Mirror Mirror on the Wall, Who’s The Thinnest of Them All? Reflections on Anorexia Nervosa in Adolescence

Tatiana Zanetti
Department of Neuroscience, University of Padua, Regional Centre of Eating Disorders in Padua, Padova, Italy

Series: Eating Disorders in the 21st Century
BISAC: PSY011000



Volume 10

Issue 1

Volume 2

Volume 3

Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick


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Teenagers are the most vulnerable subjects for the onset of Anorexia Nervosa (AN), in the period they start facing important body changes as well as a new status of autonomy and independence.

Anorexia Nervosa is considered a severe health problem with mental and physical consequences that may be life-threatening. When a teenager is suffering from an eating disorder, his/her parents are suffering too, feeling powerless, frustrated and preoccupied. So they also need help. The special focus of this book is on Anorexia Nervosa in adolescence. The book is divided in three parts. The first part provides a description of what Anorexia Nervosa is and how it may interfere with the natural growth and development during adolescence, a second part in which psychopathological signs and symptoms as well as neuropsychological features of Anorexia Nervosa are presented and finally a third part dealing with the assessment and the treatment. In this last part, different evidence-based approaches are presented and discussed, with a particular emphasis on the model used by the Eating Disorder Unit in Padova, Italy.

This book is addressed to therapists, healthcare workers, primary care physicians and mental care trainees and to all those who can get in touch with people at risk to develop or still suffering from anorexia nervosa, but, as it is written in a very easy and direct style, it can be addressed to patients, parents, teachers and coaches as well. It may be a tool to improve the detection of warning signs and symptoms of anorexia for early diagnosis, a tool to better understand what Anorexia Nervosa can mean to young affected people, and it can also be a useful guide for clinical practices. (Imprint: Nova Biomedical )



Part I: Developmental Task in Adolescence: The Interference of Anorexia Nervosa

Chapter 1. Developmental Tasks during Adolescence

Chapter 2. Anorexia Nervosa: Its Interference on the Natural Developmental Path

Part II: The Complex Characterization of Anorexia Nervosa

Chapter 3. Psychopathology of Anorexia Nervosa: Anorexic Behaviors

Chapter 4. Psychopathology of Anorexia Nervosa: Cognitive Features

Chapter 5. Psychopathology of Anorexia Nervosa: Individual and Interpersonal Psychological Features

Chapter 6. Neuropsychology of Anorexia Nervosa
Elena Tenconi (Clinical Psychologist, Assistant Professor, Department of Neurosciences, University of Padova)

Chapter 7. Psychiatric Comorbidity in Adolescent Anorexia Nervosa Patients
Tatiana Zanetti (Clinical Psychologist, Psychotherapist, Regional Centre of Eating Disorders of Padova, Department of Neurosciences, University of Padova, Padova, Italy) and Angela Veronese (Psychiatrist and Psychotherapist, Psychiatric Clinic, Department of Neurosciences, University of Padova, Italy)

Chapter 8. Medical Complications in Adolescents with Anorexia Nervosa
Mariateresa Nardi (Veneto Institute of Oncology IOV - IRCCS, Padua, Italy)

Part III: Assessment and Outpatient Treatment of Adolescents with Anorexia Nervosa

Chapter 9. Multidimensional Assessment

Chapter 10. Outpatient Treatment of Adolescents with Anorexia Nervosa

Chapter 11. Supporting the Family




Chapter 1

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Chapter 3

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Chapter 4

Fairburn, C. G. (2008). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. New York, London The Guilford Press.
Micali, N., Ploubidis, G., De Stavola, B., Simonoff, E., Treasure, J. (2013) Frequency and patterns of eating disorder symptoms in early adolescence. Journal of Adolescent Health, [Epub ahead of print].
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Schmidt, U., Treasure, J. (2006). Anorexia nervosa: Valued and visible. A cognitive-interpersonal maintenance model and its implications for research and practice. British Journal of Clinical Psychology. 45,3, 343–366.
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Chapter 5

Bardone-Cone, A. M., Wonderlich, S., Frost, R. O., Bulik, C. M., Mitchell, J. E., Uppala, S., et al.(2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychology Review, 27, 384-405.
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Chapter 6

Casey, B.J., Jones, R.M., & Hare, T.A. (2008). The adolescent brain. Annuals of the New York Academy of Science; 1124,111-126.
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Chapter 7

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Chapter 8

American Psychiatric Association (2000). Practice guideline for the treatment of patients with eating disorders (revision). American Journal of Psychiatry, 157 (Suppl. 1), 1-39.
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Katzman, D.J. (2005). Medical complications in adolescents with anorexia nervosa: a review of the literature. International Journal of Eating Disorders, 37, s52-s59.
Katzman, D.J., & Misra, M. (2013). Bone health in adolescent females with anorexia nervosa: What is a clinician to do? International Journal of Eating Disorders, 46, 456-460.
Miller, K.K., Grinspoon, S., Ciampa, J., Hier, J., Herzog, D., & Klibanski, A. (2005). Medical findings in outpatients with anorexia nervosa. Archives of Internal Medicine, 165, 561-66.
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Chapter 9

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Chapter 10

American Psychiatric Association. (2006). Practice guideline to the treatment of patients with an eating disorders. American Journal of Psychiatry, vol. 163, (7).
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Fairburn, C. G. (2008). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. New York, London The Guilford Press.
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Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. BehaviourResearch and Therapy, 41,509-52.
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Chapter 11

Bryant-Waugh, R. & Lask, B. (1995). Eating disorders in children. Journal of Children Psychology and. Psychiatry, 36, 199-202.
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