Childhood Onset Anorexia Nervosa Research Articles

Clinical and socio-demographic features in childhood vs adolescent-onset anorexia nervosa in an Asian population.

Childhood-onset anorexia nervosa (AN) may be under-recognised and under-treated due to atypical presentations. The aims of this study are: (1) describe features of AN in patients ≤ 18years in an Asian population; and (2) compare childhood-onset and adolescent-onset AN. This study involved a retrospective chart review of patients ≤ 18years in a Asian population who were treated for anorexia nervosa at the Eating Disorders Service at Singapore General Hospital between Jan 2003 and Dec 2014 (n = 435). Childhood-onset AN was defined as onset < 13years, while adolescent-onset AN was defined as onset between 13 and 18years. Patients were predominantly female (95.4%) and Chinese (83%). The childhood-onset group (8.3%) had mean age of onset 11.5 ± 1.0years, compared to 15.2 ± 1.6years for the adolescent-onset group. The childhood and adolescent-onset groups were similar in socio-demographic variables, as well as gender distribution, AN subtype, number of psychiatric comorbidities, family history of psychiatric illness, body image issues and excessive exercise. The childhood-onset group had significantly longer duration of illness prior to presentation (4.75 vs 2.62years), greater frequency of comorbid obsessive-compulsive disorder (19.4% vs 5.3%) and were more likely to report teasing as a trigger for AN (58.3% vs 31.6%). The childhood-onset group had significantly longer duration of inpatient stay (5.97 vs 3.22weeks), as well as a greater number of total admissions (2.78 vs 1.37). Our results suggest that cultural factors may impact the development or identification of AN in an Asian context. Possible delay in diagnosis of childhood-onset AN may lead to a more unfavorable clinical course. Level V, descriptive study.

Long-term follow-up study of low-weight avoidant restrictive food intake disorder compared with childhood-onset anorexia nervosa: Psychiatric and occupational outcome in 56 patients.

ObjectiveTo compare long term outcome between childhood‐onset Anorexia Nervosa (AN) and low‐weight Avoidant/Restrictive Food Intake Disorder (ARFID) in regard to psychiatric diagnoses, social and occupational functioning.MethodA consecutive series of 56 children originally treated for low‐weight restrictive eating disorder (ED) were followed up after a mean of 15.9 years. ARFID‐diagnoses were assigned retrospectively.ResultsThirty‐seven patients originally had AN and 19 patients were diagnosed retrospectively with ARFID. At follow‐up, in the AN‐group 21.6% had a current ED, 24.3% had another psychiatric diagnosis, and 54.1% did not have any psychiatric diagnosis. In the ARFID‐group, 26.3% had a current ED, 26.3% had another psychiatric diagnosis, and 47.4% had no psychiatric diagnosis. In the ARFID‐group ED diagnoses at follow‐up were all ARFID, whereas the AN‐group showed heterogeneity. Morgan Russell Outcome Assessment Schedule indicated similar outcome in the AN‐ and ARFID‐group. Occupational functioning did not differ significantly between the AN‐ and ARFID‐group.DiscussionThe AN‐group showed high rate of ED at follow up. The ARFID‐group had a similar outcome to AN. In the ARFID‐group, all ED‐cases at follow up had ARFID, possibly indicating symptomatic stability. Low‐weight ARFID should be treated as seriously as childhood onset AN.

Long‐term follow up of hospitalized pediatric anorexia nervosa restricting type

Information on long-term follow up of childhood-onset anorexia nervosa is scarce. This study investigated long-term (>10 years) course, outcome and prognostic factors for hospitalized childhood-onset anorexia nervosa restricting type (ANR). Forty-one ANR girls admitted to a single regional center participated. Median age at first admission was 13.3 years (range, 8.6-15.6 years). The longitudinal clinical course was retrospectively determined for a median follow-up period of 17.1 years (range, 10.4-21.1 years). We analyzed physical, psychological, and social variables to predict partial remission (PR) and full remission (FR). The completion rate of follow up >10 years was high at 97%. At final evaluation (n = 38), distribution of prognosis was as follows: FR, n = 27 (71%); PR, n = 6 (16%); and non-remission, n = 5 (13%). The cumulative ratio of PR and FR increased during the first 5-6 years, and gradually reached a plateau at around 10 years. More than 10 years after the onset, one patient eventually achieved FR, and one patient died. Seven patients were rehospitalized and two died due to suicide during the entire follow up. On multivariate analysis, family disorders/problems rating score was a significant predictor of PR and FR. This study included hospitalized ANR children aged ≤15 years, the youngest cohort ever reported. Long-term prognosis is generally favorable, but the mortality rate was 5%. Careful long-term follow up >10 years is needed to evaluate outcome of childhood-onset ANR, and family therapy is important in high-risk patients with family disorders/problems.

Childhood onset anorexia nervosa: the experience of parents

AbstractThis qualitative study examined the experience of parents who had a child with early onset anorexia nervosa. Semi‐structured interviews were conducted with 11 parents (seven mothers and four fathers). Qualitative data analysis yielded eight core themes structured around three broad domains: understanding the eating disorder, the impact of the eating disorder, and managing the eating disorder and its impact. The themes revealed that the experience of having a child with anorexia nervosa is extremely demanding and personally challenging for parents. Despite this, parents remained determined to help their child in the face of this debilitating condition. The implications for the delivery of services for children and adolescents with eating disorders and their families are discussed. Copyright © 2004 John Wiley &amp; Sons, Ltd and Eating Disorders Association.

Roles of Teachers in Charge of Health Education (School Nurses) in the Treatment of Childhood Onset Anorexia Nervosa

Roles of Teachers in Charge of Health Education (School Nurses) in the Treatment of Childhood Onset Anorexia Nervosa

Childhood onset anorexia nervosa and related eating disorders

Childhood onset anorexia nervosa and related eating disorders

Childhood-onset anorexia nervosa: towards identifying a biological substrate.

The etiology of anorexia nervosa is not fully understood, but is probably multifactorial, including a biological substrate. The purpose of this paper is to investigate the possible underlying biological substrate. Fifteen children and adolescents aged 8-16 years underwent regional cerebral blood blow radioisotope scans. All fulfilled DSM-IV criteria for anorexia nervosa. Three of the girls had a follow-up scan when they had regained their lost weight. Thirteen of the 15 patients had unilateral temporal lobe hypoperfusion, 8 on the left side and 5 on the right. The abnormality persisted in the 3 girls who had a follow-up scan after weight restoration. This is the first report of reduced regional cerebral blood flow in childhood-onset anorexia nervosa, and suggests an underlying primary functional abnormality.

Childhood‐onset anorexia nervosa: Towards identifying a biological substrate

Objective The etiology of anorexia nervosa is not fully understood, but is probably multifactorial, including a biological substrate. The purpose of this paper is to investigate the possible underlying biological substrate. Method: Fifteen children and adolescents aged 8–16 years underwent regional cerebral blood blow radioisotope scans. All fulfilled DSM-IV criteria for anorexia nervosa. Three of the girls had a follow-up scan when they had regained their lost weight. Results: Thirteen of the 15 patients had unilateral temporal lobe hypoperfusion, 8 on the left side and 5 on the right. The abnormality persisted in the 3 girls who had a follow-up scan after weight restoration. Discussion: This is the first report of reduced regional cerebral blood flow in childhood-onset anorexia nervosa, and suggests an underlying primary functional abnormality. © 1997 by John Wiley & Sons, Inc. Int J Eat Disord 22: 159–165, 1997.

Book reviews

Book reviewed in this article:Lask B, Bryant‐Waugh R, editors. Childhood Onset Anorexia Nervosa and Related Eating Disorders. Hove, UK: Lawrence Erlbaum Associates Ltd, 1993Fairburn CG, Wilson GT, editors. Binge Eating–Nature Assessment and Treatment. New York: The Guilford Press, 1993Schmidt U, Treasure J. Getting Better Bit(e) by Bit(e). Hove, UK: Lawrence Erlbaum Associates Ltd, 1993

Childhood onset anorexia nervosa and related eating disorders

Childhood onset anorexia nervosa and related eating disorders

Childhood onset anorexia nervosa and related eating disorders. Edited by Bryan Lask and Rachel Bryant‐Waugh. Lawrence Erlbaum Association: New YOrk. (1993) PP.240, £19.95

European Eating Disorders ReviewVolume 3, Issue 1 p. 52-53 Book Review Childhood onset anorexia nervosa and related eating disorders. Edited by Bryan Lask and Rachel Bryant-Waugh. Lawrence Erlbaum Association: New YOrk. (1993) PP.240, £19.95 Denise Riordan, Denise RiordanSearch for more papers by this author Denise Riordan, Denise RiordanSearch for more papers by this author First published: March 1995 https://doi.org/10.1002/erv.2400030110AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume3, Issue1March 1995Pages 52-53 RelatedInformation

Book reviews

Book reviewed in this article: Hans F. Huebner, Endorphins, Eating Disorders and Other Addictive Behaviors. New York, W. W. Norton Bryan Lask and Rachel Bryant‐Waugh (eds), Childhood Onset Anorexia Nervosa and Related Eating Disorders. Lawrence Erlbaum Associates Ltd Rosalyn M. Meadow and Lillie Weiss, Women's Conflicts About Eating and Sexuality. Harrington Park Press

Use of pelvic ultrasound to monitor ovarian and uterine maturity in childhood onset anorexia nervosa.

This study reports the use of pelvic ultrasound scanning in childhood onset anorexia nervosa. The aim was to determine the weight and weight for height ratio (wt/ht) that would correspond with ovarian and uterine maturity and therefore offer the optimal opportunity for the start or resumption of menstruation. On initial assessment, all children had mean weight, wt/ht, ovarian and uterine volumes significantly below expected. At follow up, half the children had started or resumed menstruation. When compared with those who had persisting amenorrhoea, the recovered children had a significantly higher mean weight (48.4 kg v 43.8 kg), mean wt/ht (96.5% v 87.5%), mean ovarian volume (6.2 ml v 4.9 ml), and mean uterine volume (14.6 ml v 10.8 ml). The study indicates that conventional target weight and wt/ht in anorexia nervosa may be too low to ensure ovarian and uterine maturity, and that pelvic ultrasound, which is well tolerated by this group of children, is a useful addition to their management.

Book Reviews

Book reviewed in this article: Cluster Analysis 3rd Edition. B. S. Everitt. Obstetrics in the 1990s: Current Controversies. Edited by T. Chard &amp; M. P. M. Richards. Clinics in Developmental Medicine nos. 123/124. Childhood Onset Anorexia Nervosa and Related Eating Disorders. Edited by B. Lask &amp; R. Bryant‐Waugh. Epidemiology of Clinical Allergy. Edited by M. L. Burr.

Childhood Onset Anorexia Nervosa and Related Eating Disorders

Childhood Onset Anorexia Nervosa and Related Eating Disorders

Book Reviews

Books reviewed in this article: Childhood Onset Anorexia Nervosa and Related Eating Disorders. Edited by B. Lask and R. Bryant‐Waugh. Drawings from a Dying Child, Insights into Death Groan a Jungian Perspective. By Judi Bertoia. Seminars in Child and Adolescent Psychiatry. Edited by D. Black &amp; D. Cottrell. The Student With a Genetic Disorder: Educational Implications for Special Education Teachers and for Physical Therapists, Occupational Therapists, and Speech Pathologists. Edited by D. Plumridge, R. Bennett, N. Dinno and C. Branson. Effects of Psychotherapy With Children and Adolescents. By J. R. Weisz and B. Weiss. Emotional and Psychological Abuse of Children. By Kieran O'Hagan. A Practical Guide to the Evaluation of Sexual Abuse in the Prepubertal Child. By A. P. Giardino, M. A. Finkel, E. R. Giardino, T. Seidl and S. Ludwig. Young Children's Understanding of Pretense. By Paul L. Harris and Robert D. Kavanaugh. AIDS: The Hidden Agenda in Child Sexual Abuse. By C Bennetts, M. Brown and J. Sloan. Attentional Deficit Disorder in Children and Adolescents. By J. L. Faddy and V. N. Hosler. Group Counseling &amp; Psychotherapy with Adolescents. By B. W. MacLennan and K, R. Dies. Enhancing Children's Communication: Research Foundations for Intervention. Edited by A. P. Kaiser &amp; D. B. Gray. Extending Families: The Social Networks of Parents and Their Families. By M. Cochran, M. Larner, D. Riley, L. Gunnarson and C. R. Henderson, Jr. Children of Drug Abusers. By Stephen J. Levy and Eileen Rutter. Adolescent Sexuality. Edited by T. P. Gullotta, G, R. Adams and R. Montemayor.