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Eating Disorders in Schizophrenia

Published online by Cambridge University Press:  29 January 2018

G. C. Lyketsos*
Affiliation:
University of Athens, Greece
P. Paterakis
Affiliation:
Dromokaition Mental Hospital, Athens, Greece
A. Beis
Affiliation:
Dromokaition Mental Hospital, Athens, Greece
C. G. Lyketsos
Affiliation:
Washington University Medical School, St Louis, Missouri, USA
*
Correspondence.

Summary

An investigation of eating disorders in a population of chronic schizophrenic patients confirmed that there is a distinction between eating disorders of psychotics and eating disorders of the young. All the DSM-III criteria of eating disorders, except one, were observed among the psychotics although no patient fulfilled the necessary criteria for an eating disorder diagnosis except for one anorexic woman. All varieties of schizophrenic eating disorder were reported: in two-fifths of the patients eating disorders were associated with delusions and in one sixth with hallucinations; more than half of the patients had deviant eating behaviour which was not associated with any thought or perceptual disorders. Schizophrenic eating disorders were common, yet not disturbing to the social life of the open mental hospital or to that of the community surrounding it.

Type
Research Article
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual. 3rd Edition. Washington DC.Google Scholar
Akhiar, A. & Thomson, A. (1980) Schizophrenia and sexuality. A review and report of twelve unusual cases. Journal of Clinical Psychiatry, 41, 134139 (Part I). 41, 166–171 (Part II).Google Scholar
Alexander, F. (1950) Psychosomatic Medicine. New York: Norton.Google Scholar
Barry, B. C. & Klawans, H. L. (1976) On the role of dopamine in the pathophysiology of anorexia nervosa. Journal of Neural Transmission, 38, 107.CrossRefGoogle ScholarPubMed
Bleuler, E. (1911) Dementia Praecox oder die Gruppe der Schizophrenien. Aschaffenburgs Handbuch der Psychiatrie. Leipzig: Franz Deutickc. Translated by Zinkin, Joseph. (1950). New York: International University Press.Google Scholar
Bleuler, E. (1916) Lehrbuch der Psychiatrie. Berlin: Julius Springer. Translated by Brill, A. A. (1957). Dover Publications.Google Scholar
Bray, G. (1976) The Obese Patient. Philadelphia: W. B. Saunders.Google ScholarPubMed
Brill, A. A. (1939) Discussion of Cachexia nervosa—A psycho-neurotic Simmonds syndrome'. Archives of Neurology Psychiatry, 41, 842843.Google Scholar
British Registrar-General Classification (1977) Classification of Occupations 1970. Offices of Populations Censuses. London: HMSO.Google Scholar
Cantwell, D. P., Sturzenberger, S. & Burroughs, J. (1977) Anorexia nervosa—an affective disorder? Archives of General Psychiatry, 34, 10871093.CrossRefGoogle ScholarPubMed
Crisp, A. H. (1967) Anorexia nervosa. Hospital Medicine, 1, 713718.Google Scholar
Crisp, A. H. (1977) Differential diagnosis of anorexia nervosa. Proceedings of the Royal Society of Medicine, 70, 686690.Google Scholar
Dally, P. (1969) Anorexia nervosa. London: Hahnemann.Google Scholar
Dickens, J. (1970) Concurrence of Turner's syndrome in anorexia nervosa. British Journal of Psychiatry, 117, 237.Google Scholar
Federn, P. (1934) The analysis of psychotics. International Journal of Psychoanalysis, 15, 209214.Google Scholar
Feighner, J. P., Robins, E. & Guze, S. B. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.CrossRefGoogle ScholarPubMed
Garner, D. M. & Garfinkel, P. E. (1979) The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273279.Google Scholar
Hsu, L. K. G., Meltzer, E. S. & Crisp, A. H. (1981) Schizophrenia and anorexia nervosa. Journal of Nervous and Mental Disease, 169, 273276.Google ScholarPubMed
Kestemberg, E., Kestemberg, J. & Decorbet, S. (1972) La faim et le corps. Une étude psychanalytique de l'anorexie mentale. P.U.F.: Paris.Google Scholar
Kraepelin, E. (1921) Manic-Depressive Insanity and Paranoia. Edinburgh: Livingstone.CrossRefGoogle Scholar
Lyketsos, G. C., Sakka, P. & Mailis, A. (1983) The sexual adjustment of chronic schizophrenics. British Journal of Psychiatry, 143, 376382.Google Scholar
Meng, H. & Stern, E. (1955) Organ-psychosis. Psychoanalytic Rev, 42, 428434.Google ScholarPubMed
Mohl, P. C. & McMahon, T. (1980) Anorexia nervosa associated with mental retardation and schizo-affective disorder. Psychosomatics, 21, 602606.CrossRefGoogle Scholar
Nicolle, G. (1938) Pre-psychotic anorexia. Lancet, 2, 11731174.Google Scholar
Russell, G. F. M. (1969) Metabolic endocrine and psychiatric aspects of anorexia nervosa. Scientific Basic Medicine, 236.Google Scholar
Russell, G. F. M. (1970) Anorexia nervosa: its identity as an illness and its treatment. In Modem Trends in Psychological Medicine, Vol. 2, (ed. Prize, J. H.). London: Butterworth.Google Scholar
Wermuth, B., Davis, K. L., Hollister, L. E. & Sturkard, A. G. (1977) Phenytoin treatment of the binge eating syndrome. American Journal of Psychiatry, 134, 1249.Google ScholarPubMed
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