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The British Journal of Psychiatry (1967) 113: 257-263. doi: 10.1192/bjp.113.496.257
© 1967 The Royal College of Psychiatrists
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Gastric "Hunger" Contractions in Anorexia Nervosa

J. TREVOR SILVERSTONE M.A., B.M., B.Ch., M.R.C.P., D.P.M.1 and G. F. M. RUSSELL M.D., M.R.C.P., M.R.C.P.E., D.P.M.2

1 Senior Lecturer, St. Bartholomew's Hospital, London
2 Senior Lecturer, Institute of Psychiatry, The Maudsley Hospital, London

Gastric contractions were recorded in ten normal female subjects, and in seven female patients and one male patient with anorexia nervosa. The patients were all severely emaciated. The nature of the feeding disorder varied a great deal: true loss of appetite was present in only three of the eight patients.

The motility of the stomach was recorded by means of an open-ended polythene tube filled with water and connected to a recording system. Most recordings lasted four hours.

There was no significant difference between the normal subjects and the anorexia nervosa patients as regards their overall gastric motility and the occurrence of so-called hunger contractions. True loss of appetite was not accompained by cessation of gastric activity. Some patients recognized the contractions but did not interpret them as sensations of hunger.

Five patients with anorexia nervosa were retested after they had been treated and had gained weight. There resulted only a slight decrease in gastric activity which was not significant.

Submitted on June 25, 1966




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Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 1967 The Royal College of Psychiatrists.