Anorexia nervosa rising prevalence of eating disorders in adolescence are "increase of adipose tissue in girls, hormonal changes of puberty, societal expectations of increased independence and autonomy that are particularly difficult for anorexic adolescents to meet; [and] increased influence of the peer group and its values." Early theories of the cause of anorexia linked it to childhood sexual abuse or dysfunctional families; evidence is conflicting, and well-designed research is needed. The fear of food is known as "sitiophobia", "cibophobia", or "sitophobia" and is part of the differential diagnosis. Other psychological causes of anorexia include low self-esteem, feeling like there is lack of
13: Fear Is Real player of being the killer itself carried a risk. If the accusation was false, the accuser would then be sent to the execution ceremony. If a player was killed off while in possession of the death box "and" it still had one or more uses remaining, it would be re-introduced to the game prior to the next ritual. 13: Fear Is Real 13: Fear Is Real is a 2009 American horror reality competition series which premiered on January 7, 2009. It follows a group of 13 contestants as they are trying to survive in a setting inspired by horror movies.