By Brett McDermott, Tony Jaffa
Anorexia Nervosa and different consuming problems are arguably the main advanced psychological illnesses baby or adolescent could event. Numbers looking support are at the raise, and the complexity of those issues demanding situations even the main skilled clinician. during this well timed e-book, the event of various practitioners with overseas reputations within the box is dropped at undergo at the large variety of concerns a very good clinician must find out about, together with the heritage of the illness via to therapy, psychopharmacology, the psychotherapies, epidemiology, comorbidities, consuming issues in boys and neuroimaging. The publication is split into components detailing the clinical underpinnings, irregular states, the proof base for remedies and eventually public healthiness concerns, together with carrier supply versions and views on diagnosis and results. Clinicians encountering consuming problems will locate this most recent addition to the Cambridge baby and Adolescent Psychiatry sequence precious.
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Additional info for Eating Disorders in Children and Adolescents (Cambridge Child and Adolescent Psychiatry)
Media exposure could invoke or enhance body dissatisfaction, those already dissatisfied may be drawn to thin idealizing media, or a third variable such as low self-esteem may explain the apparent relationship. , 2002). The impact of Western media exposure via newly introduced TV was apparent in the girls’ psychological test scores and their personal comments describing their desire to reshape their bodies to become more like the main programme characters. However, the authors were careful to point out that the response was not a dose effect of TV exposure.
Leptin receptors are also present in the dorsal vagal complex and other hindbrain centres, discrete regions of which 23 Regulation of food intake and body weight have a chemosensory function or are involved in the relaying of satiety and other visceral signals from the periphery. A further link to the periphery is provided by evidence suggesting that leptin may enhance the satiety effect of CCK. Elevated blood leptin concentrations in obese humans have been interpreted as evidence that obesity is effectively a state of ‘leptin resistance’ similar to the well-characterized ‘insulin resistance’ that causes type 2 diabetes.
Conversely, CCK-A receptor antagonists not only block the effect of a CCK injection, but also increase food intake when administered in isolation, suggesting that endogenous meal-released CCK provides negative feedback to induce a physiological state of satiety. These effects are dependent on an intact vagus nerve. An explanation for the effects of CCK on vagal afferent firing rates is provided by the presence of CCK-A receptors on these fibres, relaying signals to the brainstem (Mercer & Lawrence, 1992).
Eating Disorders in Children and Adolescents (Cambridge Child and Adolescent Psychiatry) by Brett McDermott, Tony Jaffa