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Partial eating disorders among adolescents: a review.

Abstract

PURPOSE

Many adolescents do not fulfill all the DSM-IV criteria's for anorexia nervosa and bulimia, but do nevertheless suffer from partial eating disorders (EDs). This review focuses on the definition, epidemiology and clinical aspects of these disorders.

METHODS

Search on Medline & PsycINFO, review of websites, screening of bibliographies of articles and book chapters.

RESULTS

There is still no consensus on the definition of these disorders, which cover a wide range of severity. Affected adolescents often suffer from physical and psychological problems owing to co-morbidity or as a consequence of their eating patterns: chronic constipation, dyspeptic symptoms, nausea, abdominal pain, fatigue, headaches, hypotension, menstrual dysfunction as well as dysthymia, depressive and anxiety disorders, or substance misuse and abuse. In comparison with those who are unaffected, adolescents with partial ED are at higher risk of evolving into full ED. However, most of them evolve into spontaneous remission. Adolescents with partial ED engaged, over a period of several months, in potentially unhealthy weight-control practices, suffering from intense fear of gaining weight and a disturbed body weight/image should be offered therapeutic support.

CONCLUSION

Future research should focus on the exact delineation of various subtypes of clinical presentations in partial ED and on evidence-based treatment and follow-up of these various situations.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Groupe de Recherche sur la Santé des Adolescents, Institut Universitaire de Médecine Sociale et Préventive, Lausanne, Switzerland.

    ,

    Source

    MeSH

    Adolescent
    Adolescent Behavior
    Body Image
    Body Weight
    Comorbidity
    Diagnosis, Differential
    Feeding and Eating Disorders
    Female
    Humans
    Male
    Prevalence
    Prognosis
    Risk Factors

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Review

    Language

    eng

    PubMed ID

    16227132

    Citation

    Chamay-Weber, Catherine, et al. "Partial Eating Disorders Among Adolescents: a Review." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 37, no. 5, 2005, pp. 417-27.
    Chamay-Weber C, Narring F, Michaud PA. Partial eating disorders among adolescents: a review. J Adolesc Health. 2005;37(5):417-27.
    Chamay-Weber, C., Narring, F., & Michaud, P. A. (2005). Partial eating disorders among adolescents: a review. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 37(5), pp. 417-27.
    Chamay-Weber C, Narring F, Michaud PA. Partial Eating Disorders Among Adolescents: a Review. J Adolesc Health. 2005;37(5):417-27. PubMed PMID: 16227132.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Partial eating disorders among adolescents: a review. AU - Chamay-Weber,Catherine, AU - Narring,Françoise, AU - Michaud,Pierre-André, PY - 2004/01/28/received PY - 2004/09/02/accepted PY - 2005/10/18/pubmed PY - 2006/3/15/medline PY - 2005/10/18/entrez SP - 417 EP - 27 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 37 IS - 5 N2 - PURPOSE: Many adolescents do not fulfill all the DSM-IV criteria's for anorexia nervosa and bulimia, but do nevertheless suffer from partial eating disorders (EDs). This review focuses on the definition, epidemiology and clinical aspects of these disorders. METHODS: Search on Medline & PsycINFO, review of websites, screening of bibliographies of articles and book chapters. RESULTS: There is still no consensus on the definition of these disorders, which cover a wide range of severity. Affected adolescents often suffer from physical and psychological problems owing to co-morbidity or as a consequence of their eating patterns: chronic constipation, dyspeptic symptoms, nausea, abdominal pain, fatigue, headaches, hypotension, menstrual dysfunction as well as dysthymia, depressive and anxiety disorders, or substance misuse and abuse. In comparison with those who are unaffected, adolescents with partial ED are at higher risk of evolving into full ED. However, most of them evolve into spontaneous remission. Adolescents with partial ED engaged, over a period of several months, in potentially unhealthy weight-control practices, suffering from intense fear of gaining weight and a disturbed body weight/image should be offered therapeutic support. CONCLUSION: Future research should focus on the exact delineation of various subtypes of clinical presentations in partial ED and on evidence-based treatment and follow-up of these various situations. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/16227132/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(05)00098-4 DB - PRIME DP - Unbound Medicine ER -