Advertisement

Eating and Feeding Disorders in Children and Adolescents

  • Agnes Louise Johnston
Chapter

Abstract

  • How can we diagnose the so-called ‘eating disorders’ in the under 18 age group—what are the physical and psychological conditions which may mimic them? Are they diagnoses of exclusion?

  • What are the causes of eating disorders and how can they be distinguished from wilfulness and bad behavior?

  • How common are anorexia and bulimia nervosa in adolescence and earlier childhood, and is there any increase in recent years?

  • How do the assessment and management of eating disorders differ when the patient is a young child or adolescent rather than an adult?

  • How do GPs/outpatient staff manage eating disorders in the young?

  • What can go wrong in severe cases? How can this be prevented?

  • What happens when the patient reaches the age of 18?

  • What is the prognosis for young people with anorexia nervosa?

Notes

Agnes Louise Johnston

is a Consultant Psychiatrist with an interest in eating disorders at the Royal Cornhill Hospital, Aberdeen.

Glossary

CAMHS

Child and Adolescent Mental Health Services

DSM

Diagnostic and Statistical Manual of Mental Disorders

FBT

Family Behavioural Treatment (based on the work of Locke et al)

ICD

International Classification of Diseases

Junior MARSIPAN

Version of above for patients age 0–18

MARSIPAN

Guidance document on the Management of Really Sick Patients with Anorexia Nervosa (see reference section for further details)

SEDB

Specialist Eating Disorders Bed

References

  1. 1.
    Gowers SG. Eating disorders. Seminars in Child and Adolescent Psychiatry. 2nd ed. London: The Royal College of Psychiatrists; 2005. p. 213–24.Google Scholar
  2. 2.
    Lask B, Bryant-Waugh R, editors. Eating disorders in childhood and adolescence. New York, NY: Routledge; 2013.Google Scholar
  3. 3.
    World Health Organization. International classification of diseases 10th revision. Geneva: WHO; 2010.Google Scholar
  4. 4.
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.CrossRefGoogle Scholar
  5. 5.
    Kenney L, Walsh T. Avoidant/restrictive food intake disorder (ARFID); Defining ARFID. Eat Disord Rev. 2013;24(3):1.Google Scholar
  6. 6.
    Morris J. Children with feeding and eating disorders. in press.Google Scholar
  7. 7.
    Stice E, Marti CN, Shaw H, Jaconis M. An 8-year longitudinal study of the natural history of threshold, subthreshold, and partial eating disorders from a community sample of adolescents. J Abnorm Psychol. 2009;118(3):587–97.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Eric S, Nathan Marti C, Durant S. Risk factors for onset of eating disorders: evidence of multiple risk pathways from an 8-year prospective study. Behav Res Ther. 2011;49(10):622–7.CrossRefGoogle Scholar
  9. 9.
    Nicholls D, Lynn R, Viner R. Childhood eating disorders: British national surveillance study. Br J Psychiatry. 2011;198(4):295–301.CrossRefPubMedGoogle Scholar
  10. 10.
    Swanson S, Crow S, Le Grange D, Swendsen J, Merikangas K. Prevalence and correlates of eating disorders adolescents. Arch Gen Psychiatry. 2011;68(7):714–23.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Kings College. GP guide to ED online resource. maudesleyparents.orgGoogle Scholar
  12. 12.
    Royal College of Psychiatrists. Junior Marsipan: Management of really sick patients under 18 with anorexia nervosa. CR 162. London: Royal College of Psychiatrists; 2012.Google Scholar
  13. 13.
    Morgan JF, Reid F, Lacy JH. The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ. 1999;319:1467.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Le Grange D, Lock J, editors. Eating disorders in children and adolescents. A clinical handbook. New York, NY: The Guilford Press; 2011.Google Scholar
  15. 15.
    Lock J, Le Grange D, Agras WS, Dare C. Treatment manual for anorexia nervosa: a family-based approach. New York, NY: Guildford Publications, Inc.; 2001.Google Scholar
  16. 16.
    Lock J. An update on evidence-based psychosocial treatments for eating disorders in children and adolescents. J Child Adoles Psychol. 2015;44(5):707–21.CrossRefGoogle Scholar
  17. 17.
    Khan F, Chowdhury U. Eating disorders in children and adolescents. Br J Med Pract. 2011;4(1):a405.Google Scholar
  18. 18.
    Mairs R, Nicholls D. Assessment and treatment of eating disorders in children and adolescents. Arch Dis Child. 2016;101:1168–75.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Eating Disorders ServicesRoyal Cornhill HospitalAberdeenUK

Personalised recommendations