Stress hormones and eating disorders
Abstract
Aims The aim of this paper is to emphasize the role of stress processes in the aetiology of eating disorders.Methods We have examined the literature for evidence that people with eating disorders might exhibit markers of stress and show signs of the "maltreated ecophenotype".Results Early adversity is more common among people with binge eating behaviours. The secondary effects of malnutrition, which are mostly marked in anorexia nervosa, may be an added stressor that could also contribute to the stress related phenotype. People with eating disorders have anomalies in brain structure, reward and punishment sensitivity, and the balance between HPA and SMA function. These may be potential targets for treatment.
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A less efficient HPA axis negative feedback loop may represent a deficiency in emotion and stress regulation.
“It is well established that amygdala function is moderated by stress-induced glucocorticoid (GC) release [20], and a less efficient HPA axis negative feedback loop may represent a deficiency in emotion and stress regulation [168].”
From Food Addiction and Psychosocial Adversity: Biological Embedding, Contextual Factors, and Public Health Implications (2020) · cites this paper as [168]
Feelings of rejection associated with weight stigma and disordered eating are additional stressors which may further perpetuate a negative cycle.
“Feelings of rejection associated with weight stigma and disordered eating are additional stressors which may further perpetuate a negative cycle [114,168].”
From Food Addiction and Psychosocial Adversity: Biological Embedding, Contextual Factors, and Public Health Implications (2020) · cites this paper as [168]
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Himmerich, H., Kan, C., Au, K., & Treasure, J. (2021) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2020.107667 · Cited by 137 · see citing works
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Monteleone, A. M., Cascino, G., Marciello, F., D’Agostino, G., Caivano, V., Monteleone, P., & Maj, M. (2020) · Bipolar Disorders · doi:10.1111/bdi.12923 · Cited by 15 · see citing works
Self-citation
- Authors
- Chami, R., Monteleone, A. M., Treasure, J., & Monteleone, P.
- Affiliations
- King's College London (GB)
- Corresponding author
- Chami, Rayane
- Venue
- Molecular and Cellular Endocrinology
- Publisher
- Elsevier BV
- Published
- 2019-11
- Volume
- 497
- Pages
- 110349
- ISSN
- 0303-7207 (ISSN-L)
- OpenAlex
- W2904686663
- Cited by
- 66
- References
- 107
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 17 · 2023: 9 · 2022: 7 · 2021: 10 · 2020: 10 · 2019: 2
- FWCI
- 0.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular and Cellular Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- eating disorders, stress hormones, stress process, etiology, childhood adversity, binge eating, anorexia nervosa, malnutrition, hypothalamic-pituitary-adrenal axis, brain structure, reward sensitivity, punishment sensitivity, ecophenotypes
- MeSH terms
- Aging, Feeding and Eating Disorders, Energy Metabolism, Homeostasis, Hormones, Humans, Stress, Psychological
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