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Adolescent Medicine
Published in Praveen S. Goday, Cassandra L. S. Walia, Pediatric Nutrition for Dietitians, 2022
Perry B. Dinardo, Jennifer Hyland, Ellen S. Rome
The label “other specified feeding and/or eating disorder (OSFED)” is applied to patients whose symptoms cause significant distress and/or impairment but do not meet criteria for AN, BN, ARFID, or BED. OSFED includes patients with atypical anorexia nervosa, in which the individual’s weight is at or above a normal range despite significant weight loss and otherwise meeting criteria for AN; purging disorder in the absence of binge eating, and binge-eating with or without purging behavior that is of low frequency or limited duration and, therefore, does not meet criteria for a previously described disorder.
MRCPsych Paper A1 Mock Examination 1: Questions
Published in Melvyn WB Zhang, Cyrus SH Ho, Roger Ho, Ian H Treasaden, Basant K Puri, Get Through, 2016
Melvyn WB Zhang, Cyrus SH Ho, Roger CM Ho, Ian H Treasaden, Basant K Puri
The clinical diagnosis of atypical anorexia nervosa is made when an individual has the following symptoms: AmenorrheaAbsence of significant weight lossBMI less than 14Massive and rapid weight lossMarked body image disturbances
Can CBT-E be delivered in an online group format? A pilot study of the Body Image module in a child and adolescent eating disorder service
Published in Eating Disorders, 2023
Layla Hamadi, Reece Hilson, Amy Lunn, Emily Ralph, Evangeline Rodrigues, Rabeeah Sohail
All 12 participants were female and white British, and the average age was 15.79 years (range, 13.19–19.69; standard deviation 1.47). Seven (58%) had a diagnosis of anorexia nervosa and four (33%) had a diagnosis of atypical anorexia nervosa. One participant (8%) did not have a formal diagnosis as it was felt that the participant would find it unhelpful, however they met the diagnostic criteria for atypical anorexia nervosa. Diagnoses were made by the lead clinician who assessed the person on their introduction to the service. This was prior to their inclusion in the current study. Diagnoses were based on criteria from the diagnostic and statistical manual of mental disorders (American Psychiatric Association, 2013). Lead clinicians conducted a full clinical interview and incorporated results from a range of psychometric measures used by the service before making a diagnosis.
Food insecurity & dietary restraint in a diverse urban population
Published in Eating Disorders, 2021
Keesha M. Middlemass, Jessica Cruz, Alexandra Gamboa, Clara Johnson, Brigitte Taylor, Francesca Gomez, Carolyn Black Becker
Eating disorders (EDs) have been stereotypically viewed as disorders of thin, white, affluent girls and young women (Sonneville & Lipson, 2018). Despite recent research undermining the accuracy of this “ED stereotype,” it contributes to undesirable outcomes. For instance, anecdotal evidence suggests that individuals with EDs who deviate from the stereotype often do not believe they need treatment (Sonneville & Lipson, 2018). Research also suggests that EDs are more likely to go undetected by clinicians when patients differ from the stereotype (Gordon, Brattole, Wingate, & Joiner, 2006). Clinicians appear less likely to correctly diagnose atypical anorexia nervosa in patients with middle or higher weight bodies (Lebow, Sim, & Kransdorf, 2015; Veillette, Serrano, & Brochu, 2018).
Last word: A call to develop specific medical treatment guidelines for adolescent males with eating disorders
Published in Eating Disorders, 2021
Kyle T. Ganson, Stuart B. Murray, Jason M. Nagata
In terms of clinical management, medical treatment guidelines for adolescents with eating disorders that have been outlined by Golden et al. (2015) are not disaggregated by sex and have several components that are specific to females. First, amenorrhea is still used for medical guidance on bone density. It is recommended that dual-energy X-ray absorptiometry (DXA) scans are conducted “when amenorrhea is present for 6 months or more” (Golden et al., 2015, p. 373). This recommendation omits males, despite the fact that adolescent males with eating disorders have been shown to have equally severe deficits in bone mineral density as adolescent females (Nagata et al., 2017). Second, the use of percentage median body mass index (%mBMI) and BMI z-score as a measure of malnutrition could miss boys struggling with an eating disorder, as they are more likely to present at a normal weight or overweight (Vo, Lau, & Rubinstein, 2016). Body mass index is unable to distinguish muscle mass from fat mass; thus, this measure does not have the sensitivity to distinguish males who may have deficits in body fat but are building muscle mass. Adolescents with atypical anorexia nervosa, including males, have been shown to have significant fat mass index deficits despite being at or above a normal weight (Nagata et al., 2019). Third, the weight-loss component included in the medical treatment guidelines may miss adolescent males who are seeking muscularity and a larger body size and may not have overall weight loss (Murray et al., 2017).