■与宗教较少的社区相比,年轻的犹太超正统妇女通常在身体形象和饮食方面表现出较少的干扰。相比之下,在犹太超正统男性中,饮食问题是高度未知和未被发现的。
■为了调查是否在超正统男性中,在强迫症(OCD)的背景下,具有高度强迫性体力活动的限制性型AN(AN-R)和未指定的限制性饮食障碍(ED)会导致严重的身体和情绪发病。
■该研究包括两组:第一组,3患有AN-R的青少年除了限制进食外,还严重增加了仪式化的强迫性体力活动,因为严重的心动过缓需要住院治疗.这些年轻人忽视了强迫性体力活动的严重性,尽管他们的医疗状况严重,但仍继续在医院接受治疗。一名学生开始了铁人三项的广泛训练,而另一个学生,从AN汇款后,出现严重的肌肉畸形.这些发现表明,患有AN的年轻超正统男性可能会进行强迫性体力活动以增加肌肉质量而不是减轻体重。另外四名犹太超正统男性在严重强迫症的背景下营养不良,没有节食或身体形象障碍的证据。这些人高度痴迷于不同的犹太宗教规则,包括长时间的祈祷,禁欲主义,高估了犹太人对卡什鲁特饮食规则的严格遵守,在所有情况下都导致严重的食物限制。由于与营养不良相关的严重身体紊乱,他们高度不知道自己的体重严重下降,需要住院治疗。此外,大多数人不配合他们的治疗,他们与ED相关的强迫性大多对精神药物治疗有抵抗力。
■由于他们高度仪式性的僵化生活方式,结合学习的需要,如果他们的疾病与高度完美主义的强迫性体力活动有关,则患有AN的犹太超正统青少年男性可能会面临严重的身体不适的特定风险。第二,患有强迫症的犹太超正统宗教男性可能面临严重营养不良的特定风险,因为他们对犹太人日常法律的严格不懈遵守可能会严重干扰他们的饮食。
UNASSIGNED: Young 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.
UNASSIGNED: To 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.
UNASSIGNED: The 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.
UNASSIGNED: Owing 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.