No Thinspiration

A centre of excellence to treat a growing number of patients with eating disorders has been relaunched in Yorkshire as experts warn more young people than ever are in need of specialist care.
Chief Medical Officer Professor Sir Liam Donaldson officially marked the landmark at the Yorkshire Centre for Eating Disorders in Seacroft, Leeds.

The number of inpatient beds at the centre is being increased from 16 to 19 as it deals with an increasing number of referrals of seriously ill patients from across the North of England and further afield, treating as many as 200 people a year.

A link-up with the world-leading service provided at St George’s Hospital in London is also enhancing expertise and leading to new research into problems caused by anorexia nervosa and severe bulimia.
Doctors fear increasing pressures on both sexes are leading to more cases amid evidence one in five young women aged 14-30 now have eating binges, one in 20 have bulimia and one per cent are anorexic. A massive 80 per cent believe they are overweight while even girls as young as nine or 10 view their bodies in disparaging terms.

There are also signs more boys are suffering disorders. About 10 per cent of patients treated in Leeds are male.
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Doctors have been issued with controversial new guidelines which spell out for the first time when they are legally allowed to force-feed anorexic patients close to death.

The rules state that if two doctors believe an anorexic patient is mentally ill and in danger of dying, the patient can be sedated and tube-fed against their will.

The new Scottish guidelines, issued by the Mental Welfare Commission, also allow dangerously underweight children to be force-fed against the wishes of their parents.

Anorexia affects a growing number of Scots and there has been severe criticism of the lack of specialist services. Scotland on Sunday can reveal that each year around 30 patients are already tube-fed without consent north of the Border.

The practice is allowed under existing mental health laws, but until now there has been no specific guidance on when and how anorexic patients should be force-fed, leaving medics vulnerable to compensation claims.

Patients’ groups last night expressed concern about the guidelines because they fear doctors will be more likely to resort to force-feeding rather than trying to persuade patients to consent to treatment.

But Dr Flora Sinclair, medical officer for the Mental Welfare Commission, said they wanted to ensure the practice was only carried out as a last resort and under strict criteria.

Patients who become extremely ill as a result of their eating disorder need to be kept alive by artificial means, such as a tube inserted into the nose or stomach which gives the body vital nutrients.
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Without their parents’ knowledge, many adolescents with diagnosed eating disorders are visiting Web sites that encourage anorexia and bulimia, according to a study in the journal Pediatrics last month.

“Parents of pro-eating-disorder Web site users were more likely to know about these sites” – which provide “thinspiration” (images of extremely thin women) and reinforce disordered eating habits – than other parents, said Rebecka Peebles, one of the study’s authors and an instructor in adolescent medicine at the Stanford University School of Medicine. “Still, over half the parents of these pro-eating-disorder Web site users didn’t know their own kids were on these sites.”

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The struggle with anorexia is a long way from the glamour of catwalks, fashion glossies and the latest diet. Two men talk about the women they love for whom ‘thin’ is a constant state of mind

It’s hard to say whether, if Grace had been bigger, I would still have found her attractive. You can never know that kind of thing. But her slimness wasn’t part of my initial attraction to her. I wasn’t thinking, ‘Slim girl - great!’ It was more about our connection. I don’t think Grace was very thin when I first met her, and I don’t think her size has really changed since then. Physically she had recovered from anorexia while at university. The psychological part is a longer recovery process and I met her during this time, when she had just moved from university to London, and was in her first week of a new job. She wasn’t comfortable with changing her environment or disrupting her control or routine; it wasn’t an easy transition for her.

But I would say she was still recovering for the first year we were together. We met at a work party - she was 23 and on the graduate scheme for an advertising agency; I was 24 and worked for a media agency in the same London building. We got talking and found we knew some of the same people. Grace called me the next day to arrange another meeting that weekend, and a month later she was my girlfriend. On our second date - over dinner in a restaurant - Grace told me: ‘There’s something you need to know. I was anorexic, but I’m better now.’ I didn’t really understand what eating disorders were all about. I don’t think I would have known at all, unless she had told me, at least not for a couple of months. I might have asked her why she needed to diet, because she was very slim, but I never thought of her as too thin. Every woman seems to be on a diet and think she is too fat! As soon as Grace told me, I was very conscious of looking out for signs that she was controlling her diet. I looked to see if she had finished her plate, but there was nothing really obvious. No one else would have noticed.

I read Grace’s book [Thin, published by Penguin, which details her experience of anorexia], and there’s a section where Grace says she felt she had to tell me this secret, even though she’d only just met me. She wrote that she didn’t want to spend too much time in the loo, because I’d probably think she was being sick. That’s exactly what I was thinking! Being sick after eating is, of course, a different eating disorder altogether, but I didn’t really know that then. For a few weeks after she told me, I kept an eye on her - seeing if she went to the toilet during a meal, that sort of thing. But as I got to know more about how Grace was actually feeling and the history of it, and how far she had come from where she was, I got less concerned. Grace has actually never binged in the time I’ve known her.
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Dec. 18, 2006 (Newsweek)
If a food craving strikes, try a manicure to “keep your hands occupied.”
This kind of tip is common fare on pro-”ana” (anorexia) and pro-”mia” (bulimia) Web sites. Well intended or not, they’re not “benign,” says Dr. Rebecka Peebles of Stanford University, coauthor of “Surfing for Thinness,” published in Pediatrics last week. Stanford researchers surveyed patients treated for eating disorders, ages 10 to 22, and found that users of pro-eating-disorder sites were sick longer. And 96 percent of them reported learning new tips for weight loss or purging; 69 percent said they used them.

The sites tend to gloss over bad news: people with anorexia are 56 times more likely than their peers to commit suicide. (And they’re not broadcasting the November anorexia-related death of Brazilian model Ana Carolina Reston.)

Sites deny being harmful, saying they provide a community for those with eating disorders. The term “pro-ana” is broadly used, and sites vary greatly. “We offer them support, saying, ‘It will be. Continue going to your doctor’,” says five-foot, 89-pound proana.us owner Anna Robbins.

In November, the Academy for Eating Disorders suggested a mandatory warning statement: “Warning: anorexia nervosa is a potentially deadly illness. The site you are about to enter provides material that may be detrimental to your health.”

—Karen Springen

CBSNews is also talking about thinspiration and sites: “Kids Learn Harmful Behavior From Pro-Eating-Disorder Web Sites And Recovery Web Sites”

Teens with eating disorders are picking up dangerous tips from both pro-eating-disorder Web sites and sites designed to treat the problem, according to a new study.

And though most of their parents know about the pro-eating-disorder Web sites, few sit down and talk to their kids about them.

The so-called “pro-Ana” Web sites — shorthand for pro-anorexia — offer tips on extreme weight loss and purging. They suggest that believing one can’t be too thin is a lifestyle choice, not an eating disorder. The sites often offer strategies for avoiding detection by parents and doctors when purging. Site forums allow teens with eating disorders to share tips and offer support.

These sites usually carry “thinspiration” pictures — sometimes shocking images of extremely thin young people.

How much do teens with eating disorders and their parents know about these sites? In an effort to find out, researchers surveyed families of patients age 10-22 treated at Stanford University’s Lucile Packard Children’s Hospital.
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Young sufferers of anorexia and bulimia who try to hide their eating problems from their parents and doctors are turning to a growing number of internet chat rooms dedicated to perpetuating their illness.

A pilot study released this week of US eating disorder patients aged between 10 and 22 showed that up to a third learn new weight loss or purging methods from websites that promote eating disorders by enabling users to share tips, such as what drugs induce vomiting and what internet sites sell them.

But the study - published in the American Academy of Pediatrics’ journal Pediatrics - found that eating disorder sufferers were also learning new high-risk ways to lose weight from each other on websites aimed at helping them recover.

The survey by researchers from Stanford University School of Medicine and Lucile Packard Children’s Hospital at Stanford showed a third of patients also visited pro-recovery sites and half of them learnt new weight loss and purging methods.

“Parents and physicians need to realise that the internet is essentially an unmonitored media forum,” said Rebecka Peebles, Packard Children’s adolescent medicine and eating disorder specialist and an author of the study.
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If you are a young woman with anorexia, the best way to figure out the seriousness of your problem would be to go to your doctor to see if you will require hospitalization or psychiatric services. Recovery from anorexia nervosa includes both short- and long-term treatment, help from dietitions, psychiatrists and doctors who specialize in anorexia.

Hospital treatment is recommended for anorexics with any of the following characteristics: weight of 40% or more below normal body weight, or more than 30 pounds of weight- loss over a three-month period, severely disturbed metabolism, serious binging and purging, severe depression or risk of suicide. During hospitalization, you will have individual and group therapy as well as refeeding and monitoring of your physical condition. Treatment usually requires two to four months in the hospital. In extreme cases, you may be force-fed through a tube inserted in the nose (nasogastric tube) or by over-feeding.

Anorexics have been treated with many different medications, including antidepressants and antianxiety drugs. The effectiveness of these medications are not certain. However, at least one study of Prozac showed it helped patients maintain the weight gained while in the hospital. The determination for long-term recovery may vary from study to study, but the most reliable estimates are that 40 - 60% of anorexics will make a good physical and social recovery, and 75% will gain weight after treatment. The long-term mortality rate for anorexia is estimated at around 10% (or 1 in 10 with anorexia), although some studies give a lower figure of 3 - 4%.

Vía: Anred