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9 - Anorexia nervosa in children and adolescents

from Part III - Abnormal states

Published online by Cambridge University Press:  02 December 2009

Brett McDermott
By
Rachel Bryant-Waugh
Edited by
Tony Jaffa
Brett McDermott
Affiliation:
University of Queensland
Rachel Bryant-Waugh
Affiliation:
Great Ormond Street Hospital for Children NHS Trust, London, UK
Tony Jaffa
Affiliation:
Phoenix Centre, Cambridge
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Summary

This chapter focuses on diagnostic, classification and presentation issues in relation to children and adolescents with anorexia nervosa (AN). The two diagnostic systems most commonly used throughout the world are those drawn up by the American Psychiatric Association and the World Health Organization's ICD-10. AN is seen in clinical settings in children from around the age of 8 years upwards, and occurs in boys and girls. Although the clinical features, and even the physical appearance of such young people when they are in an emaciated state, bear strong similarities, each young person's illness will be related to a unique pattern of traits, circumstances and triggers. AN remains a serious illness that can develop in children before puberty, and can have devastating effects. We need to continue to improve our means of identifying and describing this disorder so that we can conduct the research needed to inform and improve available treatment.

Keywords

adolescentsAmerican Psychiatric Associationanorexia nervosachildrenWorld Health Organization's ICD-10
Type
Chapter
Information
Eating Disorders in Children and Adolescents , pp. 111 - 122
Publisher: Cambridge University Press
Print publication year: 2006

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References

Agras, S., Brandt, H., Bulik, C.et al. (2004). Report on the National Institutes of Health Workshop on overcoming barriers to treatment research in anorexia nervosa. International Journal of Eating Disorders, 35, 509–21.Google Scholar
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Washington, DC: APA.
Bryant-Waugh, R. (2000). Overview of the eating disorders. In Anorexia Nervosa and Related Eating Disorders in Childhood and Adolescence, ed. Lask, B. & Bryant-Waugh, R.Hove, UK: Psychology Press, pp. 27–40.
Buchowski, K., Pardo, J., Ringel, R. & Guarda, A. (2004). Inducible syncope in anorexia nervosa: two case reports. International Journal of Eating Disorders, 35, 359–62.Google Scholar
Child Growth Foundation (1997). BMI charts. Available from Harlow Printing Ltd. www.harlowprinting.co.uk; www.healthforallchildren.co.uk.
Cole, T. J., Freeman, J. V. & Preece, M. A. (1995). Body mass index reference curves for the UK, 1990. Archives of Diseases in Childhood, 73, 25–9.Google Scholar
Cooper, P., Watkins, B., Bryant-Waugh, R. & Lask, B. (2002). The nosological status of early onset anorexia nervosa. Psychological Medicine, 32, 873–80.Google Scholar
Fairburn, C. G. & Harrison, P. J. (2003). Eating disorders. Lancet, 361, 407–16.Google Scholar
Hebebrand, J., Casper, R., Treasure, T. & Schweiger, U. (2004). The need to revise the diagnostic criteria for anorexia nervosa. Journal of Neural Transmission, 111, 827–40.Google Scholar
Holtkamp, K., Hebebrand, J. & Herpertz-Dahlman, B. (2004). The contribution of anxiety and food restriction on physical activity levels in acute AN. International Journal of Eating Disorders, 36, 163–71.Google Scholar
Lask, B., Bryant-Waugh, R., Wright, F.et al. (2005). Family physician consultation patterns indicate high risk for early onset anorexia nervosa. International Journal of Eating Disorders, 38, 269–72.Google Scholar
Manley, R., Smye, V. & Srikameswaran, S. (2001). Addressing complex ethical issues in the treatment of children and adolescents with eating disorders: application of a framework for ethical decision making. European Eating Disorders Review, 9, 144–66.Google Scholar
NICE (National Institute of Clinical Excellence) (2004). Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders. CG 9. London: British Psychological Society and Gaskell Press.
Nicholls, D., Chater, R. & Lask, B. (2000). Children into DSM don't go: a comparison of classification systems for eating disorders in childhood and early adolescence. International Journal of Eating Disorders, 28, 317–24.Google Scholar
Palmer, B. (2000). Helping People with Eating Disorders: A Clinical Guide to Assessment and Treatment. Chichester: John Wiley & Sons.
Palmer, B. (2003). Concepts of eating disorders. In Handbook of Eating Disorders, 2nd edition, ed. Treasure, J.Schmidt, U. & Furth, E.Chichester: John Wiley & Sons, pp. 1–10.
Rosen, D. (2003). Eating disorders in children and young adolescents: etiology, classification,clinical features, and treatment. Adolescent Medicine, 14, 49–59.Google Scholar
Royal College of Psychiatrists (2002). Guidelines for the Nutritional Management of Anorexia Nervosa – Report of the Eating Disorders Special Interest Group (EDSIG). London: RCPsych.
Steiger, H. (2004). Eating disorders and the serotonin connection: state, trait and developmental effects. Journal of Psychiatry and Neuroscience, 29, 20–9.Google Scholar
Tan, J., Hope, T. & Stewart, A. (2003). Competence to refuse treatment in AN. International Journal of Law and Psychiatry, 26, 697–707.Google Scholar
Turner, H. M. & Bryant-Waugh, R. (2004). Eating disorder not otherwise specified (EDNOS): profiles of clients presenting at a community eating disorder service. European Eating Disorders Review, 12, 18–26.Google Scholar
Western, D. & Harnden-Fischer, J. (2001). Personality profiles in eating disorders: Rethinking the distinction between Axis I and Axis II. American Journal of Psychiatry, 158, 547–62.Google Scholar
World Health Organization (1993). The ICD-10 Classification of Mental and Behavioural Disorders. Diagnostic Criteria for Research. Geneva: WHO.

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