Understanding and supporting children and young people with eating disorders

Abstract

Eating disorders can have devastating effects on individuals and families. Maddie Burton explains the crucial role practice nurses can play in identifying and supporting patients Children and young people's mental health conditions have continued to increase. The NHS Digital 2017 survey found that 1 in 8 children have a diagnosable mental health condition. During the current COVID-19 pandemic numbers are set to increase. Eating disorders make up a relatively small proportion of these statistics but have some of the most devastating effects on individuals and families. Anorexia nervosa, as discussed here, has the highest morbidity of any mental health condition. The issues are complex and a challenge to understand for both professionals and families, over typically a protracted period of illness. However, all work with children, young people and their families presents a ‘window of opportunity’ in being able to resolve issues within a developmental phase prior to the more concrete adult phase. The risk is highest for young people between the ages of 13 and 17 years. There are several theoretical models that aid understanding of how and why eating disorders emerge and are maintained. Practice nurses in primary care can have a crucial role in early identification and can be found to be less stigmatising than mental health professionals. Practice nurses can have an ongoing role in remaining involved with the young person and their family and as part of the wider specialist support system.

Indicators of Eating Disorders in Sexually Abused Brazilian Adolescents: Family and School Contexts

“…Body dissatisfaction; overeating; restrictive dieting; negative feelings such as guilt, sadness, fear, and anxiety; and parental influence may indicate an ED, especially if two or more are present [ 11 , 12 , 13 ]. Negative life events such as bullying, parental divorce, oppressive relationships with parents, bereavement, and early trauma such as sexual abuse may be associated with or predisposing factors for ED development [ 14 , 15 , 16 ]. These events are usually traumatic, and affected individuals may choose to decrease or increase eating behavior in an attempt to assuage, control, or exclude traumatic memories [ 15 , 17 ].…”