Sex-specific issues in eating disorders: a clinical and psychopathological investigation
| Autor: | Anna Biondini, Anna Rita Atti, Stefano Valente, Diana De Ronchi, M. Forlani, Paolo Scudellari, Giulia Di Girolamo |
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| Přispěvatelé: | Valente, Stefano, Di Girolamo, Giulia, Forlani, Martina, Biondini, Anna, Scudellari, Paolo, De Ronchi, Diana, Atti, Anna Rita |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Adolescent Anxiety Anorexia nervosa Personality Disorders Feeding and Eating Disorders Young Adult 03 medical and health sciences Sex Factors 0302 clinical medicine Epidemiology of child psychiatric disorders Binge-eating disorder medicine Humans 0501 psychology and cognitive sciences Psychiatry Exercise Aged Retrospective Studies Men Male gender Eating disorder Personality disorder Psychopathology Bulimia nervosa 05 social sciences Feeding Behavior Middle Aged medicine.disease Personality disorders 030227 psychiatry Psychiatry and Mental health Clinical Psychology Eating disorders Cross-Sectional Studies Female Sex medicine.symptom Psychology Clinical psychology |
| Zdroj: | Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. 22:707-715 |
| ISSN: | 1590-1262 1124-4909 |
| DOI: | 10.1007/s40519-017-0432-7 |
| Popis: | Objective: To highlight the characteristics of eating disorders (ED) in males, with particular attention to sex-related clinical features and psychiatric co-morbidities. Method: Out of 280 persons, referred to our outpatients ED clinic between January 2011 and June 2014, 267 with complete information were included in this retrospective observational study. Results: The men/women ratio was one to five (male 16.5% vs female 83.5%) with an increasing proportion of male patients over the years. The most frequent ED in males was binge eating disorder, whereas in females anorexia nervosa and bulimia nervosa prevailed. Excessive exercising and fasting were the most common compensation behaviours in males; while self-induced vomiting and laxativeâdiuretic abuse were more typical in females. Among women, the most represented psychiatric co-morbidities were mood and somatoform disorders, whereas among men, anxiety and psychosis spectrum disorders were the most frequent ones. Borderline and histrionic personality disorders were prevalent in female ED, while narcissistic and antisocial personality disorders prevailed in males. Discussion: ED in men is a growing phenomenon. Male ED, compared to female ED, show differences in clinical presentation, symptoms and co-morbidities. Despite the use of clinical and psychometric evaluating tools targeting female patients, sex differences do exist and additional studies are required to investigate male specific issues in ED. Level of Evidence Level V, cross-sectional descriptive study. |
| Databáze: | OpenAIRE |
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