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@ARTICLE{Schloesser:1018584,
      author       = {Schloesser, Louisa and Lotter, Leon and Offermann, Jan and
                      Borucki, Katrin and Biemann, Ronald and Seitz, Jochen and
                      Konrad, Kerstin and Herpertz-Dahlmann, Beate},
      title        = {{S}ex‐dependent clinical presentation, body image, and
                      endocrine status in long‐term remitted anorexia nervosa},
      journal      = {European eating disorders review},
      volume       = {31},
      number       = {5},
      issn         = {1067-1633},
      address      = {Chichester},
      publisher    = {Wiley},
      reportid     = {FZJ-2023-04912},
      pages        = {696 - 708},
      year         = {2023},
      abstract     = {Objective: Although anorexia nervosa (AN) in males has
                      recently gained attention, knowledge of its psychological
                      and physiological outcomes is still scarce. We explore
                      sex-specific characteristics of long-term remitted AN with
                      respect to residual eating disorder (ED) psychopathology,
                      body image, and endocrinology. Method: We recruited 33
                      patients with AN in remission for at least 18 months (24
                      women, 9 men) and 36 matched healthy controls (HCs). Eating
                      disorder psychopathology and body image ideals were assessed
                      via clinical interviews, questionnaires, and an interactive
                      3D body morphing tool. Plasma levels of leptin, free
                      triiodothyronine, cortisol, and sex hormones were
                      quantified. Univariate models controlled for age and weight
                      were used to test for the effects of diagnosis and sex.
                      Results: Both patient groups showed residual ED
                      psychopathology but normal weight and hormone levels
                      relative to HCs. Male remitted patients demonstrated
                      significantly stronger muscularity-focused body image
                      ideals, evident in interviews, self-reports, and behavioural
                      data, than both female patients and HCs. Conclusions:
                      Sex-specific body image characteristics in patients with
                      remitted AN point towards the need to adjust test
                      instruments and diagnostic criteria to male-specific
                      psychopathology. In the future, sufficiently powered studies
                      should evaluate the risk of men with AN developing muscle
                      dysmorphia in the long term.},
      cin          = {INM-7},
      ddc          = {610},
      cid          = {I:(DE-Juel1)INM-7-20090406},
      pnm          = {5252 - Brain Dysfunction and Plasticity (POF4-525)},
      pid          = {G:(DE-HGF)POF4-5252},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {37319038},
      UT           = {WOS:001010860900001},
      doi          = {10.1002/erv.2997},
      url          = {https://juser.fz-juelich.de/record/1018584},
}