Yvonne Juhlin research group
Clinical Eating disorders research
Eating disorders in the form of anorexia nervosa, bulimia nervosa and related conditions (atypical eating disorders/eating disorders NOS), is one of the most common mental health problems in teenage girls. Eating disorders affect up to 10% of girls/young women and 0,5-1% of boys/young men and entails increased mortality, risk for a chronic development, great suffering for the patient, a great strain on relatives, and large short-and long-term societal costs. It is increasingly common for boys/men to seek treatment for eating disorders. Unfortunately, our knowledge of eating disorder-related problems among boys/men is highly inadequate, but one might suspect major treatment needs and many unreported cases.
Treatment can be lengthy and often leads to sick listing for both patients and relatives. Unfortunately, many patients wait too long to seek help, which complicates treatment and impairs prognosis. Among patients between 18 and 24, one in five is completely or partially incapable of work and half are still living with their parents (figures from RIKSÄT - National quality register for eating disorders treatment). Among older patients, approximately 40% are incapable of work. Treatment success is difficult to achieve, with complete recovery in only 50-70% of cases, and with far too many patients resisting all available treatments. Long term follow-ups show that people with eating disorders, even many years after disease onset, have more mental health problems and poorer working capacity than comparable individuals in the population. Eating disorders thus ruin developmentally important youth years for many women and an increasing number of men.
Stockholm Centre for Eating Disorders (SCÄ) is by far Sweden´s largest specialized eating disorders clinic (and probably one of the world´s largest). SCÄ treats patients with eating disorders of all ages and has treatment options ranging from telephone counseling and internet-based treatments through outreaching mobile care and traditional outpatient treatments to various forms of day care and inpatient treatment. SCÄ treats about 1,600 patients a year, of which 7-800 are new.
SCÄ`s research and development unit (SCÄ-FO) conducts high-quality patient-oriented clinical research and development. The approach is broad and includes all R § D that may be relevant to clinical practice, such as
- etiological mechanisms and risk factors
- evaluation/assessment, diagnosis and comorbidity
- eHealth activities
- treatments, including both drugs and psychosocial methods
SCÄ-FO is working closely with several research environments at KI (e.g. Eating Disorders/CPF, Neurogenetics/CMM, Psychiatry/MEB) and internationally. The registry manager for the first and largest Swedish psychiatric quality register, RIKSÄT - National quality register for eating disorders treatment, is also based at SCÄ-FO.
- Anorexia Nervosa Genetics Initiative
- The impact of perfectionism at eating disorders
- Cognitive remediation Therapy at anorexia nervosa
- Clinical tests of new drugs for treatment of different groups of eating disorders
- Clinically meaningful diagnostics at eating disorders
- Multi family therapy at eating disorders
- Personality and eating disorders
- Translational studies of anorexia nervosa mitochondrial dysfunction and neuro inflammatory/degenerative mechanisms
- What is an eating disorder? Delimitation against normal eating- and weight control behavior
- Web based methods as support in the eating disorder treatment
- Eating disorder and ADHD
- Eating disorder and psychiatric comorbidity
- Eating disorder, neuro psychology and fMRI
Selected Publications Claes Norring
Diagnostic issues of binge eating in eating disorders.
Eur Eat Disord Rev 2013 May;21(3):175-83
Eating disorders and oral health: a matched case-control study.
Eur. J. Oral Sci. 2012 Feb;120(1):61-8
Mortality of eating disorders: a follow-up study of treatment in a specialist unit 1974-2000.
Int J Eat Disord 2011 May;44(4):304-10
A comparison of eating disorders among patients receiving surgical vs non-surgical weight-loss treatments.
Obes Surg 2008 Jun;18(6):715-20
Cluster analysis of key diagnostic variables from two independent samples of eating-disorder patients: evidence for a consistent pattern.
Psychol Med 2004 Aug;34(6):1035-45
Selected Publications Yvonne Juhlin
Swedish clinical guidelines--prevention and management of metabolic risk in patients with severe psychiatric disorders.
Nord J Psychiatry 2010 Oct;64(5):294-302
Schizophrenia and physical health problems.
Acta Psychiatr Scand Suppl 2009 ;(438):15-21
Does excess pregnancy weight gain constitute a major risk for increasing long-term BMI?
Obesity (Silver Spring) 2007 May;15(5):1278-86
Gender differences in associations of eating pathology between mothers and their adolescent offspring.
Obes. Res. 2005 Jun;13(6):1070-6
Natural course of gestational diabetes mellitus: long term follow up of women in the SPAWN study.
BJOG 2002 Nov;109(11):1227-31
|Ylva Ginsberg||Associated, Postdoc|
|Mattias Strand||Graduate Student|
|Nils Erik Svedlund||Graduate Student|
|Anne-Charlotte Wiberg||Graduate Student|
|Yvonne von Hausswolff-Juhlin||Associated, Research team leader|