Eating Disorders

  • Risa J. SteinEmail author
  • Ryan D. Field
  • John P. Foreyt


Anorexia nervosa, bulimia nervosa, and binge eating disorder (BED) all involve observable eating, and often purging, behaviors. However, to develop a complete conceptual picture of each disorder, additional sociocultural, behavioral, cognitive, and emotional processes must be considered. To complicate matters, altered physiological functioning may result from as well as cause emotional and cognitive dysfunction. Thus, whereas interviewers will want to uncover diagnostic criteria, they should keep in mind the dynamics of the disorder so that the behavioral, cognitive, affective, and social manifestations of the disorder can be put into a conceptual whole.

Prevalence of anorexia nervosa among adolescent females is estimated to be 0.3% to 1.62% (Hoek & van Hoeken, 2003; Kaye, Klump, Frank, & Strober, 2000) with the restricting type being the least common (Fichter & Quadflieg, 2007). Bulimia, which according to research is a more common eating disorder when compared with anorexia nervosa, is estimated to occur in 1-5% of college age women, 1-3% of adolescent girls and women (Harris & Kuba, 1997), and 0.2% among young men (Warheit, Langer, Zimmerman, & Biafora, 1993). Approximately 15-50% of clients in weight-control programs experience BED while estimates for community samples reportedly range from 1 to 4% (Goldfein, Devlin, & Spitzer, 2000). Among children and adolescents, binge eating and subthreshold binge eating rates range from 2 to 40% (Glasofer et al., 2007; Lamerz et al., 2005; Tanofsky-Kraff et al., 2004). Prevalence rates, however, should be considered carefully and possibly tenuously as reports of the prevalence for bulimia, at least, have decreased over time leading some to suggest that significant cohort effects may exist among eating disordered clients (Vaught et al., 2008).


Cognitive Behavioral Therapy Anorexia Nervosa Eating Disorder Binge Eating Body Dissatisfaction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Preparation of this manuscript was supported in past by Grant 1RO1 DK43109-01A1 from the National Institutes of Diabetes and Digestive and Kidney Diseases. The authors wish to thank Albert T. Kondo, Shani Stewart, G. Ken Goodrick, and W.S. Carlos Poston for their important contributions to earlier editions of this chapter.


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© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Risa J. Stein
    • 1
    Email author
  • Ryan D. Field
    • 1
  • John P. Foreyt
    • 2
  1. 1.Department of PsychologyRockhurst UniversityKansas CityUSA
  2. 2.Behavioral Medicine Research Center, Baylor College of MedicineHoustonUSA

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