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Food preferences, PROP-sensitivity and taste perception in recovered female patients with anorexia nervosa
S156
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196
Mo-P-1074
Food preferences, PROP-sensitivity and taste perception in recovered female patients with anorexia nervosa L. Woeckel a,∗ , I. Sungurtekin b , F. Glass c , L. Elstrodt c , F.D. Zepf d , F. Poustka c , B. Herpertz-Dahlmann e a Center of Child and Adolescent Psychiatry and Psychotherapy, Clienia Littenheid AG, Littenheid, Switzerland b Department of Child and Adolescent Psychiatry, Psychosomatics And Psychotherapy, Central Institute of Mental Health, Mannheim, Germany c Department of Child and Adolescent Psychiatry, Psychosomatics And Psychotherapy, University of Frankfurt, Frankfurt, Germany d Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University/JARA Translational Brain Medicine, Aachen, Germany e Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Aachen, Aachen, Germany ∗ Corresponding author. Introduction.– 6-n-propylthiouracil (PROP) is typified as tasting bitter in PROPtasters. It has been hypothesized that PROP-tasters are more sensitive to other bitter tastes as well as sweet taste and the texture of fats. However, the impact of PROP status in eating disorders is unknown. Methods.– Twenty remitted female patients with anorexia nervosa (AN) were included and tested for PROP-sensitivity. Ten were PROP-non-tasters (aged 22.9 ± 3.0 years, BMI 20.5 ± 2.0 kg/m2 ) and 10 were PROP-tasters (24.9 ± 2.9 years, BMI 22.3 ± 3.5 kg/m2 ). Taste perception was evaluated using taste strips. Food practice and choice were assessed by self-report. Results.– Recovered PROP-tasters with AN had a significantly higher taste perception for all taste qualities, and consume significantly more often ice cream, dumplings, lemonade, potato chips, candies and sweets. Conclusions.– We hypothesize that PROP status may influence eating behaviour in eating disorders. Together with previous findings the data support the notion that sensitivity for PROP could possibly improve the course and outcome of AN. http://dx.doi.org/10.1016/j.neurenf.2012.04.186 Mo-P-1075
Comparison of psychologist-led and school counselor-led prevention programs for eating disorders in Taiwan Y.P. Chen Department of Counseling And Guidance, National University of Tainan, Tainan, Taiwan This research aimed to explore whether school counselors could conduct prevention programs for eating disorders as well as counseling psychologists. Sixty-three high-risk female students were recruited using the Eating Attitudes Test (EAT-26) from 616 first-year high school students in Taiwan. Among them, twenty-six at-risk students agreed to participate in the program and were randomly assigned to the programs of psychologist-led group (14 members) or the counselor-led group (12 members). School counselors were requested to attend a 6-hour training session to learn how to implement the program in a professional way. Test scores were compared for immediate and 3-month effects using two types of questionnaires-the EAT-26 and BITE (Bulimic Investigatory Test). Both groups demonstrated higher scores on post-tests than that of pre-tests, and no difference was found by using different types of questionnaires. This research indicated that the prevention programs led by school counselors were as effective as the one led by counseling psychologists. http://dx.doi.org/10.1016/j.neurenf.2012.04.187 Mo-P-1076
Reattachment therapy for adolescent anorexia nervosa considering about becoming good enough mother M. Katsumaru ∗ , T. Esaki , M. Ikeda , M. Sakai , H. Watanabe Pediatrics, Keio university hospital, Tokyo, Japan ∗ Corresponding author.
Many mothers with anorexia nervosa relapse during their pregnancy and postpartum period, also cause serious problems in their childcare. Rearing their
motherhood to avoid maltreatment and intergenerational transmission of anorexia nervosa is a big theme. We started our therapy in our pediatric ward 20 years ago. Our team hold the patients as their second family, help them to rebuild basic trust, rear motherhood. We experienced 37cases of adolescent anorexia nervosa, needed hospitalization, recovered and were followed by us for more than 10 years. Five of them got their babies, all of them became good enough mothers. Through their narratives, we explore what constitutes their strengths, how a life in pediatric ward helped them to retrieve their true self and rear their motherhood. http://dx.doi.org/10.1016/j.neurenf.2012.04.188
Mo-P-1077
Sponge eating in adolescent: Clinical case of Pica and iron deficiency anemia C. Mendonc¸a a,∗ , S. Henriques b , M.A. Silva b , M. Marques b , A. Trigueiros b , P. Correia a a Psychiatry Department, Centro Hospitalar Cova da Beira, Covilhã, Portugal b Child and Adolescent Psychiatry, Hospital Dona Estefania, lisboa, Portugal ∗ Corresponding author. Pica is a rare eating disorder in which patients develop craving for nonnutritive substances, which is commonly seen in pregnant women, children and patients with low socioeconomic resources. It has also been identified in cases of iron deficiency anemia and other nutritional deficits, such as zinc deficiency. The presentation aims to explore the influence of different etiological factors in the development of Pica, based on a clinical case. Multiple factors have been suggested as possible causes of non-organic Pica, including intellectual disability, abuse and behavioural disorders. When associated with iron deficiency, it is believed to be a symptom of the deficiency rather than its cause. Ingestion of sponge as a form of Pica has been rarely described, being the most common forms geophagy (clay) and pagophagy (ice cubes). There is no single agreed upon explanation about its etiology, however, the influence of social, cultural, psychological, biological and behavioural factors are recognized. http://dx.doi.org/10.1016/j.neurenf.2012.04.189 Mo-P-1078
Spécificités du fonctionnement psychique d’adolescents borderline présentant des troubles des conduites alimentaires : approche projective et perspectives thérapeutiques A. Cohen de Lara a,∗ , S. Vibert b , C. Azoulay b , N. De Kernier c , F. Degheest d , I. Nicolas e , M. Robin e , A. Pham-Scottez f , M. Speranza g , M. Corcos e a Service de psychologie, Lshs, Utrpp, université Paris 13, Villetaneuse, France b Service de psychologie, université Paris-Descartes, IMM, Boulogne-Billancourt, France c Service de psychologie, université Paris-Ouest, Nanterre, France d Service de psychologie du développement et de la famille, hôpital Erasme, université Libre de Bruxelles, Bruxelles, Belgium e Service de psychiatrie, IMM, Paris, France f Service de psychiatrie, CMME-Saint Anne, Paris, France g Service de psychiatrie, CH Versailles, Versailles, France ∗ Auteur correspondant. Dans le cadre du Réseau Européen d’Étude de la personnalité borderline a l’adolescence, nous avons propose l’exploration du fonctionnement psychique de patientes diagnostiquées Borderline et ayant des troubles des conduites alimentaires associes a partir des méthodes projectives (Rorschach et TAT). Deux critères caractéristiques des modalités de fonctionnement sont déterminants pour établir le diagnostic à partir des projectifs : l’inhibition de la conflictualité œdipienne ou son défaut de refoulement et la présence de modalités défensives variées dont le but premier semble la lutte contre la perte d objet, sans altération majeure du contact avec la réalité. Malgré le caractère pour-
IACAPAP 2012 – 20th World congress / Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S140–S196
Mo-P-1074
Food preferences, PROP-sensitivity and taste perception in recovered female patients with anorexia nervosa L. Woeckel a,∗ , I. Sungurtekin b , F. Glass c , L. Elstrodt c , F.D. Zepf d , F. Poustka c , B. Herpertz-Dahlmann e a Center of Child and Adolescent Psychiatry and Psychotherapy, Clienia Littenheid AG, Littenheid, Switzerland b Department of Child and Adolescent Psychiatry, Psychosomatics And Psychotherapy, Central Institute of Mental Health, Mannheim, Germany c Department of Child and Adolescent Psychiatry, Psychosomatics And Psychotherapy, University of Frankfurt, Frankfurt, Germany d Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University/JARA Translational Brain Medicine, Aachen, Germany e Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Aachen, Aachen, Germany ∗ Corresponding author. Introduction.– 6-n-propylthiouracil (PROP) is typified as tasting bitter in PROPtasters. It has been hypothesized that PROP-tasters are more sensitive to other bitter tastes as well as sweet taste and the texture of fats. However, the impact of PROP status in eating disorders is unknown. Methods.– Twenty remitted female patients with anorexia nervosa (AN) were included and tested for PROP-sensitivity. Ten were PROP-non-tasters (aged 22.9 ± 3.0 years, BMI 20.5 ± 2.0 kg/m2 ) and 10 were PROP-tasters (24.9 ± 2.9 years, BMI 22.3 ± 3.5 kg/m2 ). Taste perception was evaluated using taste strips. Food practice and choice were assessed by self-report. Results.– Recovered PROP-tasters with AN had a significantly higher taste perception for all taste qualities, and consume significantly more often ice cream, dumplings, lemonade, potato chips, candies and sweets. Conclusions.– We hypothesize that PROP status may influence eating behaviour in eating disorders. Together with previous findings the data support the notion that sensitivity for PROP could possibly improve the course and outcome of AN. http://dx.doi.org/10.1016/j.neurenf.2012.04.186 Mo-P-1075
Comparison of psychologist-led and school counselor-led prevention programs for eating disorders in Taiwan Y.P. Chen Department of Counseling And Guidance, National University of Tainan, Tainan, Taiwan This research aimed to explore whether school counselors could conduct prevention programs for eating disorders as well as counseling psychologists. Sixty-three high-risk female students were recruited using the Eating Attitudes Test (EAT-26) from 616 first-year high school students in Taiwan. Among them, twenty-six at-risk students agreed to participate in the program and were randomly assigned to the programs of psychologist-led group (14 members) or the counselor-led group (12 members). School counselors were requested to attend a 6-hour training session to learn how to implement the program in a professional way. Test scores were compared for immediate and 3-month effects using two types of questionnaires-the EAT-26 and BITE (Bulimic Investigatory Test). Both groups demonstrated higher scores on post-tests than that of pre-tests, and no difference was found by using different types of questionnaires. This research indicated that the prevention programs led by school counselors were as effective as the one led by counseling psychologists. http://dx.doi.org/10.1016/j.neurenf.2012.04.187 Mo-P-1076
Reattachment therapy for adolescent anorexia nervosa considering about becoming good enough mother M. Katsumaru ∗ , T. Esaki , M. Ikeda , M. Sakai , H. Watanabe Pediatrics, Keio university hospital, Tokyo, Japan ∗ Corresponding author.
Many mothers with anorexia nervosa relapse during their pregnancy and postpartum period, also cause serious problems in their childcare. Rearing their
motherhood to avoid maltreatment and intergenerational transmission of anorexia nervosa is a big theme. We started our therapy in our pediatric ward 20 years ago. Our team hold the patients as their second family, help them to rebuild basic trust, rear motherhood. We experienced 37cases of adolescent anorexia nervosa, needed hospitalization, recovered and were followed by us for more than 10 years. Five of them got their babies, all of them became good enough mothers. Through their narratives, we explore what constitutes their strengths, how a life in pediatric ward helped them to retrieve their true self and rear their motherhood. http://dx.doi.org/10.1016/j.neurenf.2012.04.188
Mo-P-1077
Sponge eating in adolescent: Clinical case of Pica and iron deficiency anemia C. Mendonc¸a a,∗ , S. Henriques b , M.A. Silva b , M. Marques b , A. Trigueiros b , P. Correia a a Psychiatry Department, Centro Hospitalar Cova da Beira, Covilhã, Portugal b Child and Adolescent Psychiatry, Hospital Dona Estefania, lisboa, Portugal ∗ Corresponding author. Pica is a rare eating disorder in which patients develop craving for nonnutritive substances, which is commonly seen in pregnant women, children and patients with low socioeconomic resources. It has also been identified in cases of iron deficiency anemia and other nutritional deficits, such as zinc deficiency. The presentation aims to explore the influence of different etiological factors in the development of Pica, based on a clinical case. Multiple factors have been suggested as possible causes of non-organic Pica, including intellectual disability, abuse and behavioural disorders. When associated with iron deficiency, it is believed to be a symptom of the deficiency rather than its cause. Ingestion of sponge as a form of Pica has been rarely described, being the most common forms geophagy (clay) and pagophagy (ice cubes). There is no single agreed upon explanation about its etiology, however, the influence of social, cultural, psychological, biological and behavioural factors are recognized. http://dx.doi.org/10.1016/j.neurenf.2012.04.189 Mo-P-1078
Spécificités du fonctionnement psychique d’adolescents borderline présentant des troubles des conduites alimentaires : approche projective et perspectives thérapeutiques A. Cohen de Lara a,∗ , S. Vibert b , C. Azoulay b , N. De Kernier c , F. Degheest d , I. Nicolas e , M. Robin e , A. Pham-Scottez f , M. Speranza g , M. Corcos e a Service de psychologie, Lshs, Utrpp, université Paris 13, Villetaneuse, France b Service de psychologie, université Paris-Descartes, IMM, Boulogne-Billancourt, France c Service de psychologie, université Paris-Ouest, Nanterre, France d Service de psychologie du développement et de la famille, hôpital Erasme, université Libre de Bruxelles, Bruxelles, Belgium e Service de psychiatrie, IMM, Paris, France f Service de psychiatrie, CMME-Saint Anne, Paris, France g Service de psychiatrie, CH Versailles, Versailles, France ∗ Auteur correspondant. Dans le cadre du Réseau Européen d’Étude de la personnalité borderline a l’adolescence, nous avons propose l’exploration du fonctionnement psychique de patientes diagnostiquées Borderline et ayant des troubles des conduites alimentaires associes a partir des méthodes projectives (Rorschach et TAT). Deux critères caractéristiques des modalités de fonctionnement sont déterminants pour établir le diagnostic à partir des projectifs : l’inhibition de la conflictualité œdipienne ou son défaut de refoulement et la présence de modalités défensives variées dont le but premier semble la lutte contre la perte d objet, sans altération majeure du contact avec la réalité. Malgré le caractère pour-