دورية أكاديمية
Recovery from Adolescent Anorexia Nervosa and Associations with Diurnal Patterns of Salivary Stress Hormones: A Case Report
| العنوان: | Recovery from Adolescent Anorexia Nervosa and Associations with Diurnal Patterns of Salivary Stress Hormones: A Case Report |
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| المؤلفون: | Andrea Oskis, Catherine Loveday, Frank Hucklebridge, David Wood, Angela Clow |
| المصدر: | Case Reports in Psychiatry, Vol 2012 (2012) |
| بيانات النشر: | Hindawi Limited, 2012. |
| سنة النشر: | 2012 |
| المجموعة: | LCC:Psychiatry |
| مصطلحات موضوعية: | Psychiatry, RC435-571 |
| الوصف: | In the neurodevelopment of adolescent anorexia nervosa (AN), dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis is proposed to be a central component. Furthermore, a therapeutic milieu focusing on affect regulation can contribute much to treatment, given the emotional processing difficulties associated with this disorder. Studies of HPA axis function following such specialist treatments for adolescent AN, however, are rare. This study describes the diurnal pattern of HPA axis activation, including the cortisol awakening response (CAR), in a 16-year-old female diagnosed with AN both during illness and at clinical recovery following milieu therapy with a focus on affect regulation. Specialised single-case study statistics were used to assess whether the patient's data were significantly different from the healthy “norm” at illness and recovery. During illness, her measure of affective problems was outside of the normal range and cortisol and DHEA secretory profiles were significantly elevated across the diurnal period. However, at recovery both her affective state and HPA axis function became comparable to healthy controls. This case study suggests that salivary markers of HPA axis function can be feasibly incorporated into the clinical regime within a specialist adolescent AN residential service and could be used by clinicians to monitor prognosis and interventions. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2090-682X 2090-6838 |
| Relation: | https://doaj.org/toc/2090-682X; https://doaj.org/toc/2090-6838 |
| DOI: | 10.1155/2012/798512 |
| URL الوصول: | https://doaj.org/article/50884e495c3c4dc48192a344d0c679d2 |
| رقم الأكسشن: | edsdoj.50884e495c3c4dc48192a344d0c679d2 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 2090682X 20906838 |
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| DOI: | 10.1155/2012/798512 |