Orlistat abuse in a case of bulimia nervosa: the changing Indian society.

Abstract:

:Eating disorders like bulimia nervosa, generally considered to be rare in Asian countries, are currently on the rise among the youth, probably secondary to rapid westernization and globalization of the orient. Clinical manifestations of these disorders, which were previously thought to be different in the oriental countries, are now also often seen to parallel their western counterparts. However, detailed clinical descriptions of such cases from Asian countries, documenting the societal change, are missing. In addition, the possibility of abuse of various anti-obesity drugs as a part of bulimic compensatory behavior is high in this population, given the easy and unsupervised access of these drugs over the counter. We report a case of bulimia nervosa in a female medical graduate from India, presenting with classic bulimic symptomatology and with a compensatory behavior consisting almost exclusively of Orlistat abuse. This case sensitizes health professionals to the abuse liability of new medications like Orlistat and also documents the changing symptomatology of bulimia nervosa in India.

journal_name

Gen Hosp Psychiatry

authors

Deb KS,Gupta R,Varshney M

doi

10.1016/j.genhosppsych.2014.05.006

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

549.e3-4

issue

5

eissn

0163-8343

issn

1873-7714

pii

S0163-8343(14)00112-1

journal_volume

36

pub_type

杂志文章
  • Prevalence, correlates and recognition of depression among inpatients of general hospitals in Wuhan, China.

    abstract:OBJECTIVE:To determine the prevalence, correlates and recognition of depression among inpatients of general hospitals in Wuhan, China. METHOD:A total of 513 patients were randomly selected from 1923 inpatients from three general hospitals and evaluated with a Chinese version of the Structured Clinical Interview for Di...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2010.01.016

    authors: Zhong BL,Chen HH,Zhang JF,Xu HM,Zhou C,Yang F,Song J,Tang J,Xu Y,Zhang S,Zhang Y,Zhou L

    更新日期:2010-05-01 00:00:00

  • Recognition of emotional distress in physically healthy primary care patients who perceive poor physical health.

    abstract::This study examines the recognition and treatment of emotional distress in physically healthy primary care patients who perceive themselves to be in fair or poor physical health. Patients (N = 892) from three private primary care practices completed a mental health screening form prior to their medical visit which inc...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(95)00023-k

    authors: Olfson M,Gilbert T,Weissman M,Blacklow RS,Broadhead WE

    更新日期:1995-05-01 00:00:00

  • Dietary vitamin B12 deficiency in a patient with multiple sclerosis.

    abstract::The authors present a case of dietary vitamin B12 deficiency in a patient with multiple sclerosis. A simple schemata for evaluating patients for vitamin B12 deficiency is included as a clinical aid for physicians. ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(94)90105-8

    authors: Gruener DM,Kunkel EJ,Snyderman DA,Infante MR,Rodgers C,Field HL

    更新日期:1994-05-01 00:00:00

  • Can familial factors account for the association of body mass index with poor mental health in men or women?

    abstract:OBJECTIVE:This study examined if associations between body mass index (BMI) and mental and physical health were independent of genetic and familial factors. METHOD:Data from 2831 twins (66% female) were used in an epidemiological co-twin control design with measures of BMI and mental and physical health outcomes. Gene...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2013.04.004

    authors: Schur E,Godfrey KM,Dansie E,Buchwald D,Pagoto S,Afari N

    更新日期:2013-09-01 00:00:00

  • Persistently poor outcomes of undetected major depression in primary care.

    abstract::Despite its relevance for quality care initiatives, the field of psychiatry has little scientific knowledge regarding the course of current major depression when primary care patients with the disorder remain undetected. Using statewide telephone screening, we identified and followed 98 adults with current major depre...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0163-8343(97)00095-9

    authors: Rost K,Zhang M,Fortney J,Smith J,Coyne J,Smith GR Jr

    更新日期:1998-01-01 00:00:00

  • Detection and documentation of dementia and delirium in acute geriatric wards.

    abstract::Detection of cognitive impairment among hospitalized older individuals has shown to be insufficient. A point prevalence study in two geriatric hospitals in Helsinki, Finland, was performed among 219 acutely ill individuals over 70 years to assess the detection of dementia and delirium. Documentation of dementia and de...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2003.08.003

    authors: Laurila JV,Pitkala KH,Strandberg TE,Tilvis RS

    更新日期:2004-01-01 00:00:00

  • Feasibility and acceptability of interventions to delay gun access in VA mental health settings.

    abstract:OBJECTIVES:The majority of VA patient suicides are completed with firearms. Interventions that delay patients' gun access during high-risk periods may reduce suicide, but may not be acceptable to VA stakeholders or may be challenging to implement. Using qualitative methods, stakeholders' perceptions about gun safety an...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2012.07.012

    authors: Walters H,Kulkarni M,Forman J,Roeder K,Travis J,Valenstein M

    更新日期:2012-11-01 00:00:00

  • The nonspecific symptom screening method. Detection of nonpsychotic morbidity based on nonspecific symptoms.

    abstract::Detection of nonpsychotic morbidity in primary care patients presenting with nonspecific and somatic symptoms has been difficult because of several factors related to the patients, primary care clinicians, and working conditions of the over-crowded clinic. The available standardized screening questionnaires do not ove...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(91)90021-n

    authors: Srinivasan TN,Suresh TR

    更新日期:1991-03-01 00:00:00

  • The role of race in diagnostic and disposition decision making in a pediatric psychiatric emergency service.

    abstract:OBJECTIVE:We investigated the influence of race/ethnicity in diagnostic and disposition decision-making for children and adolescents presenting to an urban psychiatric emergency service (PES). METHOD:Medical records were reviewed for 2991 child and adolescent African-American, Hispanic/Latino and white patients, treat...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2008.01.003

    authors: Muroff J,Edelsohn GA,Joe S,Ford BC

    更新日期:2008-05-01 00:00:00

  • Liaison psychiatry: a model for medical care on a general hospital psychiatric unit.

    abstract::Liaison psychiatry is traditionally practiced on the medical and surgical floors of the general hospital. The need for liaison psychiatry on the inpatient psychiatric unit as opposed to its usual setting was realized when the medical care requirements of hospitalized psychiatric patients was assessed. In many general ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(80)90028-6

    authors: Bernstein RA

    更新日期:1980-06-01 00:00:00

  • Psychiatric consultation-liaison service: patients, requests, and functions.

    abstract::Prospective data were gathered from 388 psychiatric consultations performed in a general hospital setting. Data included demographic, medical, psychiatric, and illness behavior characteristics of the patients seen, as well as consultant functions and recommendations. Results indicate that consulted patients suffer fro...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(80)90063-8

    authors: Ries RK,Bokan JA,Kleinman A,Schuckit MA

    更新日期:1980-09-01 00:00:00

  • Consultation-liaison psychiatry and the teaching of ethics.

    abstract::Medicine has undergone a technological explosion which presents physicians with an increased need to make difficult ethical decisions. This has been met by an equivalent development in American medical schools of efforts to teach the ethics of medical practice. The courses vary widely from school to school. It is reco...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(86)90021-6

    authors: McCartney JR

    更新日期:1986-11-01 00:00:00

  • Combined duloxetine and benzodiazepine-induced visual hallucinations in prodromal dementia with Lewy bodies.

    abstract:OBJECTIVE:We describe a patient with prodromal dementia with Lewy bodies (DLB) presenting with drug-induced visual hallucinations (VHs). CASE REPORT:A 78-year-old woman complained of daytime recurrent VHs characterized by seeing her face and arms covered in fur and viewing moustaches on her daughter's face. VHs starte...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2013.02.005

    authors: Rolma G,Jelcic N,Gnoato F,Cecchin D,Cagnin A

    更新日期:2013-11-01 00:00:00

  • Comorbid depression and increased health care utilisation in individuals with diabetes.

    abstract:OBJECTIVE:The objective of this study was to examine the extent of health care utilisation (excluding costs) of diabetic patients with and without depressive symptoms attending a specialist clinic in Singapore. METHODS:A total of 537 Asian outpatients (aged 21 years and above) who were attending a Diabetes Centre were...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2009.01.001

    authors: Subramaniam M,Sum CF,Pek E,Stahl D,Verma S,Liow PH,Chua HC,Abdin E,Chong SA

    更新日期:2009-05-01 00:00:00

  • A group-based brief intervention for surgery patients with high-risk substance use.

    abstract:OBJECTIVE:This study examined the feasibility and efficacy of a psychosocial intervention to address high-risk substance use in patients scheduled for elective surgery. METHOD:A group-format intervention, based on motivational interviewing principles, was provided prior to elective surgery to 107 participants with at-...

    journal_title:General hospital psychiatry

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.genhosppsych.2014.08.002

    authors: Wyman MF,Kallio P,Allred E,Meyer D

    更新日期:2014-11-01 00:00:00

  • The use of short message service (SMS) among hospitalized coronary patients.

    abstract:OBJECTIVE:The use of cell phones and short message service (SMS, also called "texting") has become pervasive in Western society and increasingly throughout the world. Despite the importance of this technology in everyday life, little is known about how patients draw on SMS to keep in contact with family and friends dur...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2012.03.006

    authors: Bergvik S,Wynn R

    更新日期:2012-07-01 00:00:00

  • Evolution of consultation-liaison services in bone marrow transplantation.

    abstract::Bone marrow transplantation offers new hope for cure in a variety of leukemias, aplastic anemia, and other immunodeficiency and hematologic disorders. But the psychologic circumstances accompanying this procedure are often profoundly stressful. The evolution of consultation--liaison services on a bone marrow transplan...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(88)90006-0

    authors: Rappaport BS

    更新日期:1988-09-01 00:00:00

  • Psychopathology, depression and dissociative experiences in patients with lichen simplex chronicus.

    abstract:OBJECTIVE:Psychogenic factors may play a contributory role in the development or persistence of lichen simplex chronicus (LSC). The objective of this study was to evaluate the psychiatric profile of patients with LSC including depression and dissociative experiences. METHOD:Dermatology outpatients with a LSC (n=30) we...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2007.01.006

    authors: Konuk N,Koca R,Atik L,Muhtar S,Atasoy N,Bostanci B

    更新日期:2007-05-01 00:00:00

  • Non-Convulsive Status Epilepticus in the Presence of Catatonia: A Clinically Focused Review.

    abstract:INTRODUCTION:Catatonia is classically associated with psychiatric conditions but may occur in medical and neurologic disorders. Status epilepticus (SE) is a seizure lasting more than five minutes or two or more seizures within a five-minute period without interictal recovery of consciousness. Non-convulsive status epil...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/j.genhosppsych.2020.11.008

    authors: Volle DC,Marder KG,McKeon A,Brooks JO,Kruse JL

    更新日期:2021-01-01 00:00:00

  • Neurologic symptoms in a depressed woman. A medical-psychiatric case conference.

    abstract::A 48-year-old woman with head and neck pain and upper extremity weakness demonstrated equivocal neurologic findings and otherwise essentially negative laboratory and x-ray evaluations. An interview at a case conference revealed significant depression, severe marital discord, and a poor self-image. The correlation of t...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(80)90087-0

    authors: Agle D,Brody D

    更新日期:1980-12-01 00:00:00

  • Psychotic disorder induced by a combination of sorafenib and BAY86-9766.

    abstract::The Ras-Raf-mitogen-activated protein kinase/extracellular signal-regulated kinase (ERK) kinase (MEK)-ERK cascade is important in the intra-cellular transduction of neurotransmitters, such as dopamine and glutamate. Sorafenib (Nexavar), a multi-kinase inhibitor targeting Raf kinase, vascular endothelial growth factor ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2012.03.001

    authors: Kuo YL,Yang YK,Cheng HC,Yen CJ,Chen PS

    更新日期:2014-07-01 00:00:00

  • Adherence to evidence-based guidelines for depression and anxiety disorders is associated with recording of the diagnosis.

    abstract:OBJECTIVES:To assess professionals' adherence to evidence-based guidelines and to investigate whether or not this is influenced by recording of the diagnosis and symptom severity. METHOD:Analysis of baseline cross-sectional data of a cohort study of 721 primary care patients with a confirmed diagnosis of a depressive ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2009.05.011

    authors: Smolders M,Laurant M,Verhaak P,Prins M,van Marwijk H,Penninx B,Wensing M,Grol R

    更新日期:2009-09-01 00:00:00

  • Training primary care physicians improves the management of depression.

    abstract::The purpose of this pretest-posttest study was to evaluate effects of a training program designed to improve primary care physicians' (PCPs) ability to recognize mental health problems (MHP) and to diagnose and manage depression according to clinical guidelines. The primary care settings were in the northern part of T...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0163-8343(98)00080-2

    authors: van Os TW,Ormel J,van den Brink RH,Jenner JA,Van der Meer K,Tiemens BG,van der Doorn W,Smit A,van den Brink W

    更新日期:1999-05-01 00:00:00

  • Informed consent--mandating the consultation.

    abstract::This article illustrates how a mandatory consult procedure identified treatable psychiatric problems. Using a computerized data-based format, 372 (37.4%) patients (the "judgment" group) of 996 psychiatric consultations were identified as referred to assess the patient's capacity to execute a consent form for a medical...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(85)90074-x

    authors: Strain JJ,Taintor Z,Gise LH,Spikes J

    更新日期:1985-07-01 00:00:00

  • Clinical services within a general hospital department of psychiatry: conceptual issues and operational guidelines.

    abstract::This paper presents a checklist of conceptual issues and operational guidelines determining the organization of clinical services within a general hospital department of psychiatry. Issues emphasized include philosophy, target population, definition, structure, location, financing, and cost effectiveness of services, ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/0163-8343(81)90039-6

    authors: Dressler DM

    更新日期:1981-12-01 00:00:00

  • Depressive symptoms, risk factors and sleep in asthma: results from a national Israeli health survey.

    abstract:OBJECTIVE:The objective was to assess the association between asthma and depressive symptoms (DS) and to evaluate the relationship between DS and risk factors [smoking, physical inactivity, body mass index (BMI) and sleep duration] in asthmatic individuals. METHODS:We analyzed data from the Israeli National Health Int...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2011.09.007

    authors: Goral A,Lipsitz JD,Muhsen K,Gross R

    更新日期:2012-01-01 00:00:00

  • Introduction: research at the interface of medicine and psychiatry.

    abstract::Linkages between psychiatry and other medical specialties have become increasingly evident over the past decade. Reinstatement of the medical internship for psychiatric trainees, expansion of psychiatric liaison services, growth of general hospital psychiatric units, determination of the extensive role served by nonps...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:

    authors: Pardes H

    更新日期:1983-07-01 00:00:00

  • Health beliefs and depression in a group of elderly high utilizers of medical services.

    abstract::Using a standardized measure of health beliefs, this study sought to disentangle factors that contribute to increased medical service use in a sample of 64 high-utilizing elderly patients. In adjusted models, people with depressive symptoms were more likely than those without depression to believe that they were susce...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2004.09.010

    authors: Levinson CM,Druss BG

    更新日期:2005-03-01 00:00:00

  • Impulse control disorders in frontotemporal dementia: spectrum of symptoms and response to treatment.

    abstract:OBJECTIVE:To describe a patient with behavioral variant frontotemporal dementia (bvFTD) presenting with impulse control disorders (ICDs) which responded to fluvoxamine and topiramate. CASE REPORT:A 64-year-old woman was affected by several ICDs. At disease onset, she suffered from impulsive smoking and overeating whic...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2014.06.005

    authors: Pompanin S,Jelcic N,Cecchin D,Cagnin A

    更新日期:2014-11-01 00:00:00

  • Survivors of violence-related facial injury: psychiatric needs and barriers to mental health care.

    abstract:OBJECTIVE:This study examined mental health needs, receptivity to psychosocial aftercare, and barriers to care among survivors of violence-related facial injuries. METHODS:Face-to-face interviews were conducted with 25 consecutively treated individuals at a hospital-based specialty outpatient clinic one month after a ...

    journal_title:General hospital psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.genhosppsych.2006.10.008

    authors: Wong EC,Marshall GN,Shetty V,Zhou A,Belzberg H,Yamashita DD

    更新日期:2007-03-01 00:00:00