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Eating disorders, substance use disorders and multiple symptoms: three clinical vignettes

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Abstract

Abstract

During the longitudinal study of three patients, referred to services at 3, 13, 15 years for eating disorders, reduced food intake and anorexia nervosa, other symptoms appeared depending on difficult development, relational and personality problems. The patients showed the interweaving of symptoms at different times: they were dealing with modified developmental needs and contexts, included new possibilities of attachment that might produce different internal organizations. These changes required different treatments. Anorexia started early in life for these girls, but presented different steps of organization. We wanted to start finding some aspects of a staging model to map the course of ED, because many patients arrived later in life, reported untreated early symptoms, actually personality traits. Mapping the evolution, could allow to take care of patients at the very early stage of problems when few symptoms are present, and better patients’ evolution might be possible.

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References

  1. First M (2014) DSM V handbook of differential diagnosis. APA American Psychiatric Association. Dasha E. Nicholls, 2 https://doi.org/10.1176/appi.books.9781585629992.2

  2. Lynn R, Russell MVT (2011) Childhood eating disorders: British national surveillance study. Br J Psychiatry 198(4):295–301. https://doi.org/10.1192/bjp.bp.110.081356

    Article  PubMed  Google Scholar 

  3. Keski-Rahkonen A, Hoek H, Susser ES et al (2007) Epidemiology and course of anorexia nervosa in the community. Am J Psychiatry 164(8):1259–1265. https://doi.org/10.1176/appi.ajp.2007.06081388

    Article  PubMed  Google Scholar 

  4. Stanton MD, Shadish WR (1997) Outcome, attrition, and family–couples treatment for drug abuse: a meta-analysis and review of the controlled, comparative studies. Psychol Bull 122(2):170–197. https://doi.org/10.1037/0033-2909.122.2.170

    Article  CAS  PubMed  Google Scholar 

  5. N.C.In.-To.Fam. (1994) Diagnostic classification: 0–3 Masson ed. Mi. 1995

  6. Stern DN (1985) The interpersonal world of the infant. Basic books, NY

    Google Scholar 

  7. Stern DN (1995) The motherhood constellation Basic Books–Harper Collins, NY

    Google Scholar 

  8. Lingiardi V, Amedei G, Caviglia G, DeBei F (2011) La svolta relazionale R. Cortina ed. Mi

  9. Boston change process study group (1998) The something more than interpretation revised. J Am Psychoanal Assoc 53(3):693–729

    Article  Google Scholar 

  10. Rizzolatti G, Gnoli A (2016) In te mi specchio Rizzoli ed. Mi. ISBN 978-88-17-08055-2

  11. ICF—WHO | World Health Organization apps. http://who.int/iris/bitstream/10665/42417/4/9788879466288$4ita.pdf

  12. Fava Vizziello G (2011) La partecipazione. Piccin, Pd

    Google Scholar 

  13. Hryb K, Kirkhart R, Talbert R (2007) A call for standardized definition of dual diagnosis. Psychiatry 4(9):15–16. (Published online 2007 Sep. PMCID: PMC2880934)

    PubMed  Google Scholar 

  14. Evans K, Sullivan MJ (2001) Dual diagnosis: counseling the mentally Ill substance abuser, 2nd edn. Guilford Press, UK, pp 75–76. ISBN 978-1-57230-446-8

  15. Fava Vizziello G, Stern D, Cortina R (eds) (1992) Dalle cure materne all’interazione. Milano

  16. Mc Donough S (1992) L’aiuto all’interazione in G. Fava Vizziello, D. Stern Dalle cure materne all’interpretazione Raffaello Cortina ed. Mi

  17. Kernberg P (2000) Personality disorders in children and adolescents. Basic books, NY. https://doi.org/10.1080/080394800448183

  18. Bleiberg E (2001) Treating personality disorders in children and adolescents. Guilford Press http://ajp.psychiatryonline.org/.doi/full/10.1176/appi.ajp.162.2.411-a

  19. Cuzzolaro M, Piccolo F, Speranza AM (2009) Anoressia bulimia obesità. Carocci Faber, Roma

    Google Scholar 

  20. Ferrari P (2013) Troubles psychosomatiques du nousrrisson. In: Ferrari P, Bonnot O (eds) Traité de Psychopathologie de l’enfant et de l’adolescent. Lavoisier, Paris, pp 212–218

    Google Scholar 

  21. Kreisler L (1987) Le nouvel enfant du désordre psychosomatique. Privat, Toulouse

    Google Scholar 

  22. Jeanmet P (1980) Realité externe et realité interne à l’adolescence. Rev Fr Psychanalyse 44:481–521

    Google Scholar 

  23. Bruch H (1982) Family transactions in eating disorders. Int J ED. https://doi.org/10.1016/0010-440X(71)90021-6

    Article  Google Scholar 

  24. Nizzoli U (2008) Disturbi dell’alimentazione e abuso di sostanze. Piccin, PD

    Google Scholar 

  25. Anderluh MB, Tchanturia K, Rabe-Hesketh S, Treasure J (2003) Childhood obsessive–compulsive personality traits in adult women with eating disorders: defining a broader eating disorder phenotype. Am J Psychiatry 160(2):242–247

    Article  Google Scholar 

  26. Halmi KA, Tozzi F, Thornton LM, Crow S, Fichter MM, Kaplan AS, Keel P, Klump KL, Lilenfeld LR, Mitchell JE, Plotnicov KH, Pollice C, Rotondo A, Strober M, Woodside DB, Berrettini WH, Kaye WH, Bulik CM (2005) The relation among perfectionism, obsessive–compulsive personality disorder and obsessive–compulsive disorder in individuals with eating disorders. Int J Eat Disord 38(4):371–374

    Article  Google Scholar 

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Correspondence to Graziella Fava Vizziello.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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This article is part of the topical collection on Food Addiction.

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Fava Vizziello, G., Bellin, L. Eating disorders, substance use disorders and multiple symptoms: three clinical vignettes. Eat Weight Disord 23, 177–184 (2018). https://doi.org/10.1007/s40519-017-0464-z

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