.3928/00485713-20231204-01","DOIUrl":"https://doi.org/10.3928/00485713-20231204-01","url":null,"abstract":"This cross-sectional study investigated the prevalence of substance use disorders and explored associations between parental substance use disorder history and mental health disorders among psychiatric hospital inpatients in central Morocco. A total of 723 participants were included in the study. Data were collected using a structured questionnaire and medical records, covering psychiatric diagnoses, sociodemographic characteristics, substance use disorders among patients and their parents, as well as the patient's psychiatric history and length of hospital stay.\u0000 Participants were divided into two groups: those with parental history of substance use disorders (PSUD) and those without. Patients' mean ages were 34.40 years (± 11) and 35.5 years (± 12), respectively. The prevalence of substance use was notably high among participants, with cannabis use being the most prevalent (90.6%). Educational level was associated with PSUD, with participants having no formal education showing a higher likelihood of having parents with SUD (unadjusted odds ratio, UOR = 2.11, 95% CI = 1.1 to 4.03). Polysubstance use was also associated with the PSUD group (UOR = 2.42, 95% CI = 1.73 to 3.40).\u0000 \u0000 Regarding psychiatric disorders, one in five patients in the PSUD group had schizophrenia (21.35%), followed by acute psychotic episodes (20.5%), depression (20.29%), and anorexia (8.24%). The study revealed a high overall prevalence of substance use among participants with mental health disorder, highlighting the significance of parental SUD history as a predictor for patients' mental health disorders. This suggests the need for special attention and preventive measures.\u0000 \u0000 [\u0000 Psychiatr Ann\u0000 . 2024;54(2):e56–e66.]\u0000 \u0000","PeriodicalId":506992,"journal":{"name":"Psychiatric Annals","volume":"196 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139877585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differential Diagnosis Between Avoidant/Restrictive Food Intake Disorder and Anorexia Nervosa 回避型/限制型食物摄入障碍与神经性厌食症的鉴别诊断
Psychiatric Annals Pub Date : 2024-02-01 DOI: 10.3928/00485713-20240110-01
P. E. Kambanis, Lilian P. Palmer, Lazaro Zayas
{"title":"Differential Diagnosis Between Avoidant/Restrictive Food Intake Disorder and Anorexia Nervosa","authors":"P. E. Kambanis, Lilian P. Palmer, Lazaro Zayas","doi":"10.3928/00485713-20240110-01","DOIUrl":"https://doi.org/10.3928/00485713-20240110-01","url":null,"abstract":"\u0000 Differential diagnosis between avoidant/restrictive food intake disorder (ARFID) and anorexia nervosa may be challenging due to shared clinical features. Diagnostic criteria for ARFID prohibit disturbance of one's body shape/weight. In contrast to body image disturbance, body image dissatisfaction is normative and ubiquitous and may characterize those with ARFID. Distinguishing between body image disturbance and dissatisfaction is critical to derive accurate diagnoses. We compare these constructs, highlighting that body image dissatisfaction rises to the level of clinically significant body image disturbance when it results in: (1) behavioral symptoms, such as persistent behavior that interferes with weight gain; and/or (2) eating disorder cognitions, such as a distorted perception of one's shape/weight or overvaluation of shape/weight. We illustrate the application of this definition via a brief case example and conclude by providing recommendations to aid providers in differential diagnosis between ARFID and its most similar eating disorder, anorexia nervosa.\u0000 \u0000 [\u0000 Psychiatr Ann\u0000 . 2024;54(2):e37–e41.]\u0000 \u0000","PeriodicalId":506992,"journal":{"name":"Psychiatric Annals","volume":"27 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139814433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Thinking About the System (or Lack Thereof) of Psychiatric Care 思考精神病治疗体系（或缺乏体系）的问题
Psychiatric Annals Pub Date : 2024-02-01 DOI: 10.3928/00485713-20240119-02
Andrew A. Nierenberg
{"title":"Thinking About the System (or Lack Thereof) of Psychiatric Care","authors":"Andrew A. Nierenberg","doi":"10.3928/00485713-20240119-02","DOIUrl":"https://doi.org/10.3928/00485713-20240119-02","url":null,"abstract":"","PeriodicalId":506992,"journal":{"name":"Psychiatric Annals","volume":"139 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139825033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multidisciplinary Treatment of Avoidant/Restrictive Food Intake Disorder 避免性/限制性食物摄入障碍的多学科治疗
Psychiatric Annals Pub Date : 2024-02-01 DOI: 10.3928/00485713-20240119-01
Copeland G. Winten, E. Strodl, Lynda J. Ross
{"title":"Multidisciplinary Treatment of Avoidant/Restrictive Food Intake Disorder","authors":"Copeland G. Winten, E. Strodl, Lynda J. Ross","doi":"10.3928/00485713-20240119-01","DOIUrl":"https://doi.org/10.3928/00485713-20240119-01","url":null,"abstract":"\u0000 Given that research into the treatment of avoidant/restrictive food intake disorder (ARFID) is in its early phases, there is a paucity of evidence-based guidelines directing best practices. However, there is still a need for clinicians to access summations of literature to guide clinical decision-making. Early data on the treatment of ARFID highlight the importance of a multidisciplinary team that can provide medical, pharmacologic, nutritional, and psychological care. While medical treatment is often informed by care guidelines for other eating disorders, pharmacological management often focuses on ARFID's psychiatric comorbidities. The psychological treatments with the strongest current evidence for ARFID include family-based therapy for young children, and cognitive-behavioral therapy for older children, adolescents, and adults.\u0000 \u0000 [\u0000 Psychiatr Ann.\u0000 2024;54(2):e51–e55.]\u0000 \u0000","PeriodicalId":506992,"journal":{"name":"Psychiatric Annals","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139832468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Neurobiology of Avoidant/Restrictive Food Intake Disorder 回避型/限制型食物摄入障碍的神经生物学
Psychiatric Annals Pub Date : 2024-02-01 DOI: 10.3928/00485713-20240117-02
Sophie Scharner
{"title":"Neurobiology of Avoidant/Restrictive Food Intake Disorder","authors":"Sophie Scharner","doi":"10.3928/00485713-20240117-02","DOIUrl":"https://doi.org/10.3928/00485713-20240117-02","url":null,"abstract":"\u0000 Avoidant/restrictive food intake disorder (ARFID) is a complex, phenotypically heterogenous, and often severe feeding and eating disorder. Genetic studies suggest that ARFID is highly heritable, and that genes involved in taste perception and neurodevelopmental disorders may confer increased risk for the disorder. Neuroimaging studies are limited but point toward greater activation in reward circuitry among individuals with ARFID who are also overweight or obese, compared to those of normal weight. Endocrine studies have identified maladaptively high satiety-promoting (Peptide YY, cholecystokinin, oxytocin) and low hunger-promoting (ghrelin) hormone levels among individuals with ARFID, which may contribute to disease etiology and/or maintenance. Although research is limited, emerging insights into the pathophysiology of this common and impairing disorder may pave the way for the development of novel biological and pharmacological treatments.\u0000 \u0000 [\u0000 Psychiatr Ann.\u0000 2024;54(2):e47–e50.]\u0000 \u0000","PeriodicalId":506992,"journal":{"name":"Psychiatric Annals","volume":"49 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139876812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiology of Avoidant/Restrictive Food Intake Disorder 回避型/限制型食物摄入障碍的流行病学研究
Psychiatric Annals Pub Date : 2024-02-01 DOI: 10.3928/00485713-20240117-01
Ashley Dunford, Jennifer J. Thomas
{"title":"Epidemiology of Avoidant/Restrictive Food Intake Disorder","authors":"Ashley Dunford, Jennifer J. Thomas","doi":"10.3928/00485713-20240117-01","DOIUrl":"https://doi.org/10.3928/00485713-20240117-01","url":null,"abstract":"\u0000 Avoidant/restrictive food intake disorder (ARFID) is a relatively new category within\u0000 DSM-5\u0000 feeding and eating disorders, which expands beyond developmentally normative picky eating. Given its recent introduction to the diagnostic nomenclature, research on the epidemiology of ARFID is in its infancy. Prevalence estimates for ARFID vary considerably by methodology, setting, and population, but growing evidence suggests that ARFID is just as common as other more well-known eating disorders, affecting approximately 0.3% to 15.5% of children and 0.3% to 4.1% of adults. Despite common misconceptions, ARFID impacts a wide range of individuals across ages and genders, and both medical and psychiatric comorbidities are common. Limited research has investigated prognosis, but existing longitudinal studies highlight the persistence of the disorder and the possibility of diagnostic crossover to other eating disorders.\u0000 \u0000 [\u0000 Psychiatr Ann\u0000 . 2024;54(2):e42–e46.]\u0000 \u0000","PeriodicalId":506992,"journal":{"name":"Psychiatric Annals","volume":"20 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139880307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Differential Diagnosis Between Avoidant/Restrictive Food Intake Disorder and Anorexia Nervosa 回避型/限制型食物摄入障碍与神经性厌食症的鉴别诊断
Psychiatric Annals Pub Date : 2024-02-01 DOI: 10.3928/00485713-20240110-01
P. E. Kambanis, Lilian P. Palmer, Lazaro Zayas
{"title":"Differential Diagnosis Between Avoidant/Restrictive Food Intake Disorder and Anorexia Nervosa","authors":"P. E. Kambanis, Lilian P. Palmer, Lazaro Zayas","doi":"10.3928/00485713-20240110-01","DOIUrl":"https://doi.org/10.3928/00485713-20240110-01","url":null,"abstract":"\u0000 Differential diagnosis between avoidant/restrictive food intake disorder (ARFID) and anorexia nervosa may be challenging due to shared clinical features. Diagnostic criteria for ARFID prohibit disturbance of one's body shape/weight. In contrast to body image disturbance, body image dissatisfaction is normative and ubiquitous and may characterize those with ARFID. Distinguishing between body image disturbance and dissatisfaction is critical to derive accurate diagnoses. We compare these constructs, highlighting that body image dissatisfaction rises to the level of clinically significant body image disturbance when it results in: (1) behavioral symptoms, such as persistent behavior that interferes with weight gain; and/or (2) eating disorder cognitions, such as a distorted perception of one's shape/weight or overvaluation of shape/weight. We illustrate the application of this definition via a brief case example and conclude by providing recommendations to aid providers in differential diagnosis between ARFID and its most similar eating disorder, anorexia nervosa.\u0000 \u0000 [\u0000 Psychiatr Ann\u0000 . 2024;54(2):e37–e41.]\u0000 \u0000","PeriodicalId":506992,"journal":{"name":"Psychiatric Annals","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139874202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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