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3 EATING DISORDERS + LIGHT 3.2 ED Comorbidity ED is a very serious mental illness with mortal consequences, if not treated in time. The majority of patients experience urges of self-harm and anxiety. Comorbidity is hard to diagnose in the most critical stages of the illness, be- cause AN can be channelling self-destructive behaviour, easily interpreted as comorbidity. According to a recent report, comorbidity in ED includes: depression (50-75%), menopause, ADHD, OCD, anxiety, diabetes, self-harm, personality disorder (borderline) (1/3), Bipolar disease (4-6%) and dysthymia. (Anoreksi, prognose - Patienthåndbogen - sundhed.dk, no date; © Sund- hedsstyrelsen, 2016) Research in comorbidity shows that AN patients de- velop comorbid diseases after the AN. Whereas, in BN there is a tenden- cy towards patients developing comorbid diseases before they experience symptoms of BN. 3.2.1 BMI ED patients are evaluated on body mass index (BMI), determining when you are sick enough to get a hospital bed and when you are fit to be dis- charged. BMI is calculated as total body weight (kg) divided by the square of height (m). The number says nothing about fat distribution, bone struc- ture or other factors and the focus on this number, can sometimes lead to patients feeling neglected by the system. (Interview D, 00:08:05, 00:09:45) In a report about the Danish health conditions, BMI is used as the defini- tion of over- and underweight people in the Danish population. The percent- age of underweight people dropped from 4,6% in 1987 to 2,6% in 2010, with a dominant in females 16-24y. (Christensen et al., 2010) Being disposed to mental illness is not significantly connected to low BMI, but mental illness can, according to a report developed by the Danish Health Council, cause underweight in long-term patients. Mentally conditioned un- derweight is however concerned a symptom of ED. Underweight is defined as a BMI < 18,5 by The World Health Organisation (WHO). (Christensen AI, Davidsen M, Kjøller M, 2010) 3.2.2 Mental health A report from 2005 about mental health in the Danish population, from The Danish Health Authority establishes a high occurrence of mental illness in people with trouble sleeping within the last 14 days (Christensen AI, Da- vidsen M, Kjøller M, 2010, p.9). The same report connects depression and anxiety, but not SAD. It concludes that metal illness is occurring in one 1 of 10 Danes and 5% of the adult population is suffering from anxiety and/or depression. (Chris- tensen AI, Davidsen M, Kjøller M, 2010, s. 42) Mental illness is furthermore connected to stress over a longer period. Connecting mental illness to BMI, shows no significance (s.48-49) but a tendency among underweight men Master thesis · MSc Lighting Design · Pernille Bech-Larsen · Fall 2017 42PDF Image | Healing with light
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