The DOI matches its Crossref record; 119 of the 121 references it cites were found in a registry or an index.
Medical Complications of Anorexia Nervosa and Bulimia
Open accessAbstract
Anorexia nervosa and bulimia nervosa are serious psychiatric illnesses related to disordered eating and distorted body images. They both have significant medical complications associated with the weight loss and malnutrition of anorexia nervosa, as well as from the purging behaviors that characterize bulimia nervosa. No body system is spared from the adverse sequelae of these illnesses, especially as anorexia nervosa and bulimia nervosa become more severe and chronic. We review the medical complications that are associated with anorexia nervosa and bulimia nervosa, as well as the treatment for the complications. We also discuss the epidemiology and psychiatric comorbidities of these eating disorders.
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“Unlike cancer or Alzheimer’s disease, most medical complications associated with anorexia can be treated with adequate nutritional intake and weight restoration, even in severely emaciated patients (3, 146).”
From Assisted death in eating disorders: a systematic review of cases and clinical rationales (2024) · cites this paper as [146]
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“These impairments contribute to a vicious cycle where malnutrition exacerbates cognitive deficits that hinder effective treatment engagement and decision-making, resulting in a pattern of diminished capacity that fuels the disorder itself (146).”
From Assisted death in eating disorders: a systematic review of cases and clinical rationales (2024) · cites this paper as [146]
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“most medical complications are reversible with nutritional rehabilitation and expert care [9].”
From Terminal anorexia nervosa is a dangerous term: it cannot, and should not, be defined (2022) · cites this paper as [9]
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Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication
Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.03.040 · Cited by 4,973
Diagnostic and Statistical Manual of Mental Disorders
Siegel, L. J., & Fletcher‐Janzen, E. (2014) · Wiley eBooks · doi:10.1002/9781118660584.ese0728 · Cited by 3,438
Excess mortality of mental disorder
Harris, C., & Barraclough, B. (1998) · British Journal of Psychiatry · doi:10.1192/bjp.173.1.11 · Cited by 1,881
Swanson, S. A., Crow, S. J., Le Grange, D., Swendsen, J., & Merikangas, K. R. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.22 · Cited by 1,611
Mortality in anorexia nervosa.
(1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.7.1073 · Cited by 974
New insights into symptoms and neurocircuit function of anorexia nervosa
Kaye, W. H., Fudge, J. L., & Paulus, M. (2009) · Nature Reviews Neuroscience · doi:10.1038/nrn2682 · Cited by 843
Increased mortality in bulimia nervosa and other eating disorders.
Crow, S. J., Peterson, C. B., Swanson, S. A., Raymond, N. C., Specker, S., Eckert, E. D., & Mitchell, J. E. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.09020247 · Cited by 633
Arnett, E. N., Isner, J. M., REDWOOD, D. R., KENT, K. M., BAKER, W. P., ACKERSTEIN, H., & ROBERTS, W. C. (1979) · Annals of Internal Medicine · doi:10.7326/0003-4819-91-3-350 · Cited by 628
Spechler, S. J., & Souza, R. F. (2014) · New England Journal of Medicine · doi:10.1056/nejmra1314704 · Cited by 496
Research works printed but not linked: 2
- McAdams, 2011, Impaired neuronal processing of social attribution in anorexia nervosa, Psych Res, 194, 57
- Colton, 1997, Laxative withdrawal in eating disorders. Treatment protocol and 3 to 20 year follow up, Int J Eat Disord, 25, 311, 10.1002/(SICI)1098-108X(199904)25:3<311::AID-EAT9>3.0.CO;2-L · DOI
Cited by
Sorted by citations
The endocrine manifestations of anorexia nervosa: mechanisms and management
Haines, M. S., & Miller, K. K. (2016) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2016.175 · Cited by 342
The Science Behind the Academy for Eating Disorders' Nine Truths About Eating Disorders
Schaumberg, K., Welch, E., Breithaupt, L. E., Hübel, C., Baker, J. H., Munn‐Chernoff, M. A., Yılmaz, Z., Ehrlich, S., Mustelin, L., Ghaderi, A., et al. (2017) · European Eating Disorders Review · doi:10.1002/erv.2553 · Cited by 301
Guss, C. E., Williams, D. N., Reisner, S. L., Austin, S. B., & Katz-Wise, S. L. (2017) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2016.08.027 · Cited by 153
Secondary Osteoporosis and Metabolic Bone Diseases
Sobh, M., Abdalbary, M., Elnagar, S., Nagy, E., Elshabrawy, N. A., Abdelsalam, M., Asadipooya, K., & El-Husseini, A. A. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11092382 · Cited by 165
Wu, J., Liu, J., Li, S., Ma, H., & Wang, Y. (2020) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796020001055 · Cited by 157
Metadata
- Authors
- Westmoreland, P., Krantz, M. J., & Mehler, P. S.
- Affiliations
- Denver Health Medical Center (US)
- Corresponding author
- Mehler, Philip S.
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 129
- Issue
- 1
- Pages
- 30-37
- ISSN
- 0002-9343 (ISSN-L)
- OpenAlex
- W808601510
- Cited by
- 467
- References
- 121
- Citations by year
- 2026: 33 · 2025: 55 · 2024: 36 · 2023: 58 · 2022: 56 · 2021: 56 · 2020: 61 · 2019: 43 · 2018: 17 · 2017: 17 · 2016: 16
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- anorexia nervosa, bulimia nervosa, eating disorders, medical complications, malnutrition, weight loss, purging behavior, body image distortion, psychiatric comorbidity, complication treatment
- MeSH terms
- Anorexia Nervosa, Humans, Comorbidity, Bulimia Nervosa
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