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Anorexia Nervosa-restricted type with obsessive traits in a pre-pubertal female: A case report

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      Most cited references 6

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      Childhood obsessive-compulsive personality traits in adult women with eating disorders: defining a broader eating disorder phenotype.

      The authors retrospectively examined a spectrum of childhood traits that reflect obsessive-compulsive personality in adult women with eating disorders and assessed the predictive value of the traits for the development of eating disorders. In a case-control design, 44 women with anorexia nervosa, 28 women with bulimia nervosa, and 28 healthy female comparison subjects were assessed with an interview instrument that asked them to recall whether they had experienced various types of childhood behavior suggesting traits associated with obsessive-compulsive personality. The subjects also completed a self-report inventory of obsessive-compulsive disorder (OCD) symptoms. Childhood obsessive-compulsive personality traits showed a high predictive value for development of eating disorders, with the estimated odds ratio for eating disorders increasing by a factor of 6.9 for every additional trait present. Subjects with eating disorders who reported perfectionism and rigidity in childhood had significantly higher rates of obsessive-compulsive personality disorder and OCD comorbidity later in life, compared with eating disorder subjects who did not report those traits. Childhood traits reflecting obsessive-compulsive personality appear to be important risk factors for the development of eating disorders and may represent markers of a broader phenotype for a specific subgroup of patients with anorexia nervosa.
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        Anorexia nervosa in 51 Swedish adolescents: premorbid problems and comorbidity.

         M. Råstam (1992)
        Fifty-one teenage cases with anorexia nervosa (AN) were compared with 51 age-, sex-, and school-matched cases with respect to premorbid developmental, physical, and psychiatric problems and comorbidity at the time of examination. Almost half of the AN group consisted of the total population of AN cases in one birth cohort. There were more premorbid personality problems in the AN group. Obsessive compulsive problems were very common in this group, as was undue concern about physical appearance. Depressive symptoms during the course of the eating disorder were almost universal in the AN group, but it did not appear that such symptoms had preceded the eating disorder. It seems that there may be a number of subgroups with AN and that the majority of these can be better understood in the light of factors intrinsic to the patients themselves rather than in the context of deviant family interaction.
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          Eating disorders: an Indian perspective.

          Anorexia nervosa and related eating disorders are rare in non-western cultures. In India the information regarding these disorders is very limited. The authors describe five cases of young women who chiefly presented with refusal to eat, persistent vomiting, marked weight loss, amenorrhea and other somatic symptoms. They did not show overactivity or disturbances in body image seen characteristically in anorexia nervosa. Though finally diagnosed and treated as cases of eating disorder, they presented considerable difficulty in diagnosis. The paper discusses the reasons for the seeming rarity of anorexia nervosa in India and sociocultural reasons for its atypical presentation.
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            Author and article information

            Affiliations
            Department of Psychiatry, Government Medical College and Associated Group of Hospitals, Kota, Rajasthan, India. E-mail: drdevendra_2006@ 123456rediffmail.com
            Journal
            Indian J Psychiatry
            Indian J Psychiatry
            IJPsy
            Indian Journal of Psychiatry
            Medknow Publications & Media Pvt Ltd (India )
            0019-5545
            1998-3794
            Oct-Dec 2012
            : 54
            : 4
            : 392-393
            23372253
            3554982
            IJPsy-54-392
            10.4103/0019-5545.104846
            Copyright: © Indian Journal of Psychiatry

            This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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