Tuğba YÜKSEL, Süleyman DEMİR, Hüseyin AKTAŞ, Şeref ŞİMŞEK

A psychological autopsy of a patient who was deceased due to medical complications associated with anorexia nervosa: A case report

Anoreksiya nervoza (AN), kişinin fiziksel bütünlüğünü tehdit edecek şekilde yememe ve kilo vermeye çalışma ile karakterize olan bir yeme bozukluğudur. Anoreksiya nervozada, mortalite riskinin arttığı iyi bilinmektedir. Anoreksiya nervozada ölümler medikal komplikasyonlar ve/veya intihar neticesinde olmaktadır. Bununla beraber, hastalığın seyri boyunca ölüm riskinin zamanlaması belirsizdir. Anoreksiya nervozada mortalite için bazı prediktörler tanımlanmıştır. Bu çalışmada, AN'ya bağlı medikal komplikasyonlar nedeniyle ölen 15 yaşında kız olgunun sunulması planlanmıştır.

Anoreksiya nervoza ile ilişkili tıbbi komplikasyonlar nedeniyle ölen bir hastanın psikolojik otopsisi: Bir olgu sunumu

Anorexia nervosa (AN) is an eating disorder, which is characterized by the avoidance of eating in a way that threatens the physical integrity of an individual, and trying to lose weight. It is known that the risk of mortality is high in AN. Death occurs as a results of medical complications and/or suicide. On the other hand, the exact time point of mortality becoming a risk during the progression of the disease progression is not defined. Certain predictors have been defined for mortality in AN. In this study, our aim was to present a case of a 15-year old female patient, who had died due to medical complications related to AN.

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Treasure J, Claudino AM, Zucker N. Eating disorders. Lan- cet 2010;375:583-593.
Button EJ, Chadalavada B, Palmer RL. Mortality and pre- dictors of death in a cohort of patients presenting to an eating disorders service. Int J Eat Disord 2010;43:387- 392.
Ösby U, Correia N, Brandt L, et al. Mortality and causes of death in schizophrenia in Stockholm county, Sweden. Schizophr Res 2000;45:21-28.
Arcelus J, Mitchell AJ, Wales J, Nielsen S. Mortality rates in patients with anorexia nervosa and other eating disor- ders: A meta-analysis of 36 studies. Arch Gen Psychiatry 2011;68:724-731.
Papadopoulos FC, Ekbom A, Brandt L, Ekselius L. Excess mortality, causes of death and prognostic factors in an- orexia nervosa. Br J Psychiatry 2009;194:10-17.
Beumont P. Clinical presentation of anorexia nervosa and bulimia nervosa: Eating disorders and obesity. Newyork: The Guilford Press, 2002;162-170.
Bilaç Ö, Perçinel İ, Özbaran B. A Male adolescent diag- nosed with anorexia nervosa: A case report. Turk J Child Adolesc Ment Health 2013;20:33-40.
Tomova A, Kumanov P. Sex differences and similarities of hormonal alterations in patients with anorexia nervosa. Andrologia 1999;31:143-147.
Bulik CM, Sullivan PF, Tozzi F, et al. Prevalence, herita- bility, and prospective risk factors for anorexia nervosa. Arch Gen Psychiatry 2006;63:305-312.
Sarró S. Transient psychosis in anorexia nervosa: review and case report. Eat Weight Disord-Stud Anorex Bulim Obes 2009;14:139-143.