Focus
L’anoressia nervosa e i disturbi del comportamento alimentare
ANOREXIA NERVOSA AND EATING DISORDERS
CALOGERO VULLO1, LUIGI GUALTIERI2
1Pediatra, Ferrara;
2Dipartimento di Salute Mentale, ASL di Cesena
Dicembre 2001 - pagg. 657 -667
Il numero di dicembre è tradizionalmente dedicato all’incontro pediatrico ACP di Perugia. Il focus comprende sia la relazione che una sintesi del gruppo di lavoro. I disordini del comportamento alimentare, di cui l’anoressia nervosa è il più significativo
Abstract
The estimated prevalence in Italy of eating disorders is 0.3-0.5% for anorexia nervosa and
1-3% for bulimia. Premature death due to the complications of the disease or suicide are
observed in 10% of these patients. The article offers an overview of the current knowledge
on the etiology of eating disorders and in particular of anorexia nervosa. The criteria that
have been proposed for diagnosis are presented and the role of the family doctor in early
diagnosis is underlined.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Tridenti A, Bocchia S. Il fenomeno anoressico/
bulimico. Un tentativo di comprensione
unitaria dei disturbi del comportamento alimentare.
Milano: Masson, 1993.
2. P. Feliciotti. L’invenzione dell’anoressia mentale. In: William Withey Gull, Ernst Charles Lasègue: La scoperta dell’anoressia. Milano: Bruno Mondadori ed,1998:1-47.
3. Carruba MO (dir. da). Anoressia nervosa,dalle origini alla terapia. Milano: Istituto Danone, 1999.
4. Russel GFM. Bulimia nervosa: An ominus variant of anorexia nervosa. Psychol Med 1979;9:429-48.
5. Kreipe RE, Birndorf SA. Eating disorders in adolescents and young adults. Med Clin N Am 2000;84:1027-49.
6. American Academy of Pediatrics, Committee on Sports Medicine and Fitness,1999. Medical Concerns in Female Athlete. Pediatrics 2000;106:610-2.
7. Bell RM. La Santa Anoressia: digiuno e misticismo dal medioevo ad oggi. Bari: Laterza, 1987.
8. Garfinkel PE, Garner DM. Anorexia nervosa. A multidimensional perspective. New York: Brunner, 1982.
9. Cuzzolaro M. Inquadramento, Aspetti diagnostici, epidemiologici ed eziopatogenetici. In Carruba MO, pag. 7-28.
10. Strober M, Lampert C, Morrel W, et al. A controlled family study of anorexia nervosa: Evidence of familial aggregation and lack of shared transmission with affective disorders. Int J Eat Disord 1990;9:253.
11. Holland AJ, Sicotte N, Treasure J. Anorexia nervosa. Evidence for a genetic basis. J Psychosom Res 1988;32:561-71.
12. Strober M. Personality factors in anorexia nervosa. Pediatrician 1983-85;12(2-3):134-8.
13. Marrazzi MA, Luby ED, Kinzie J, et al. Endogenous codeine and morphine in anorexia and bulimia nervosa. Life Sci 1997;60: 1741-7.
14. Stoving RK, Hangaard J, Hagen C. Update on endocrine disturbances in anorexia nervosa. J Pediat Endocrinol Metab 2001;14: 459-80.
15. Casper RC, Eckert ED, Halmi K, et al. Bulimia: its incidence and clinical importance in patients with anorexia nervosa. Archives in General Pschiatry 1980;37:1030-40.
16. Carlat DJ, Camargo CA; Herzog DB. Eating disorders in males: a report on 135 patients . Am J Psychiatry 1997;154:1127.
17. Herzog DB, Nawrara KL, Warshaw M. Body image dissatisfaction in homosexual and heterosexual males. J New Ment Dis 1991;179:356-9
18. Di Pentima L, Montecchi F. La bulimia nervosa adolescenziale ad esordio precoce. Riv Ital Ped 2001;27:237-24 .
19. Bryant-Waugh R, Lask B. Eating disorders in children. J Child Psychol Psychiatry 1995;36:191-202.
20. AMA Guidelines for Adolescent Preventive Services (GAPS). Recommendations and rationale. Wilkins and Wilkins, 1994:XXXIII.
21. Stashwick C. When you suspect an eating disorder. Contemporary Pediatrics 19
22. Yager J. E-mail as a therapeutic adjunct in the outpatient treatment of anorexia nervosa: Illustrative case material and discussion of the issues. Int J Eat Disord 2001;29:125-38.
23. Gambarara M, Castro M, Papadatou B, et al. Il trattamento nutrizionale nell’anoressia mentale. Prospettive in Pediatria 1996;26:75- 9.
24. Ben-Twin DI, Walker K, Gilchrist P, et al. Outcome in patients with eating disorders: a 5 year study. Lancet 2001;357:1254-7.
2. P. Feliciotti. L’invenzione dell’anoressia mentale. In: William Withey Gull, Ernst Charles Lasègue: La scoperta dell’anoressia. Milano: Bruno Mondadori ed,1998:1-47.
3. Carruba MO (dir. da). Anoressia nervosa,dalle origini alla terapia. Milano: Istituto Danone, 1999.
4. Russel GFM. Bulimia nervosa: An ominus variant of anorexia nervosa. Psychol Med 1979;9:429-48.
5. Kreipe RE, Birndorf SA. Eating disorders in adolescents and young adults. Med Clin N Am 2000;84:1027-49.
6. American Academy of Pediatrics, Committee on Sports Medicine and Fitness,1999. Medical Concerns in Female Athlete. Pediatrics 2000;106:610-2.
7. Bell RM. La Santa Anoressia: digiuno e misticismo dal medioevo ad oggi. Bari: Laterza, 1987.
8. Garfinkel PE, Garner DM. Anorexia nervosa. A multidimensional perspective. New York: Brunner, 1982.
9. Cuzzolaro M. Inquadramento, Aspetti diagnostici, epidemiologici ed eziopatogenetici. In Carruba MO, pag. 7-28.
10. Strober M, Lampert C, Morrel W, et al. A controlled family study of anorexia nervosa: Evidence of familial aggregation and lack of shared transmission with affective disorders. Int J Eat Disord 1990;9:253.
11. Holland AJ, Sicotte N, Treasure J. Anorexia nervosa. Evidence for a genetic basis. J Psychosom Res 1988;32:561-71.
12. Strober M. Personality factors in anorexia nervosa. Pediatrician 1983-85;12(2-3):134-8.
13. Marrazzi MA, Luby ED, Kinzie J, et al. Endogenous codeine and morphine in anorexia and bulimia nervosa. Life Sci 1997;60: 1741-7.
14. Stoving RK, Hangaard J, Hagen C. Update on endocrine disturbances in anorexia nervosa. J Pediat Endocrinol Metab 2001;14: 459-80.
15. Casper RC, Eckert ED, Halmi K, et al. Bulimia: its incidence and clinical importance in patients with anorexia nervosa. Archives in General Pschiatry 1980;37:1030-40.
16. Carlat DJ, Camargo CA; Herzog DB. Eating disorders in males: a report on 135 patients . Am J Psychiatry 1997;154:1127.
17. Herzog DB, Nawrara KL, Warshaw M. Body image dissatisfaction in homosexual and heterosexual males. J New Ment Dis 1991;179:356-9
18. Di Pentima L, Montecchi F. La bulimia nervosa adolescenziale ad esordio precoce. Riv Ital Ped 2001;27:237-24 .
19. Bryant-Waugh R, Lask B. Eating disorders in children. J Child Psychol Psychiatry 1995;36:191-202.
20. AMA Guidelines for Adolescent Preventive Services (GAPS). Recommendations and rationale. Wilkins and Wilkins, 1994:XXXIII.
21. Stashwick C. When you suspect an eating disorder. Contemporary Pediatrics 19
22. Yager J. E-mail as a therapeutic adjunct in the outpatient treatment of anorexia nervosa: Illustrative case material and discussion of the issues. Int J Eat Disord 2001;29:125-38.
23. Gambarara M, Castro M, Papadatou B, et al. Il trattamento nutrizionale nell’anoressia mentale. Prospettive in Pediatria 1996;26:75- 9.
24. Ben-Twin DI, Walker K, Gilchrist P, et al. Outcome in patients with eating disorders: a 5 year study. Lancet 2001;357:1254-7.