Aspects of anorexia nervosa

Wójcik Magdalena, Boreński Grzegorz, Poleszak Julita, Szabat Przemysław, Szabat Marta, Milanowska Joanna. Aspects of anorexia nervosa. Journal of Education, Health and Sport. 2019;9(7):11-23. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3265052 http://ojs.ukw.edu.pl/index.php/johs/article/view/7071 https://pbn.nauka.gov.pl/sedno-webapp/works/917030 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.06.2019. Revised: 25.06.2019. Accepted: 30.06.2019. Aspects of anorexia nervosa Magdalena Wójcik1*, Grzegorz Boreński1, Julita Poleszak1, Przemysław Szabat1, Marta Szabat1, Joanna Milanowska2 (1) Student Science Club at the Department of Applied Psychology, Medical University of Lublin (2) Department of Applied Psychology, Medical University of Lublin * E-mail address: magdalena.wojcik967@gmail.com ORCID ID: Grzegorz Boreński https://orcid.org/0000-0002-5359-7555 Magdalena Wójcik https://orcid.org/0000-0002-0999-6284 Julita Poleszak https://orcid.org/0000-0002-5166-6262 Marta Szabat https://orcid.org/0000-0001-6309-2027 Przemysław Szabat https://orcid.org/0000-0001-5796-1900 Joanna Milanowska https://orcid.org/0000-0001-9741-1583 Abstract Introduction: Eating disorders are severe psychiatric disorders. nervosa (AN) has a mortality rate among the highest of any psychiatric illness. Its etiology is multifactorial and not fully understood yet. Patients with AN have an intense fear of gaining weight and they continuously seek to their “ideal” weigh. Many studies focus on changes at the endocrine an neuronal level which can be a result of the illness or occur premorbid. The aim of the study: The purpose of this systemic review was to collect and analyse available data about aspects of anorexia nervosa. Material and method: Standard criteria were used to review the literature data. The search of articles in the PubMed database was carried out using the following keywords: anorexia nervosa, neuroimaging, endocrinology. Description of the state of knowledge: Emotional and psychological aspects of anorexia nervosa are very important in understanding this condition. Food restrictions may have a compulsive quality which were compared to those of obsessive-compulsive disorder (OCD), but with the focus on eating, weight and shape. Another aspects concerns neuronal alterations. Many studies with the use of neuroimaging showed changes in the right inferior prefrontal lobe, the right superior prefrontal lobe and the right parietal region, insula and orbitofrontal cortex in patients with anorexia nervosa. Also there is a variety of changes in endocrine system such as disturbances on the axis of Hypothalamic-pituitary-gonadal or growth hormone axis. Summary: The perception of anorexia nervosa has changed over year. It is known now that its etiology is complex. There are changes on many levels and it is still not known which one of them were premorbid. More studies are needed to have a better understanding of this condition and to be able to treat it better. Keywords: anorexia nervosa, neuroimaging, endocrinolog