“Anorexia in a patient with piscosis”

Introduction We present the case of a patient with schizophrenia who presents with restriction of intake, fear of gaining weight and alteration in the way of perceiving herself in which we ask ourselves if these behavioral alterations are secondary to her diagnosis of schizophrenia to an anorexia...

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Main Authors: C. Capella Meseguer, E. Rodríguez Vázquez, J. Gonçalves Cerejeira, I. Santos Carrasco, A. Gonzaga Ramírez, G. Guerra Valera, M. Queipo De Llano De La Viuda, Ó. Martín
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821009603/type/journal_article
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author C. Capella Meseguer
E. Rodríguez Vázquez
J. Gonçalves Cerejeira
I. Santos Carrasco
A. Gonzaga Ramírez
G. Guerra Valera
M. Queipo De Llano De La Viuda
Ó. Martín
author_facet C. Capella Meseguer
E. Rodríguez Vázquez
J. Gonçalves Cerejeira
I. Santos Carrasco
A. Gonzaga Ramírez
G. Guerra Valera
M. Queipo De Llano De La Viuda
Ó. Martín
author_sort C. Capella Meseguer
collection DOAJ
description Introduction We present the case of a patient with schizophrenia who presents with restriction of intake, fear of gaining weight and alteration in the way of perceiving herself in which we ask ourselves if these behavioral alterations are secondary to her diagnosis of schizophrenia to an anorexia nervosa independent of previous diagnosis. Objectives We propose to carry out a differential diagnosis of alterations in the perception of self-image in a patient with a diagnosis of schizophrenia. We suggest that these alterations may be secondary to alterations in the experience of the self present due to their psychosis. Methods In the differential diagnosis of the cause of alterations in self-image and fear of gaining weight, we rely on the psychiatric interview, the study of previous history and different scales: - Eating Disorders Inventory (EDI) - Gardner Body Image Assessment - Weight, body image and self-esteem scale E-PICA - IPASE scale Results In this patient in whom the differential diagnosis of the cause of her dietary restrictions and weight loss is proposed, there does not seem to be any psychotic symptoms that produce these alterations. Conclusions In the alterations in self-image in those psychotic patients, there is a doubt as to whether these could be secondary to alterations in the perception of the self typical of psychotic diseases or, on the contrary, be secondary to the spectrum of Eating Disorders.
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spelling doaj.art-7a24816a9c034614ac316c810de2e8e02023-11-17T05:08:26ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S358S35810.1192/j.eurpsy.2021.960“Anorexia in a patient with piscosis”C. Capella Meseguer0E. Rodríguez Vázquez1J. Gonçalves Cerejeira2I. Santos Carrasco3A. Gonzaga Ramírez4G. Guerra Valera5M. Queipo De Llano De La Viuda6Ó. Martín7Psiquiatría, HCUV, Valladolid, SpainPsiquiatría, HCUV, VALLADOLID, SpainPsiquiatría, HCUV, VALLADOLID, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, SpainPsiquiatría, Hospital Clínico Universitario de Valladolid, Valladolid, Spain Introduction We present the case of a patient with schizophrenia who presents with restriction of intake, fear of gaining weight and alteration in the way of perceiving herself in which we ask ourselves if these behavioral alterations are secondary to her diagnosis of schizophrenia to an anorexia nervosa independent of previous diagnosis. Objectives We propose to carry out a differential diagnosis of alterations in the perception of self-image in a patient with a diagnosis of schizophrenia. We suggest that these alterations may be secondary to alterations in the experience of the self present due to their psychosis. Methods In the differential diagnosis of the cause of alterations in self-image and fear of gaining weight, we rely on the psychiatric interview, the study of previous history and different scales: - Eating Disorders Inventory (EDI) - Gardner Body Image Assessment - Weight, body image and self-esteem scale E-PICA - IPASE scale Results In this patient in whom the differential diagnosis of the cause of her dietary restrictions and weight loss is proposed, there does not seem to be any psychotic symptoms that produce these alterations. Conclusions In the alterations in self-image in those psychotic patients, there is a doubt as to whether these could be secondary to alterations in the perception of the self typical of psychotic diseases or, on the contrary, be secondary to the spectrum of Eating Disorders. https://www.cambridge.org/core/product/identifier/S0924933821009603/type/journal_articleAnorexiaschizophréniaeating disorder
spellingShingle C. Capella Meseguer
E. Rodríguez Vázquez
J. Gonçalves Cerejeira
I. Santos Carrasco
A. Gonzaga Ramírez
G. Guerra Valera
M. Queipo De Llano De La Viuda
Ó. Martín
“Anorexia in a patient with piscosis”
European Psychiatry
Anorexia
schizophrénia
eating disorder
title “Anorexia in a patient with piscosis”
title_full “Anorexia in a patient with piscosis”
title_fullStr “Anorexia in a patient with piscosis”
title_full_unstemmed “Anorexia in a patient with piscosis”
title_short “Anorexia in a patient with piscosis”
title_sort anorexia in a patient with piscosis
topic Anorexia
schizophrénia
eating disorder
url https://www.cambridge.org/core/product/identifier/S0924933821009603/type/journal_article
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