Cited by 215Eating Disorders and BehaviorsRegulation of Appetite and ObesityStress Responses and Cortisol

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Stress, Hypothalamic-Pituitary-Adrenal Axis and Eating Disorders

Lo Sauro, Carolina, Ravaldi, Claudia, Cabras, Pier Luigi, Faravelli, Carlo, Ricca, Valdo·2008·Neuropsychobiology

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Abstract

The etiopathogenesis of eating disorders (ED) is complex and poorly understood. Biological, psychological and environmental factors have all been considered to be involved in the onset and the persistence of these syndromes, often with conflicting results. The recent literature focused on the possible role of hormonal pathways, in particular the hypothalamic-pituitary-adrenal (HPA) axis, as a relevant factor capable of influencing the onset and the course of ED. Other studies have suggested that the onset of ED is often preceded by severe life events, and that chronic stress is associated with the persistence of these disorders. As the biological response to stress is the activation of the HPA axis, the available literature considering the relationships between stress, HPA axis functioning and anorexia nervosa, bulimia nervosa and binge eating disorder is reviewed by the present article.

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Authors: Lo Sauro, C., Ravaldi, C., Cabras, P. L., Faravelli, C., & Ricca, V.
Affiliations: University of Florence (IT)
ORCID: Ravaldi, Claudia
Ricca, Valdo
Venue: Neuropsychobiology
Publisher: S. Karger AG
Published: 2008
Volume: 57
Issue: 3
Pages: 95-115
ISSN: 0302-282X (ISSN-L)
1423-0224
DOI: 10.1159/000138912
OpenAlex: W1966745469
Cited by: 215
References: 172
Citations by year: 2026: 6 · 2025: 6 · 2024: 7 · 2023: 11 · 2022: 10 · 2021: 13 · 2020: 12 · 2019: 14 · 2018: 20 · 2017: 7 · 2016: 16 · 2015: 15 · 2014: 15 · 2013: 6 · 2012: 10
FWCI: 2.70
Type: journal article
Language: en
Open access: closed
Licence: www.karger.com/Services/SiteLicenses (vor)
www.karger.com/Services/SiteLicenses (tdm)
Locations: Neuropsychobiology (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords: eating disorders, hypothalamic-pituitary-adrenal axis, chronic stress, anorexia nervosa, bulimia nervosa, binge eating disorder, hormone signaling pathways, life events, etiopathogenesis
MeSH terms: Adaptation, Physiological, Feeding and Eating Disorders, Chronic Disease, Female, Hormones, Humans, Hypothalamo-Hypophyseal System, Male, Pituitary-Adrenal System, Stress, Psychological

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Stress, Hypothalamic-Pituitary-Adrenal Axis and Eating Disorders

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