How Do Children with Eating Disorders Differ from Adolescents with Eating Disorders at Initial Evaluation?

Peebles, Rebecka; Wilson, Jenny; Lock, James

doi:10.1016/j.jadohealth.2006.05.013

Cited by 118 publications

(138 citation statements)

References 22 publications

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“…2 Preliminary studies have suggested a lack of clinically meaningful differences between youth with AN and BN and those with EDNOS who narrowly miss criteria for either of the other two disorders. 7,9 These study findings support the Workgroup's position that the current thresholds for AN and BN may be overly narrow and that relaxing the criteria would allow a subset of youth with EDNOS to be meaningfully reclassified within broadened forms of AN or BN. However, research from our group also demonstrated that a subset of youth with EDNOS did not resemble either AN or BN.…”

Section: Introductionsupporting

confidence: 55%

“…6 Perhaps secondary to these challenges in applying the current eating disorder diagnoses to younger patients, descriptive clinical studies indicate that EDNOS is the most common eating disorder in clinical settings. [7][8][9][10] This diagnosis is problematic due to its heterogeneity, rendering the amount of specific information conveyed by the EDNOS label to be minimal. This problem is not unique to youth -as EDNOS similarly predominates in adult clinical samples 11 -but the reasons younger patients are assigned this diagnosis may be distinct as suggested by the Workgroup.…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

Eddy

Grange

Crosby

et al. 2010

Journal of the American Academy of Child & Adolescent Psych

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Objective-The purpose of this study was to empirically derive eating disorder phenotypes in a clinical sample of children and adolescents using latent profile analysis (LPA) and compare these latent profile (LP) groups to the DSM-IV-TR eating disorder categories.Method-Eating disorder symptom data collected from 401 youth (ages 7-19; mean 15.14 ± 2.35y) seeking eating disorder treatment were included in LPA; general linear models were used to compare LP groups to DSM-IV-TR eating disorder categories on pre-treatment and outcome indices.Results-Three LP groups were identified: LP1 (n=144), characterized binge eating and purging ("Binge/purge"); LP2 (n=126), characterized by excessive exercise and extreme eating disorder cognitions ("Exercise-extreme cognitions"); and LP3 (n=131), characterized by minimal eating disorder behaviors and cognitions ("Minimal behaviors/cognitions"). Identified LPs imperfectly resembled DSM-IV-TR eating disorders. LP1 resembled bulimia nervosa; LP2 and LP3 broadly resembled anorexia nervosa with a relaxed weight criterion, differentiated by excessive exercise and severity of eating disorder cognitions. LP groups were more differentiated than the DSM-IV-TR categories across pre-treatment eating disorder and general psychopathology indices, as well as weight change at follow-up. Neither LP nor DSM-IV-TR categories predicted change in binge/purge behaviors. Validation analyses suggest these empirically-derived groups improve upon the current DSM-IV-TR categories.Conclusions-In children and adolescents, revisions for DSM-V should consider recognition of patients with minimal cognitive eating disorder symptoms.

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Section: Introductionsupporting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

Eddy

Grange

Crosby

et al. 2010

Journal of the American Academy of Child & Adolescent Psych

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“…Researchers have pointed out that the clinical presentation of children with ED differs substantially from that of adolescent and adult patients in the following aspects: shorter disease duration, fewer symptoms of ED, lower frequency of binge/purge and physical exercises to control weight, faster loss of weight, and increased risk of growth problems 9,11 .…”

Section: Resultsmentioning

confidence: 99%

Age and gender changes in children and adolescent patients of a Brazilian eating disorder program

Alckmin-Carvalho

Cobelo

Melo

et al. 2017

Arch. Clin. Psychiatry (São Paulo)

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Background: International studies have demonstrated an increase in the prevalence of boys and a decrease of patients' age at the beginning of outpatient treatment for eating disorders (ED). Objective: To evaluate if these changes are also present in the Brazilian population participating in the PROTAD, a Brazilian ED program, and to discuss its clinical implication for treatment. Methods: Cross-sectional study. We evaluated 150 medical records of patients under 18 years diagnosed with ED (DSM IV-TR). Patients were divided into two groups: G1 (2001-2007) (n = 77) and G2 (2008-2014) (n = 73). The girl/boy proportion and the mean age of patients were compared. Results: In G1, six boys (7.8%) were admitted (girl/boy proportion: 11.8:1), while in G2, 16 (22%) boys were admitted (girl/boy proportion: 3.5:1) (p < 0.05). The mean age in G1 was 15.6 years (SD = 1.7; 95%CI: 15.2-15.9), whereas the mean age in G2 was 14.9 years (SD = 1.9; 95%CI: 14.4-15.3) (p > 0.05). Discussion: The increase in the number of boys treated for EDs reported in international studies was also found at the PROTAD. Contrary to what has been reported in international studies, the mean age of patients at the PROTAD did not decrease significantly. Gender and sexual orientation issues, clinical presentation, prior overweight history and culture/media impact on boys should be addressed by the healthcare team to increase the therapeutic efficacy.

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“…There are risks associated with gaining weight too slowly or too quickly; at present the target for weight gain in hospitalized youth with anorexia nervosa is 1-2 kg/week (Golden 2015). The effects of weight loss and starvation are more acute and dangerous in young people compared to adults, and are especially dangerous in pre-pubertal children, who tend to have fewer fat stores, and who can become dehydrated and medically compromised more quickly, and whose bone health and growth are also at greater risk of compromise (Peebles 2006). 6.…”

Section: Starvation and Malnutrition Have Devastating Consequences Onmentioning

confidence: 99%

Working with youth with eating disorders: what every trainee needs to know

Spettigue¹,

Norris²,

Gomez³

et al. 2017

MedEdPublish

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How Do Children with Eating Disorders Differ from Adolescents with Eating Disorders at Initial Evaluation?

Cited by 118 publications

References 22 publications

Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

Age and gender changes in children and adolescent patients of a Brazilian eating disorder program

Working with youth with eating disorders: what every trainee needs to know

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