Anorexia Nervosa
Anorexia nervosa is a psycho logic illness that is characterized by marked weight loss, an intense fear of gaining weight, a distorted body image, and amenorrhea (Johnson 1996). It primarily affects adolescent girls and occurs in approximately 0.2 to 1.3 percent of the general population (Johnson 1996). There are numerous complications of anorexia nervosa, involving nearly every organ system, however most complications may be reversed when a healthy nutritional state is restored (Johnson 1996). Treatment involves nutritional and psychological rehabilitation, and may be administered on an inpatient or outpatient basis (Johnson 1996). By the age of eighteen, more than 50 percent of females perceive themselves as too fat, despite having a normal weight, therefore it is not surprising that the prevalence and incidence rates of anorexia nervosa (and bulimia) tend to be higher in certain populations, such as college sororities (Johnson 1996). In this type of environment, there is a high priority placed on thinness and dieting is a common practice (Johnson 1996). This condition generally begins in adolescence to early adulthood, with onset at a mean of 17 years of age, however it has been reported in grade-school children and mi
A.Refusal to maintain body weight at or above D.In postmenarcheal females, amenorrhea, i.e., the During the current episode of anorexia nervosa, the individual has regularly engaged in binge-eating or purging behavior, i.e., self-induced vomiting or the misuse of laxatives, diuretics or enemas (Johnson 1996). Individuals with anorexia nervosa have a disturbed perception of their own weight and body- shape (Johnson 1996). Some individuals perceive themselves as overweight even though they are emaciated, while other perceive only certain parts of their body as fat (Johnson 1996). Criteria for anorexia nervosa as defined in the Diagnostic and Statistical Manual of Mental Disorders, DSM-IV include: seriousness of the current low body weight. A woman is considered to have amenorrhea if her periods occur only following hormone, e.g., estrogen, administration (Johnson 1996).
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