Case report: Anorexia nervosa and unspecified restricting-type eating disorder in Jewish ultra-orthodox religious males, leading to severe physical and psychological morbidity
BackgroundYoung Jewish Ultra-Orthodox women usually show less disturbances in body image and eating in comparison to less religious communities. By contrast, problems with eating are highly unknown and unrecognized in Jewish Ultra-Orthodox males.AimTo investigate whether in Ultra-Orthodox males, res...
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| Format: | Article |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.966935/full |
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| author | Sofia Laufer Estee Herman David Serfaty Yael Latzer Yael Latzer Rachel Ashkenazi Orna Attias Sinai Oren Meirav Shimomi Moria Uziel Adi Enoch-Levy Eliezer Witztum Daniel Stein Daniel Stein Daniel Stein |
| author_facet | Sofia Laufer Estee Herman David Serfaty Yael Latzer Yael Latzer Rachel Ashkenazi Orna Attias Sinai Oren Meirav Shimomi Moria Uziel Adi Enoch-Levy Eliezer Witztum Daniel Stein Daniel Stein Daniel Stein |
| author_sort | Sofia Laufer |
| collection | DOAJ |
| description | BackgroundYoung Jewish Ultra-Orthodox women usually show less disturbances in body image and eating in comparison to less religious communities. By contrast, problems with eating are highly unknown and unrecognized in Jewish Ultra-Orthodox males.AimTo investigate whether in Ultra-Orthodox males, restricting-type AN (AN-R) with highly obsessional physical activity and unspecified restricting eating disorder (ED) in the context of obsessive–compulsive disorder (OCD) would lead to severe physical and emotional morbidity.ResultsThe study included two groups: the first, 3 adolescents with AN-R developing severely increased ritualized obsessional physical activity in addition to restricting eating, requiring inpatient treatment because of severe bradycardia. These youngsters ignored the severity of their obsessional physical activity, continuing with it in hospital despite their grave medical condition. One student began extensive training for triathlon, whereas another student, upon remitting from AN, developed severe muscle dysmorphia. These findings suggest that young Ultra-Orthodox males with AN may develop obsessional physical activity to increase their muscle mass rather than to lose weight Another four Jewish Ultra-Orthodox males developed malnutrition in the context of severe OCD, with no evidence of dieting or body-image disturbances. These individuals developed highly obsessional adherence to different Jewish religious rules, including prolonged praying, asceticism, and overvalued strict adherence to Jewish Kashrut rules of eating, leading in all cases to severe food restriction. They were highly unaware of their severe weight loss and required hospitalization because of severe physical disturbances associated with malnutrition. Moreover, most did not cooperate with their treatment, and their ED-related obsessionality was mostly resistant to psychopharmacotherapy.ConclusionOwing to their highly ritualistic rigid way of life, combined with the need for excellency in studying, Jewish Ultra-Orthodox adolescent males with AN might be at a specific risk of developing severe physical disturbances if their illness is associated with highly perfectionistic obsessional physical activity. Second, Jewish Ultra-Orthodox religious males with OCD might be at a specific risk for severe undernutrition, as their rigid relentless observance of Jewish everyday laws might highly interfere with their eating. |
| first_indexed | 2024-04-09T15:42:51Z |
| format | Article |
| id | doaj.art-3d3fd388c08f4edf83f9de608b293e58 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-09T15:42:51Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj.art-3d3fd388c08f4edf83f9de608b293e582023-04-27T05:34:38ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-04-011410.3389/fpsyt.2023.966935966935Case report: Anorexia nervosa and unspecified restricting-type eating disorder in Jewish ultra-orthodox religious males, leading to severe physical and psychological morbiditySofia Laufer0Estee Herman1David Serfaty2Yael Latzer3Yael Latzer4Rachel Ashkenazi5Orna Attias6Sinai Oren7Meirav Shimomi8Moria Uziel9Adi Enoch-Levy10Eliezer Witztum11Daniel Stein12Daniel Stein13Daniel Stein14Department of Eating Disorders, Maayanei Hayeshuah Medical Center, Bnei Brak, IsraelDepartment of Eating Disorders, Maayanei Hayeshuah Medical Center, Bnei Brak, IsraelDepartment of Eating Disorders, Maayanei Hayeshuah Medical Center, Bnei Brak, IsraelSchool of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, IsraelPsychiatry Division, Rambam Health Care Campus, Eating Disorders Institution, Haifa, IsraelDepartment of Eating Disorders, Maayanei Hayeshuah Medical Center, Bnei Brak, IsraelDepartment of Eating Disorders, Maayanei Hayeshuah Medical Center, Bnei Brak, IsraelDepartment of Eating Disorders, Maayanei Hayeshuah Medical Center, Bnei Brak, IsraelDepartment of Eating Disorders, Maayanei Hayeshuah Medical Center, Bnei Brak, IsraelDepartment of Eating Disorders, Maayanei Hayeshuah Medical Center, Bnei Brak, IsraelEating Disorders Service for Children and Adolescents, Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, IsraelFaculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, IsraelDepartment of Eating Disorders, Maayanei Hayeshuah Medical Center, Bnei Brak, IsraelEating Disorders Service for Children and Adolescents, Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, IsraelDepartment of Psychiatry, Sackler Faculty of Medicine, Tel Aviv, IsraelBackgroundYoung Jewish Ultra-Orthodox women usually show less disturbances in body image and eating in comparison to less religious communities. By contrast, problems with eating are highly unknown and unrecognized in Jewish Ultra-Orthodox males.AimTo investigate whether in Ultra-Orthodox males, restricting-type AN (AN-R) with highly obsessional physical activity and unspecified restricting eating disorder (ED) in the context of obsessive–compulsive disorder (OCD) would lead to severe physical and emotional morbidity.ResultsThe study included two groups: the first, 3 adolescents with AN-R developing severely increased ritualized obsessional physical activity in addition to restricting eating, requiring inpatient treatment because of severe bradycardia. These youngsters ignored the severity of their obsessional physical activity, continuing with it in hospital despite their grave medical condition. One student began extensive training for triathlon, whereas another student, upon remitting from AN, developed severe muscle dysmorphia. These findings suggest that young Ultra-Orthodox males with AN may develop obsessional physical activity to increase their muscle mass rather than to lose weight Another four Jewish Ultra-Orthodox males developed malnutrition in the context of severe OCD, with no evidence of dieting or body-image disturbances. These individuals developed highly obsessional adherence to different Jewish religious rules, including prolonged praying, asceticism, and overvalued strict adherence to Jewish Kashrut rules of eating, leading in all cases to severe food restriction. They were highly unaware of their severe weight loss and required hospitalization because of severe physical disturbances associated with malnutrition. Moreover, most did not cooperate with their treatment, and their ED-related obsessionality was mostly resistant to psychopharmacotherapy.ConclusionOwing to their highly ritualistic rigid way of life, combined with the need for excellency in studying, Jewish Ultra-Orthodox adolescent males with AN might be at a specific risk of developing severe physical disturbances if their illness is associated with highly perfectionistic obsessional physical activity. Second, Jewish Ultra-Orthodox religious males with OCD might be at a specific risk for severe undernutrition, as their rigid relentless observance of Jewish everyday laws might highly interfere with their eating.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.966935/fullanorexia nervosaJewishobsessive compulsive disorderorthodoxreligion |
| spellingShingle | Sofia Laufer Estee Herman David Serfaty Yael Latzer Yael Latzer Rachel Ashkenazi Orna Attias Sinai Oren Meirav Shimomi Moria Uziel Adi Enoch-Levy Eliezer Witztum Daniel Stein Daniel Stein Daniel Stein Case report: Anorexia nervosa and unspecified restricting-type eating disorder in Jewish ultra-orthodox religious males, leading to severe physical and psychological morbidity Frontiers in Psychiatry anorexia nervosa Jewish obsessive compulsive disorder orthodox religion |
| title | Case report: Anorexia nervosa and unspecified restricting-type eating disorder in Jewish ultra-orthodox religious males, leading to severe physical and psychological morbidity |
| title_full | Case report: Anorexia nervosa and unspecified restricting-type eating disorder in Jewish ultra-orthodox religious males, leading to severe physical and psychological morbidity |
| title_fullStr | Case report: Anorexia nervosa and unspecified restricting-type eating disorder in Jewish ultra-orthodox religious males, leading to severe physical and psychological morbidity |
| title_full_unstemmed | Case report: Anorexia nervosa and unspecified restricting-type eating disorder in Jewish ultra-orthodox religious males, leading to severe physical and psychological morbidity |
| title_short | Case report: Anorexia nervosa and unspecified restricting-type eating disorder in Jewish ultra-orthodox religious males, leading to severe physical and psychological morbidity |
| title_sort | case report anorexia nervosa and unspecified restricting type eating disorder in jewish ultra orthodox religious males leading to severe physical and psychological morbidity |
| topic | anorexia nervosa Jewish obsessive compulsive disorder orthodox religion |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.966935/full |
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