Question

You may encounter patients both male and female patients that may have anorexia nervosa or bulimia. Please discuss and describe the differences between the two?

Answer 1

You may encounter patients both male and female patients that may have anorexia nervosa or bulimia. Please discuss and describe the differences between the two?

Eating disorders include anorexia nervosa, a shape of self-starvation; bulimia nervosa, in which men and women have interaction in repetitive cycles of binge-eating alternating with self-induced vomiting or starvation; binge-eating ailment (BED), which resembles bulimia but without compensatory behaviors to avoid weight gain (e.g. vomiting, immoderate exercise, laxative abuse); avoidant restrictive meals intake disorder (ARFID) in which human beings might also have lack of activity in food, avoid certain textures or sorts of foods, or have fears and anxieties about penalties of ingesting unrelated to shape or weight issues (e.g. fear of choking, vomiting or abdominal discomfort) and other distinct feeding and ingesting disorders (OSFED). Eating disorders can happen in any age group, gender, ethnic or racial group

Anorexia nervosa and bulimia are psychiatric illnesses that core on food and its consumption and are commonly characterised by:

Excessive preoccupation with meals and dissatisfaction with one’s body structure or weight

A compulsion to interact in intense eating habits and unhealthy methods of weight manipulate such as:
o    Fasting or binge-eating
o    Excessive exercise
o    Self-induced vomiting
o    Chewing and spitting or regurgitating food
o Excessive laxative, diuretic, or weight loss plan tablet abuse.

Treatment

Treatment of anorexia nervosa entails dietary rehabilitation to normalize weight and ingesting behavior. Psychotherapy is aimed at correcting irrational preoccupations with weight and shape, managing challenging feelings and anxieties and preventing relapse. Interventions encompass monitoring weight gain, prescribing an sufficient diet, and admitting patients who fail to reap weight to a specialty inpatient or partial hospitalization program. Specialty programs combining close behavioral monitoring and meal support with psychological treatment options are typically very high quality in attaining weight gain in sufferers unable to attain weight in outpatient settings. The concern of fatness and physique dissatisfaction attribute of the sickness tend to extinguish step by step over countless months as soon as target weight and normal eating patterns are maintained, and 50-75% of patients finally recover. No medications have been proven to considerably facilitate weight acquire in patients with this disorder. In the case of patients below 18 years of age, household remedy aimed at supporting parents guide regular eating in their toddler has been determined to be extra high quality than man or woman therapy alone.

Describe the differences between both male and female patients that may have anorexia nervosa or bulimia?

Given that eating disorders disproportionately affect women, it is now not unreasonable to assume that men fluctuate from ladies in scientific presentation, personality and psychological characteristics. My guess would be that they differ. My reasoning is this: adult males and women grow up facing specific pressures and expectations. Given that, I’d assume there would be (perhaps solely slightly) extraordinary danger elements that predispose guys and ladies to increase consuming disorders. Thus, I’d suppose that distinct agencies of men and women (i.e. with different personality characteristics, psychiatric comorbidities, and lifestyles experiences) would be prone to EDs. (Hopefully that makes sense.) To reply that question, Dr. D. Blake Woodside and colleagues in contrast guys with consuming disorders vs. ladies with eating problems vs. men except eating disorders.

Why are females much more likely to suffer from eating disorders than males? It appears that (at least) two arguments have been put forth:

One argument has been that because eating disorders are so rare in males, the nature of the illness must somehow be atypical in males. The second line of discussion has suggested that there must be something different about males who develop an eating disorder. For example, it has been suggested that a higher proportion of males with eating disorders might be homosexual

The rate of anorexia nervosa and bulimia nervosa was 0.3% in males and 2.1% in females.

Prevalence of Eating Disorders in Men & Women

• Anorexia nervosa – full syndrome: 0.16% of males vs. 0.66% of females (female:male ration is 4.2:1); partial syndrome: 0.76% of males vs. 1.15% of females (female:male ratio is 1.5:1)
• Bulimia nervosa – full syndrome: 0.13% of males vs. 1.46% of females (11.4:1); partial syndrome: 0.95% of males vs. 1.70% of females (1.8:1)
• Note the difference in female:male ratios between the full syndromes and partial syndromes

Lifetime Psychiatric Comorbidities in Men & Women

• Men with EDs: significantly higher rates in almost all areas, compared to men without EDs, but mostly similar to women with EDs:
• Men with EDs vs. men without EDS: men with EDs had significantly higher prevalence of major depression, anxiety disorders, social phobia, simple phobia, agoraphobia, panic disorder and alcohol dependence (the only thing that wasn’t different in the disorders evaluated was generalized anxiety disorder)
• Men with EDs vs. women with EDs: women with EDs had significantly higher prevalence of major depression and significantly lower rates of alcohol dependence

Family History & Early Life Experiences

• men with and without EDs did not differ on the majority of variables
• women with EDs reported higher rates of sexual abuse and serious sexual abuse than men with EDs

Relationships & Quality of Life Variables in Men & Women

• overall satisfaction was fairly high, but men with EDs were significantly different from men without EDs (frequency of marital conflicts, satisfaction with family life, leisure activities, housing, incoming and life in general)
• there were no significant differences between men with EDs and women with EDs

Conclusion

We found few differences between men and women with eating disorders on the available clinical variables. The similar ratios of anorexia nervosa and bulimia nervosa in the two groups as well as the very similar patterns of age at onset and birth cohort effect add to the now substantial body of evidence suggesting that the illness is the same in nature for both sexes.