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Brain
Scans Give
Clues to Eating Disorders
NEW
YORK (Reuters Health) - Genetic research and brain imaging studies
are uncovering the biologic basis for eating disorders such as
the binge-purge condition bulimia nervosa, a researcher said here
Tuesday at the annual meeting of the American Psychiatric Association.
If investigators
are able to determine the underlying basis for these conditions,
they may also be able to develop more effective therapies, said
Dr. Walter H. Kaye of the University of Pittsburgh, Pennsylvania.
Several previous
studies have suggested that such conditions may have a genetic
component. For example, Kaye noted that people with eating disorders
may have a disturbance of the brain chemical serotonin, which
could possible be inherited. He and colleagues are involved in
an ongoing study attempting to identify genetic factors that play
a role in the development of the eating disorders anorexia and
bulimia.
``There are
areas of the genome that may be candidates, but no individual
genes have been identified yet,'' he said. ``There is probably
not one single gene responsible for these conditions, but there
is more likely a combination of genes.''
In a study
presented here, he pointed out that brain scans have indicated
that recovering bulimics may have serotonin activity that differs
from that of healthy volunteers. Differences were found in the
frontal cortex, a portion of the brain that is involved with mood
and impulse control. This provides further support that there
may be some biologic component to the development of bulimia,
in which mood and impulse control is thought to play a factor.
Studies involving brain scans of recovering anorexics are ongoing.
``While treatment
for eating disorders has been somewhat successful, there are still
some patients who don't respond well to treatment,'' Kaye told
Reuters Health. ``We hope that a better understanding of brain
mechanisms will lead to better treatment. There are probably pathways
in the brain that regulate mood and impulse control. Conditions
such as obsessive-compulsive disorder and the eating disorders
probably involve those pathways, but in different ways.''
Reference
Source 89
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