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Rethinking Anorexia Nervosa Through the Lens of Control, Compulsion and Reward: Neurobiological Insights Into Addiction-Like Features via the Dopaminergic, Endocannabinoid, and Orexinergic Systems - A

5 hours ago
  • #addiction
  • #anorexia nervosa
  • #neurobiology
  • Anorexia nervosa (AN) is a severe psychiatric disorder with high mortality, characterized by food restriction and compulsive weight-loss behaviors.
  • Evidence suggests AN may involve addiction-like mechanisms related to reward processing, compulsivity, and habit formation.
  • The neurobiological basis of addiction-like features in AN remains unclear, hindering effective treatment development.
  • Key neurobiological systems implicated in AN and addiction include the endocannabinoid, dopaminergic, and orexin systems.
  • A narrative review synthesizes psychological models and neurobiological findings on AN's addiction-like features.
  • The review proposes a Starvation-Drive Model of Addiction-Like Features in AN, linking starvation-induced reward processes to illness persistence.