Development of Anorexia Nervosa Symptoms
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Accession number;04A0359680
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| Title;Development of Anorexia Nervosa Symptoms |
| Author;
INANUMA K
(Ibaraki Childre's Hospital, Mito, Jpn)
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Journal Title;Japanese Journal of Child and Adolescent Psychiatry
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Journal Code:Z0387B
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ISSN:0289-0968
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VOL.44;NO.Supplement;PAGE.1-18(2003)
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| Figure&Table&Reference;FIG.2, TBL.13, REF.24 |
| Pub. Country;Japan |
| Language;English |
| Abstract;Phases in the development of Anorexia Nervosa (AN) (DSM-IV) symptoms were reviewed for 8 girls who engaged in intentional non-eating. Based on the patients' self-observations and their families' observational information, the order of onset of symptoms common to all of them were determined from among the general symptoms of AN and studied together with characteristic tendencies seen before the symptoms appeared. Sixteen symptoms were frequently observed clinically together with those symptoms traditionally indicated: desire to become thin, excessive exercise, obsessive dieting, becoming accustomed to dieting, insensitivity to hunger perception, marked weight loss, cessation of menstruation, parsimony, denial of illness, preoccupation with food, insensitivity to satiety perception, inability to stop eating once started, fear of becoming fat, distorted self-perception, intensification of the obsessive pursuit of thinness, and reflexive obsessive behavior (e.g., reflexive actions). The order of onset of symptoms common to almost all the subjects, in addition to intentional non-eating, were a desire to become thin, intentional non-eating, obsessive dieting, becoming accustomed to dieting, insensitivity to hunger perception, marked weight loss, preoccupation with food, fear of becoming fat, intensification of the obsessive pursuit of thinness, and reflexive obsessive behavior. Obsessiveness stood out in terms of personality. The developmental phases of these symptoms are considered to be: The subject begins dieting because of the desire to become thin, then because of personality factors, dieting is continued obsessively. Preoccupation with food and fear of becoming fat follow in a chain reaction after marked weight loss. Avoiding fear of becoming fat then becomes the objective of the pursuit of thinness. Obsessive behavior intensifies, repetition, and self-willed control becoming difficult. (author abst.) |
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