Anorexia Nervosa, Anorexia Nervosa, Atypical
Conditions
Keywords
Anorexia nervosa, Joint hypermobility, Pain, Temporomandibular joint
Brief summary
The purpose of this study is to examine the frequense of generalized hypermobility and pain in patients with Anorexia Nervosa. The study further explores two main questions: (1) whether generalized hypermobility may be an explanatory factor for pain in some patients with Anorexia Nervosa, and (2) whether temporomandibular joint problems (such as instability, pain, difficulties opening the mouth, locking, or clicking) contribute to eating difficulties in certain individuals with Anorexia Nervosa.
Detailed description
Patients with eating disorder diagnosis Anorexia Nervosa, who are either currently in treatment or awaiting treatment at the Eating Disorders Center for children and young adults in Gothenburg, will be invited to participate in the study. During a single examination session, the patient's joints will be assessed to determine whether generalized hypermobility is present. At the same visit, the patient will answer questions regarding possible bodily pain and any temporomandibular joint problems. Joint mobility will be examined and assessed by a physiotherapist at the clinic. The examination follows a standardized protocol for assessing joint mobility and includes the assessment of nine specified joints.
Interventions
None listed
Sponsors
Vastra Gotaland Region
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
13 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
Female patients Aged 13-25 years Diagnosed with: * Anorexia Nervosa (ICD-10 F50.0), or * Atypical Anorexia Nervosa (ICD-10 F50.1) * Currently receiving treatment or scheduled to receive treatment
Exclusion criteria
* Severe cognitive impairment * Insufficient Swedish language skills that make it impossible to provide informed consent and prevent answering study questions * Pregnancy and up to one year postpartum
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Joint hypermobility | One-time assessment at baseline (Day 0, at the inclusion visit). | Joint mobility will be assessed according to the Beighton score using a goniometer. |
| 5-part questionnaire | One-time questionnaire at baseline (Day 0, after clinical examination). | Participants over the age of 18 will also complete the 5-part questionnaire regarding historical hypermobility. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Joint pain | One-time questionnaire at baseline (Day 0, after clinical examination). | The Numeric Rating Scale (NRS) is a self-assessment tool used to describe the patient's perceived pain intensity. The patient marks the intensity on a line with eleven points, ranging from 0 to 10. The endpoints represent 0 = 'no pain' and 10 = 'worst imaginable pain.' |
| Temporomandibular joint problems | One-time questionnaire at baseline (Day 0, after clinical examination). | Screening questions regarding temporomandibular joint problems. The short version of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) classification system will be used. |
| Pain drawing | One-time questionnaire at baseline (Day 0, after clinical examination). | Participant marks areas of perceived pain on a schematic human body figure. |
Countries
Sweden
Outcome results
None listed