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Eating Disorders

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Principle-Based Stepped Care and Brief Psychotherapy for Integrated Care Settings

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Abstract

There are several eating disorders recognized by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013). Anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) are the most recognizable eating disorder diagnoses. AN is characterized by restriction of caloric intake relative to necessary energy requirements leading to significantly low body weight (often defined as <85% ideal body weight or IBW; American Psychiatric Association, 2006), accompanied by an intense fear of weight gain and distorted body image. Individuals with AN regularly engage in behaviors that impede weight gain (e.g., excessive dietary restriction, compulsive exercise, purging) regardless of their significantly low weight and may also engage in intermittent binge eating (i.e., eating a large amount of food in a short period of time while experiencing a sense that eating is out of control). BN is characterized by recurrent episodes of binge eating and inappropriate compensatory behaviors (e.g., self-induced vomiting, use of laxatives or other weight-loss medications, fasting, compulsive exercise) used to prevent weight gain from binge eating that do not result in the individual being underweight. Finally, BED is characterized by recurrent episodes of binge eating without accompanying compensatory behaviors. In addition, a substantial portion of individuals with eating disorders fall into the category of Other Specified Feeding or Eating Disorders (OSFED), which is characterized by disordered eating causing significant distress and/or clinical impairment that does not meet full criteria for AN, BN, or BED.

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Author information

Authors and Affiliations

  1. Department of Social Work, St. Catherine University and the University of St. Thomas, St. Paul, MN, USA

    Sarah L. Russell

  2. Department of Psychiatry, University of Minnesota Medical Center, Minneapolis, MN, USA

    Carol B. Peterson & Ann F. Haynos

  3. The Emily Program, Minneapolis, MN, USA

    Carol B. Peterson

Authors
  1. Sarah L. Russell
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  2. Carol B. Peterson
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  3. Ann F. Haynos
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Correspondence to Sarah L. Russell .

Editor information

Editors and Affiliations

  1. Eastern Michigan University, Ypsilanti, Michigan, USA

    Alexandros Maragakis

  2. Department of Clinical Psychology, University of Nevada, Reno, Nevada, USA

    William T. O'Donohue

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Russell, S.L., Peterson, C.B., Haynos, A.F. (2018). Eating Disorders. In: Maragakis, A., O'Donohue, W. (eds) Principle-Based Stepped Care and Brief Psychotherapy for Integrated Care Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-70539-2_16

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