Gymnastik- och idrottshögskolan, GIH

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  • 1.
    Birgegard, Andreas
    et al.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Karolinska Inst, MEB, Nobels Vag 12A, SE-17177 Stockholm, Sweden..
    Forsén Mantilla, Emma
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Breithaupt, Lauren E.
    Massachusetts Gen Hosp, Eating Disorders Clin & Res Program, Boston, MA USA.;Harvard Med Sch, Dept Psychiat, Boston, MA USA..
    Borg, Stina
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Sanzari, Christina M.
    SUNY Albany, Dept Psychol, Albany, NY USA.;Univ North Carolina Chapel Hill, Dept Psychiat, Chapel Hill, NC USA..
    Padalecki, Sophie
    Univ North Carolina Chapel Hill, Dept Psychiat, Chapel Hill, NC USA.;Elon Univ, Coll Arts & Sci, Dept Publ Hlth, Elon, NC USA..
    Hedlund, Elin
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Bulik, Cynthia M.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Univ North Carolina Chapel Hill, Dept Psychiat, Chapel Hill, NC USA.;Univ North Carolina Chapel Hill, Dept Nutr, Chapel Hill, NC USA..
    Proposal for increasing diagnostic clarity in research and clinical practice by renaming and reframing atypical anorexia nervosa as "Restrictive Eating Disorder" (RED)2023In: Eating Behaviors, ISSN 1471-0153, E-ISSN 1873-7358, Vol. 50, article id 101750Article in journal (Refereed)
    Abstract [en]

    Atypical anorexia nervosa (AAN) in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM5), is characterized by meeting all criteria for anorexia nervosa (AN) except for weight being within or above the "normal" range despite significant weight loss. The current definition is plagued by several problems, resulting in widely heterogeneous operationalizations in research and clinical practice. As such, the poorly defined diagnosis of AAN negatively impacts affected individuals and frustrates research attempts to better understand the syndrome. We consider conceptual flaws in the AAN description and contend that the undefined weight range and nature of weight loss renders these two factors functionally inapplicable in research and practice. They also represent a departure from the originally intended use of the AAN category, i.e., arresting a negative weight trajectory likely to result in AN, making the target population, and the application of the label, unclear. We propose revised criteria and a new name, restrictive eating disorder (RED), intended to reduce stigma and encompass a wide but better-defined range of presentations. The RED criteria focus on clinically significant restrictive behavior that disrupts normal living (i.e., impairment), and cognitive symptoms of overevaluation, disturbed experience, and lack of recognition of illness seriousness. We believe that RED may enable more appropriate clinical application, but also inspire coordinated research toward a more valid psychiatric nosology in the eating disorders field.

  • 2.
    Forsén Mantilla, Emma
    et al.
    Karolinska Inst, Dept Clin Neurosci, Resource Ctr Eating Disorders, S-11364 Stockholm, Sweden..
    Bergsten, Katja
    Uppsala Univ, Dept Psychol, S-75312 Uppsala, Sweden..
    Birgegard, Andreas
    Karolinska Inst, Dept Clin Neurosci, Resource Ctr Eating Disorders, S-11364 Stockholm, Sweden..
    Self-image and eating disorder symptoms in normal and clinical adolescents2014In: Eating Behaviors, ISSN 1471-0153, E-ISSN 1873-7358, Vol. 15, no 1, p. 125-131Article in journal (Refereed)
    Abstract [en]

    Eating disorders (ED) are psychiatric disorders of multifactorial origin, predominantly appearing in adolescence. Negative self-image is identified as risk factor, but the association between self-image and ED in adolescents or sex differences regarding such associations remains unclear. The study aimed to investigate the relationship between specific self-image aspects and ED symptoms in normal and clinical adolescents, including sex differences. Participants included 855 ED patients (girls = 813, boys = 42) and 482 normal adolescents (girls = 238, boys = 244), 13-15 years. Stepwise regression demonstrated strong associations between self-image and ED in normal adolescents (girls: R-2 = .31, boys: R-2 = .08), and stronger associations in patients (girls: R-2 = .64, boys: R-2 = .69). Qualitative sex differences were observed in patients. Connections between specific self-image aspects and ED have implications for clinical management of ED. The strong link between self-image variables and ED symptoms in normal girls, but not boys, is discussed in terms of the continuity-discontinuity hypothesis. (C) 2013 Elsevier Ltd. All rights reserved.

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