Differences between adolescents and young adults at presentation to an eating disorders program

Geographical clustering of eating disordered behaviors in U.S. high school students

“…The results of this study confirm, on a much wider basis, previous research of the social contagion 3 of disordered eating and clustering among specific social groups. [24][25][26] Perhaps purging was the only specific weight concern not to cluster because the behavior typically is more secretive in nature than more socially acceptable methods of weight control such as dieting, fasting, and exercise. Alternatively, since purging had the lowest prevalence of the eating disordered behaviors investigated, the confidence intervals were wider and thus significance was more difficult to reach.…”

The addition of a parent and clinician component to the eating disorder examination for children and adolescents

“…[2][3][4][5][6][7][8] Although use of the EDE has been widespread in studies of adult populations, literature on its use in children and adolescents is more limited. For young children (age [7][8][9][10][11][12][13][14], the EDE has been modified and piloted with some success. 9,10 However, in adolescents with anorexia nervosa (AN), scores are often much lower than expected when compared to scores from adolescents with bulimia nervosa (BN), and adults with AN or BN.…”

“…For young children (age [7][8][9][10][11][12][13][14], the EDE has been modified and piloted with some success. 9,10 However, in adolescents with anorexia nervosa (AN), scores are often much lower than expected when compared to scores from adolescents with bulimia nervosa (BN), and adults with AN or BN. The reasons for this discrepancy are unknown, but may be due to significant denial, minimization, or shame which may be more pronounced in the early stages of eating disorders, particularly among adolescents.…”

Evaluation of a healthy-weight treatment program for bulimia nervosa: A preliminary randomized trial

“…Since bulimic pathology is very rare among males (Wilson et al, 2003), only female participants were recruited. Because almost half of the presenting cases at eating disorder treatment clinics are diagnosed with partial syndrome, rather than full syndrome, eating disorders (Fisher, Schneider, Burns, Symons, & Mandel, 2001;Williamson, Gleaves, & Savin, 1992), and because even individuals who meet only sub-threshold levels of bulimic pathology experience subjective distress and functional impairment (Lewinsohn, Striegel-Moore, & Seeley, 2000), sub-threshold participants were included in the sample. Indeed, other recent trials have included sub-threshold patients (e.g., Ghaderi & Scott, 2003;Safer et al, 2001).…”