Physical health and mental health frequently intersect, with nutrition and exercise
playing a major role in well-being. While both can offer incredible benefits
for well-being, they can also be linked to eating disorders when taken to
extremes.
اضافة اعلان
Food is
fundamental to survival, but many people find comfort in food and can associate
it with positive feelings or memories beyond just a physical necessity.
However, some have a negative relationship with food. Eating disorders come to
be when a negative relationship leads to binging, restricting, purging, and
body image issues.
What
are eating disorders?
Eating
disorder is an umbrella term used to describe complex mental health conditions.
According to the
Diagnostic and Statistical Manual of Mental Disorders (DSM-5),
it is characterized by a persistent disturbance of eating or eating-related
behaviors that results in altered eating behaviors and significantly impairs
physical health or psychosocial functioning.
Eating
disorders are quite prevalent, and a 2019 study conducted in Jordan by the
World Health Organization found a variable prevalence rate of 12–40 percent
among adolescents, taking note of the different types of eating disorders.
The
DSM-5 outlined six recognized eating disorders discussed below.
Anorexia nervosa is an eating disorder commonly just referred to as anorexia and is the most well-known eating disorder. four important features characterize this eating disorder: restriction of caloric intake, intense fear of weight gain, engaging in behavior that interferes with weight gain, and disturbed self-image.
The
main hallmark of anorexia is the belief that the individual is overweight or
fat and must lose weight. Typically, this will cause the individual to be severely
underweight, but it is not always the case. Although atypical, a person can be
normal weight or even overweight and still have anorexia.
Other
mental health disorders such as obsessive-compulsive disorder, bipolar,
anxiety, and depression frequently accompany anorexia. This means that those
with anorexia are at a higher risk of suicide. Suicides reported amongst those
with anorexia are 12 cases for every 100,000 with anorexia.
Anorexia
nervosa is divided into two subtypes: restriction and binge-eating/purging. The
binge-eating/purging is characterized by recurrent episodes of excessive eating
followed by purging, which can include self-induced vomiting or misuse of
laxatives, diuretics, or enemas. The restricting type of anorexia does not have
periods of excessive eating and instead goes through periods of fasting,
dieting, and/or excessive exercise to lose weight.
Bulimia
nervosa, or bulimia, is very similar to the binge-eating/purging type of
anorexia, where the individual goes through periods of excessive eating
followed by purging. The main difference between them is that the periods of
binge eating occur regardless.
This
brings us to binge-eating disorder, which is characterized by periods of
excessive eating without any forms of purging to compensate. Additionally,
there are marked levels of distress during these periods.
Avoidant/restrictive
food intake disorder is another type. With this disorder, the individual avoids
or has no interest in certain foods, which results in weight loss, dependence on
supplements, and a negative impact on psychosocial functioning. This occurs
despite food availability and is more closely associated with the sensory
characteristics of food than just body image issues.
The
last two eating disorders are more uncommon, and an exact prevalence is
difficult to obtain. Rumination disorder is the repeated regurgitation of food,
either re-chewed, re-swallowed, or spat out. This eating disorder is more
commonly seen in those with intellectual disabilities.
Pica is
another rare disorder that is more commonly found in those with intellectual
disabilities. This disorder is characterized by consuming nonnutritive
substances such as dirt, chalk, or hair.
What
are the causes of eating disorders?
Eating
disorders are complex, and their causes are multifactorial. There are genetic,
biological,
environmental, and societal factors that can all play a role in
developing eating disorders. Many studies have found that people who have a
sibling or parent with an eating disorder are at an increased risk of
developing one, which suggests a genetic aspect.
Certain
personality traits, particularly neuroticism, perfectionism, and impulsivity,
are highly linked to eating disorders. Emerging research has also found that an
imbalance in brain chemistry might play a role, which has been found in other
mental health disorders such as depression and anxiety.
A 2019 study conducted in Jordan by the World Health Organization found a variable prevalence rate of 12–40 percent among adolescents, taking note of the different types of eating disorders.
Societal
standards were also found to play a role in developing eating disorders since
there is pressure to conform to certain beauty standards, which can negatively
impact self-image.
How
do eating disorders affect well-being?
Eating
disorders impact physical and mental health greatly. And since an adequate diet
is vital to supporting life, restricting nutrients to the body can be
detrimental as it weakens the immune system, damages the skin and hair, and
causes poor wound healing; it is also linked to abnormal labs, which show
hormone imbalances, low electrolytes, and anemia.
Certain
behaviors associated with eating
disorders, such as self-induced vomiting, can
also cause complications such as ulcers and damage to the teeth. In more severe
cases, this can cause multi-organ damage and may result in death.
Eating
disorders related to overeating can also have many complications that relate
more closely to obesity, such as the increased risk of heart attacks, diabetes,
and mortality.
A 2004
study conducted in the
UK used a specific health survey that assessed different
aspects of well-being, such as physical, emotional, and social well-being. This
survey was administered to those with eating disorders, primarily anorexia, and
it found that they had more significant impairment of emotional well-being than
physical well-being.
Those
with eating disorders also reported high levels of depression, self-harm, and
suicidal ideation.
Finding
and getting help
Eating
disorders impact the physical body, but they should be treated more as a
psychiatric issue, which is why treatment relating to eating disorders largely
revolves around therapy.
Cognitive behavioral therapy (CBT), is commonly
implemented since it can help address any underlying issues and help reduce or
eliminate the behavior associated with eating disorders. Depending on the case,
some medications were also found to help, such as antidepressants, mood
stabilizers, and antipsychotics.
Additionally,
combining CBT with nutritional counseling may significantly improve your odds
of a better outcome, as found by a 2021 study. Finding the right healthcare
professional for you may be difficult, especially in Jordan. Fortunately, some
online resources may help, and one such online platform is Doctor Nafsi.
Doctor
Nafsi allows you to connect with Arab therapists who are qualified in various
fields. It is easily accessible and can be done from the comfort of your home.
Additionally, they allow for free consultations to see if their programs are a
right fit for you.
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