The ability to exert self-control in the face of appetitive, alluring cues is a critical component of healthy development. The development of behavioral measures that use disease-relevant stimuli can greatly improve our understanding of cue-specific impairments in self-control. To produce such a tool relevant to the study of eating and weight disorders, we modified the traditional go/no-go task to include food and non-food targets. To confirm that performance on this new task was consistent with other go/no-go tasks, it was given to147 healthy, normal weight volunteers between the ages of 5 and 30. High-resolution photos of food or toys were used as the target and nontarget stimuli. Consistent with expectations, overall improvements in accuracy were seen from childhood to adulthood. Participants responded more quickly and made more commission errors to food cues compared to nonfood cues (F(1,140) = 21.76, P<0.001), although no behavioral differences were seen between lowand high-calorie food cues for this non-obese, healthy developmental sample. This novel food-specific go/no-go task may be used to track the development of self-control in the context of food cues and to evaluate deviations or deficits in the development of this ability in individuals at risk for eating problem behaviors and disorders.

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Background Prior studies have found that students with overweight and obesity have impairments in performance IQ and executive function, and worse school functioning in comparison to normal weight peers. Objectives The current study assessed school and cognitive functioning in a sample of adolescents with severe obesity being evaluated for laparoscopic adjustable gastric banding. Setting: Psychiatry Department, University Medical Center, United States. Methods Eligible candidates for bariatric surgery were referred for psychiatric evaluation which included a semi-structured clinical interview measuring school functioning and the vocabulary and matrix reasoning subtests of the Wechsler Abbreviated Scale of Intelligence (WASI). Results Self-reported school problems were common, with 55.5% of adolescents failing a grade or subject, 38.7% attending summer school, and 17.8% failing a citywide exam. A significant relationship was observed between body mass index (BMI),estimated WASI IQ(r= −0.250, p=0.005), and the vocabulary subtest (r= −0.241, p=0.006), but not matrix reasoning (r= −0.126, p=NS). Conclusions Even among a sample of adolescents with severe obesity, increased BMI was associated with lower WASI IQ and vocabulary subtest scores. Increasing awareness of potential cognitive and school problems in bariatric candidates among teachers, school counselors, and other mental health providers is an important first step to improving academic support and educational systems deficiencies for students with overweight and obesity.

Objective This study examined the prevalence and correlates of suicidal ideation and behavior (SI/B) among adolescents receiving bariatric surgery. Method Charts of 206 adolescents receiving bariatric surgery were reviewed. Cases with SI/B (current/lifetime reported at baseline or event occurring in the program n= 31, 15%) were case-matched on gender, age, and surgery type to 31 adolescents reporting current or past psychiatric treatment, and 31 adolescents denying lifetime SI/B or psychiatric treatment. Results Before surgery, adolescents with SI/B reported significantly lower total levels of health-related quality of life (p=0.01) and greater depressive symptoms (p=0.004) in comparison to candidates who never received psychiatric treatment. No significant differences were found between groups for the change in depressive symptoms or body mass index following surgery. Conclusions As in studies of adults, a notable subset of adolescents receiving bariatric surgery indicated pre- or post-operative SI/B. It is critical that clinicians evaluate and monitor adolescent patients undergoing bariatric surgery for risk of SI/B.

CME Educational Objectives 1. Describe the core clinical features of anorexia nervosa (AN). 2. Understand the concerns surrounding the DSM-IV criteria for AN. 3. Delineate the changes in the diagnostic criteria for AN recommended for DSM-5 . The clinical descriptions of anorexia nervosa by Richard Morton in 1689 remains remarkably similar to the condition we recognize as anorexia nervosa today. 1 In fact, the medical history of Mary, Queen of Scots, born in 1542, is thought to be compatible with a diagnosis of anorexia nervosa. 2