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1

Hoberman, Harry M., and Debi Kroll-Mensing. "Adolescent eating disorders." Current Opinion in Psychiatry 5, no. 4 (August 1992): 523–34. http://dx.doi.org/10.1097/00001504-199208000-00011.

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Herpertz-Dahlmann, Beate. "Adolescent Eating Disorders." Child and Adolescent Psychiatric Clinics of North America 24, no. 1 (January 2015): 177–96. http://dx.doi.org/10.1016/j.chc.2014.08.003.

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3

Semenova, N., H. Slobodskaya, and E. Rezun. "Prevalence of eating disorders in adolescent girls in Siberia." European Psychiatry 65, S1 (June 2022): S210. http://dx.doi.org/10.1192/j.eurpsy.2022.548.

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Introduction Eating disorders (ED) are an urgent public health problem, however, many adolescents with clinical symptoms fail to meet stringent diagnostic criteria. Objectives To estimate the prevalence of eating disorders (ED) and subthreshold eating disorders (SED) in adolescent girls. Methods A cross-sectional study of girls attending secondary schools (n = 917) was carried out. The sample comprised of 18.3% early adolescents (aged 12-13), 51% middle adolescents (aged 14-15), and 30.6% late adolescents (aged 16-17). We used the Body Image and Eating Distress scale (Koskelainen et al., 2001) coded on a 1-3 scale. The answers were scored on a scale of 1-3. Adolescents scoring 12 or above on four items measuring body dissatisfaction were considered as dissatisfied with their bodies and were further divided into two subgroups: girls scoring 10 or above on three items measuring eating distress were considered as having ED, whereas girls scoring less than 10 were considered as having SED. Results The prevalence of ED was 2.1% (CI 1.4-3.3), the prevalence of SED was 9.6% (CI 7.8-11.7). In early adolescence, the prevalence of SED was 1.6% (CI 0.9-2.7). In middle adolescence, the prevalence of SED was 5.1% (CI 3.9-6.7), the prevalence of ED was 0.9% (CI 0.5-1.8). In late adolescence, the prevalence of SED was 2.8% (CI 1.9-4.1), the prevalence of ED was 1.2% (CI 0.7-2.1). Conclusions In adolescent girls, the SED are 4.6 times commoner than overt above-threshold ED. During adolescence, the prevalence of SED decreases, while the prevalence of ED increases with age. Disclosure The reported study was funded by grant RNF according to the research project № 21-15-00033
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Yani, Made Violin Weda, Made Sindy Astri Pratiwi, Made Priska Arya Agustini, Putu Cintya Denny Yuliyatni, and I. Gede Putu Supadmanaba. "Hubungan kejadian eating disorder dengan status gizi remaja putri di Denpasar, Bali." Intisari Sains Medis 13, no. 3 (November 1, 2022): 664–69. http://dx.doi.org/10.15562/ism.v13i3.717.

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Background: Nutrition problems in adolescents both malnutrition and overnutrition in Indonesia are quite high. Nutrition problems are multifactorial, but several previous studies have shown that eating behavior will interfere with eating disorders related to nutritional quality. This study aims to analyze the relationship between eating attitude and eating disorders on nutritional status in adolescent girls. Methods: This research design was cross sectional observation conducted at SMAN 1 Denpasar, Bali. The samples were 119 adolescent girls that were selected by simple random sampling. Assessment of eating behavior used the adolescent food habit checklist, and eating disorders were assessed by EAT-26 questionnaire. Results: The subjects were 119 adolescent girls. Most of them were 15 and 16 years old. There were 53.8% of subjects having unhealthy food behavior and 86.6% did not experience eating disorders. There were 75.6% of students having normal nutritional status, followed by thin, overweight, and obese respectively 3.4%, 15.1%, and 5.9%. There was a significant relationship between eating attitude with nutritional status of adolescent girls (p value = 0.04; PR (95% CI) = 2.15 (1.09-4.21)). There is also a significant relationship between eating disorder with nutritional status of adolescent girls (p value=0.01; PR (95% CI) = 2.45 (1.32-4.56)) Conclusion: This study found that eating behavior was not related to nutritional status. The condition of eating disorders has a significant relationship with adolescent nutritional disorders. Individuals with eating disorders have a greater risk of experiencing nutritional disorders than individuals without eating disorders. Latar Belakang: Masalah gizi pada remaja baik undernutrition ataupun overnutrition di Indonesia cukuplah tinggi. Masalah gizi pada remaja bersifat multifaktorial, namun beberapa penelitian sebelumnya menunjukkan bahwa faktor perilaku makan yang tidak baik akan memicu eating disorder yang berhubungan dengan kualitas gizi remaja putri. Sejauh ini belum terdapat studi terkait hubungan eating disorder dengan status gizi remaja putri di Bali. penelitian ini bertujuan untuk menganalisis hubungan antara perilaku makan dan eating disorder terhadap status gizi pada remaja putri. Metode: Desain penelitian yaitu observasi cross sectional yang dilakukan di SMAN 1 Denpasar, Bali. Sampel berjumlah 119 orang remaja putri berusia 14-18 tahun yang dipilih dengan simple random sampling. Penilaian perilaku makan menggunakan the adolescent food habbit checklist, dan gangguan makan dinilai menggunakan kuesioner EAT-26. Hasil: Dari 119 subjek penelitian, dominasis siswi putri berusia 16 tahun. Sebanyak 53.8% remaja putri memiliki perilaku makanan yang tidak sehat dan 86.6% tidak mengalami eating disorder. Mayoritas siswi memiliki status gizi yang normal yaitu 75.6%, diikuti dengan status gizi kurus, gemuk, dan obesitas berturut-turut yaitu sebesar 3.4%, 15.1% dan 5.9%. Terdapat hubungan yang signifikan antara perilaku makan buruk dengan gangguan gizi (p value=0.049; PR(95%CI) = 0.52 (0.27-1.01)) dan terdapat pula hubungan yang signifikan antara eating disorder dengan gangguan gizi remaja putri (p value=0.01; PR (95% CI) = 2.45 (1.32-4.56)) Simpulan: Penelitian ini mendapatkan bahwa perilaku makan dan kondisi eating disorder memiliki hubungan signifikan dengan gangguan gizi remaja putri. Individu dengan eating disorder memiliki risiko lebih besar mengalami gangguan gizi dibandingkan individu tanpa eating disorder.
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Rush, Amber-Leigh, and Alice L. March. "Parental Attachment and Eating Behaviors in Late Adolescent Females." Journal of Youth Development 7, no. 4 (December 1, 2012): 63–73. http://dx.doi.org/10.5195/jyd.2012.118.

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Females demonstrating unhealthy eating behaviors in early adolescence may continue to exhibit them in later years, yet there is little empirical research including late adolescents. Attachment theories suggest that adolescents with eating disorders demonstrate insecure attachments to parents. This non-experimental descriptive study in 249 late adolescent females examined the relationship between eating behaviors and parental attachment, and explored the relationship between selected demographic variables and parental attachment. Participants responded to an electronically collected survey of demographic variables, self-reported eating behaviors, and completed the Parent Attachment Questionnaire. Participants reporting healthy eating behaviors had higher scores on two of the three maternal scales, indicating a greater level of attachment. Significantly higher scores were found for two maternal and two paternal attachment scales for selected sociodemographic variables. Quantifying parental attachment in late adolescent females enhances understanding of eating disorders in this population and may help to identify issues important to address in therapy.
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Tittandi, Nindya Alifia. "Persepsi remaja terhadap perilaku emotional eating." Jurnal Psikologi Udayana 9, no. 1 (April 30, 2022): 33. http://dx.doi.org/10.24843/jpu.2022.v09.i01.p04.

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Adolescence is a transitional period which is usually marked by significant emotional changes. Some teenagers still have difficulty coping with the emotions they are experiencing, so they choose to calm them down by eating. This can be known as emotional eating. However, many adolescents do not know and realize this behavior, which if done excessively can lead to overweight or even obesity. So through this research, we try to find out the extent of adolescent knowledge regarding emotional eating behavior. Our findings indicate that differences in school levels determine this knowledge, so that the provision of material related to eating disorders is not fully understood by adolescents. In fact, the prevention of obesity in adolescents is more effective if given since early adolescence, namely by including the curriculum in schools related to self-control and basic knowledge related to eating disorders and other disorders that generally begin to occur in adolescence.
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Gallardo, Laura O., J. Javier Plumed-Domingo, and Luis Rojo-Moreno. "Weight-Teasing and Eating Disorders—A Comparative Study in Adolescent and Adult Samples." Children 9, no. 11 (October 29, 2022): 1655. http://dx.doi.org/10.3390/children9111655.

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Disordered eating, unhealthy weight-control behaviours and body dissatisfaction are associated with diminished mental health. A key aspect that has been identified for the development of disordered eating behaviours and body dissatisfaction is to be teased. Additionally, the literature suggests that weight may affect the relationship between weight-teasing and disordered eating and body dissatisfaction, although this pattern is unclear. This study presents two cross-sectional studies with an adult and an adolescent sample. The adolescent sample comprised 15,224 participants, and the adult sample comprised 321 participants, all from Spain. Hierarchical regression analyses were conducted. Aims: to assess the relations among disordered eating, body dissatisfaction, weight, and weight-teasing among adolescents and adults; and to examine whether weight-teasing, weight, age, and gender predict disordered eating and body dissatisfaction in adults and adolescents. The results showed that adolescent girls presented greater effects, and all interactions were significant between weight-teasing and eating disorders. Adults also showed greater effects for women, and only eating disorder interactions were significant. Weight-control behaviours did not show any relationship with weight-teasing. Conclusion: Different approaches may be used in the prevention of eating disorders. Our results show that weight-teasing affects adults differently from adolescents.
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Subedi, Suraksha, Sanjeev Kumar Shah, Monika Thapa, Purna Laxmi Maharjan, and Purna Devi Shrestha. "KNOWLEDGE AND PREVALENCE OF EATING DISORDER AMONG NURSING STUDENTS OF LALITPUR, NEPAL." International Journal of Research -GRANTHAALAYAH 6, no. 4 (April 30, 2018): 179–87. http://dx.doi.org/10.29121/granthaalayah.v6.i4.2018.1642.

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Background: Perceived socio cultural pressure to become thin has an important impact on eating disorder during adolescence, but less is known about knowledge and prevalence of eating disorders in Nepal. Adolescents face special problems that are less common during childhood. Several studies indicate that the prevalence of eating disorders has been increased among adolescents. Objectives: The aim of the study was to identify the level of knowledge, and prevalence of eating disorders (ED) among adolescents. Specific objectives: To calculate the BMI of the respondents and to associate the BMI with prevalence of eating disorder. Methods: This was a cross-sectional survey in which adolescent girls were selected through purposive non probability sampling technique. The study was based on self-reported questionnaires including eating attitudes test (EAT-26) and BMI measurement. To analyze the obtained data, to calculate the level of knowledge, prevalence and BMI the chi-square was measured. Results: According to diagnostic criteria of EAT-26, 34 students (27.2%) were at risk of ED and scored above the recommended cut-off point on EAT-26. More than fifty percent (60%) of the students had inadequate knowledge, one third (38.40%) had moderate knowledge and very minimal (1.6%) of the students had adequate knowledge regarding eating disorders. BMI calculation reveled that more than half (54.4%) had a normal BMI, one third (28%) were under weight, 16% were overweight and 1.6% were obese. Conclusions: The above results concluded that there is need to conduct structured teaching programs for improving level of knowledge regarding eating disorders and reduce the risk of eating disorders and its effects.
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Lahortiga-Ramos, Francisca, Jokin De Irala-Estévez, Adrián Cano-Prous, Pilar Gual-García, Miguel Ángel Martínez-González, and Salvador Cervera-Enguix. "Incidence of eating disorders in Navarra (Spain)." European Psychiatry 20, no. 2 (March 2005): 179–85. http://dx.doi.org/10.1016/j.eurpsy.2004.07.008.

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AbstractBackgroundTo estimate the overall annual incidence and age group distribution of eating disorders in a representative sample of adolescent female residents of Navarra, Spain.MethodsWe studied a representative sample of 2734 adolescent Navarran females between 13 and 22 years of age who were free of any eating disorder at the start of our study. Eighteen months into the study, we visited the established centers and the eating attitudes test (EAT-40) and eating disorder inventory (EDI) Questionnaires were administered to the entire study population. We obtained a final response of 92%. All adolescents whose EAT score was over 21 points and a randomized sample of those who scored 21 or below, were interviewed. Any person meeting the DSM-IV diagnostic criteria for Anorexia Nervosa (AN), Bulimia Nervosa (BN) or eating disorder not otherwise specified (EDNOS) was considered a case.ResultsWe detected 90 new cases of eating disorders. Taking into consideration the randomly selected group whose EAT score was 21 points or below, we estimated the overall weighted incidence of eating disorders to be 4.8% (95% CI: 2.8–6.8), after 18 months of observation, in which EDNOS predominated with an incidence of 4.2% (95% CI: 2.0–6.3). The incidence of AN was 0.3% (95% CI: 0.2–0.5), while that of BN was also found to be 0.3% (95% CI: 0.2–0.5). The highest incidence was observed in the group of adolescents between 15 and 16 years of age.ConclusionsThe overall incidence of ED in a cohort of 2509 adolescents after 18 months of follow-up was 4.8% (95% CI: 2.8–6.8), with EDNOS outweighing the other diagnoses. The majority of new cases of eating disorders were diagnosed between ages 15 and 16.
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Needham, Heather, Elizabeth Ferguson, Darcie Takemoto, and Sindhu Idicula. "Emergency Management in Eating Disorders." Adolescent Psychiatry 9, no. 2 (January 10, 2020): 135–41. http://dx.doi.org/10.2174/2210676609666190730093039.

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Aims and Scope:: Eating disorders commonly present during the adolescent and young adult years, and are complex in that they are a group of psychiatric diagnoses with medical complications. Methods:: The diagnosis of an eating disorder can often go undetected while a patient is being evaluated for organic causes of weight loss. Anorexia nervosa, in particular, has the highest mortality rate of any psychiatric diagnosis. In the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5), there are several diagnoses that are classified as eating or feeding disorders. Conclusion:: This article will discuss anorexia nervosa and bulimia nervosa, with a focus on medical and psychiatric emergencies that are important for primary care providers to keep in mind when caring for adolescents and young adults.
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Herpertz-Dahlmann, B. "Outcome in adolescent anorexia nervosa." Acta Neuropsychiatrica 14, no. 2 (April 2002): 90–92. http://dx.doi.org/10.1034/j.1601-5215.2002.140208.x.

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The present paper compares course and outcome of adolescent anorexia nervosa to that of adult onset forms. In recent studies earlier onset of anorexia nervosa was associated with higher recovery rates and a lower mortality, although even in adolescent patients anorexia nervosa takes a prolonged course. A chronic eating disorder bears a high risk of other comorbid psychiatric or personality disorders. The most prevalent disturbances were anxiety and affective disorders and anxious–fearful–obsessive personality disorders, respectively. Patients who substantially overcame their eating disorder did not differ from normal controls in respect to psychosocial functioning, e.g. family relationships, partnership and occupational status. These results should encourage us to treat the eating disorder vigorously.
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Legenbauer, Tanja, Pia Thiemann, and Silja Vocks. "Body Image Disturbance in Children and Adolescents with Eating Disorders." Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie 42, no. 1 (January 2014): 51–59. http://dx.doi.org/10.1024/1422-4917/a000269.

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Body image is multifaceted and incorporates perceptual, affective, and cognitive components as well as behavioral features. Only few studies have examined the character of body-image disturbance in children/adolescents with eating disorders. It is unknown whether body-image disturbances in children/adolescent with eating disturbances are comparable to those of adult patients with eating disorders. Body-image disturbance might differ quantitatively and qualitatively according to the cognitive developmental status and the age of the individual. This paper provides an overview of the current evidence for body-image disturbance in children/adolescents with eating disorders, and how they compare with those adults with eating disorders. Current evidence indicates that older adolescent patients show similar deficits as adult patients with eating disorders, in particular for the attitudinal body-image component. However, evidence for a perceptual body-image disturbance in adolescent patients, in particular anorexia nervosa, is not conclusive. Reliable statements for childhood can hardly be made because clinical studies are not available. Investigations of body-image disturbance in children have focused on the predictive value for eating disorders. Limitations of the current evidence are discussed, and future directions for research and therapy are indicated.
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Hicks, TM, JY Lee, T. Nguyen, M. La Via, and MW Roberts. "Knowledge and Practice of Eating Disorders among a Group of Adolescent Dental Patients." Journal of Clinical Pediatric Dentistry 38, no. 1 (September 1, 2013): 39–43. http://dx.doi.org/10.17796/jcpd.38.1.p764642162107355.

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Objectives: The objectives are to ascertain how much is known about the eating disorders of bulimia and anorexia nervosa in a group of female adolescents, to determine if they had practiced behaviors consistent with these eating disorders, and to determine if there was a disconnect with actual and perceived healthy weight status. Study Design: 126 research subjects completed a survey instrument. Embedded in the eighteen question survey were the five “SCOFF” questions, to determine if an eating disorder may exist. The BMI percentile was obtained for all participants. Results: 18.3% of the research sample may have an eating disorder as predicted by the SCOFF questions. Of those with a suspected eating disorder, only 38% could correctly identify the best description of bulimia nervosa and 50% for anorexia nervosa. The BMI percentiles were higher in the group suspected of having an eating disorder. Conclusions: Young adolescent females are at risk for eating disorders. Educational interventions should be directed at this young age group. If the at-risk individuals knew more about the consequences of these disorders, they may be less likely to practice the behaviors.
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Castillo, Marigold, Ronald Feinstein, James Tsang, and Martin Fisher. "An assessment of basic nutrition knowledge of adolescents with eating disorders and their parents." International Journal of Adolescent Medicine and Health 27, no. 1 (February 1, 2015): 11–17. http://dx.doi.org/10.1515/ijamh-2013-0340.

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Abstract Objective: This study aims to determine and compare the level of basic nutrition knowledge of adolescents with eating disorders and their parents to adolescents without eating disorders and their parents. Materials and methods: This six-month convenience based survey recruited a total of 182 adolescents with and without an eating disorder and their parents. The surveys were conducted in a suburban adolescent medicine office. Main outcome measures were based on the 18 basic nutrition questions, while means, standard deviations, Wilcoxon Rank Sum Test, and χ2 were all employed for the analysis. Results: None of the groups correctly answered more than half of the questions. In terms of the percentage of correct responses, there was a statistically significant difference between adolescents with eating disorders and their parents compared with adolescents without an eating disorder and their parents. Fewer than 16% of respondents in each group correctly answered the recommended daily caloric balance of fats, carbohydrates, and proteins. Conclusions: There is a deficiency in basic nutrition knowledge among adolescents with and without eating disorders and their parents. A significant increase in basic nutrition education needs to occur in order to increase the understanding of what is a “healthy” diet.
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Ruiz-Ramos, David, José Jaime Martínez-Magaña, Ana Rosa García, Isela Esther Juarez-Rojop, Thelma Beatriz Gonzalez-Castro, Carlos Alfonso Tovilla-Zarate, Emmanuel Sarmiento, María Lilia López-Narvaez, Humberto Nicolini, and Alma Delia Genis-Mendoza. "Psychiatric Comorbidity in Mexican Adolescents with a Diagnosis of Eating Disorders Its Relationship with the Body Mass Index." International Journal of Environmental Research and Public Health 18, no. 8 (April 8, 2021): 3900. http://dx.doi.org/10.3390/ijerph18083900.

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The prevalence of comorbid psychiatric disorders among patients with eating disorders (ED) is higher than the general population. Individuals diagnosed with eating disorders have changes in their body mass index which could promote severe metabolic disruptions. This study aimed (1) to report the prevalence of comorbid psychiatric disorders among a Mexican adolescent sample diagnosed with eating disorders, (2) to compare our results with the prevalence of psychiatric disorders reported from a national survey of mental health of adolescents, (3) to compare the presence of psychiatric comorbidities between ED diagnoses, and (4) to explore the relationship of these comorbidities with the body mass index. In the study, we included 187 Mexican adolescents diagnosed with eating disorders. The psychiatric comorbidities were evaluated using the Mini International Neuropsychiatric Interview for children/adolescents, and a revised questionnaire on eating and weight patterns. We found that 89% of the Mexican adolescents diagnosed with ED had another psychiatric comorbidity. Major depressive disorder (52.40%) and suicide risk (40%) were the most prevalent comorbidities. Attention and deficit hyperactivity disorder (ADHD) prevalence was different between ED diagnosis, and adolescents with binge-eating disorder and ADHD had the higher body mass index. Our results showed that in this sample of Mexican adolescents, the presence of comorbidities could impact body mass index. This emphasizes the importance that clinicians take into consideration the presence of psychiatric comorbidities to achieve an integrative treatment for adolescents diagnosed with ED.
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Omiwole, Michael, Candice Richardson, Paulina Huniewicz, Elizabeth Dettmer, and Georgios Paslakis. "Review of Mindfulness-Related Interventions to Modify Eating Behaviors in Adolescents." Nutrients 11, no. 12 (December 2, 2019): 2917. http://dx.doi.org/10.3390/nu11122917.

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There are few well-established treatments for adolescent eating disorders, and for those that do exist, remission rates are reported to be between 30 and 40%. There is a need for the development and implementation of novel treatment approaches. Mindfulness approaches have shown improvements in eating disorder-related psychopathology in adults and have been suggested for adolescents. The present review identifies and summarizes studies that have used mindfulness approaches to modify eating behaviors and to treat eating disorders in adolescents. Focused searches were conducted in Embase, Medline, and PsycINFO, and identified articles were checked for relevance. A small number of studies (n = 15) were designated as appropriate for inclusion in the review. These studies were divided into those that focused on the promotion of healthy eating/the prevention of disordered eating (n = 5), those that concentrated on targeted prevention among high risk adolescents (n = 5), and those that focused on clinical eating disordered adolescents (n = 5). Thirteen of the 15 studies reviewed reported at least one positive association between mindfulness treatment techniques and reduced weight/shape concerns, dietary restraint, decreased body mass index (BMI), eating in the absence of hunger (EAH), binge eating, increased willingness to eat novel healthy foods, and reduced eating disorder psychopathology. In summary, incorporating mindfulness to modify eating behaviors in adolescent non-clinical and clinical samples is still in the early stages, with a lack of data showing clear evidence of acceptability and efficacy. Further studies and preferably controlled conditions are warranted.
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Herle, Moritz, Bianca De Stavola, Christopher Hübel, Mohamed Abdulkadir, Diana Santos Ferreira, Ruth J. F. Loos, Rachel Bryant-Waugh, Cynthia M. Bulik, and Nadia Micali. "A longitudinal study of eating behaviours in childhood and later eating disorder behaviours and diagnoses." British Journal of Psychiatry 216, no. 2 (August 5, 2019): 113–19. http://dx.doi.org/10.1192/bjp.2019.174.

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BackgroundEating behaviours in childhood are considered as risk factors for eating disorder behaviours and diagnoses in adolescence. However, few longitudinal studies have examined this association.AimsWe investigated associations between childhood eating behaviours during the first ten years of life and eating disorder behaviours (binge eating, purging, fasting and excessive exercise) and diagnoses (anorexia nervosa, binge eating disorder, purging disorder and bulimia nervosa) at 16 years.MethodData on 4760 participants from the Avon Longitudinal Study of Parents and Children were included. Longitudinal trajectories of parent-rated childhood eating behaviours (8 time points, 1.3–9 years) were derived by latent class growth analyses. Eating disorder diagnoses were derived from self-reported, parent-reported and objectively measured anthropometric data at age 16 years. We estimated associations between childhood eating behaviours and eating disorder behaviours and diagnoses, using multivariable logistic regression models.ResultsChildhood overeating was associated with increased risk of adolescent binge eating (risk difference, 7%; 95% CI 2 to 12) and binge eating disorder (risk difference, 1%; 95% CI 0.2 to 3). Persistent undereating was associated with higher anorexia nervosa risk in adolescent girls only (risk difference, 6%; 95% CI, 0 to 12). Persistent fussy eating was associated with greater anorexia nervosa risk (risk difference, 2%; 95% CI 0 to 4).ConclusionsOur results suggest continuities of eating behaviours into eating disorders from early life to adolescence. It remains to be determined whether childhood eating behaviours are an early manifestation of a specific phenotype or whether the mechanisms underlying this continuity are more complex. Findings have the potential to inform preventative strategies for eating disorders.
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Gaudio, S., C. Bufacchi, M. Andreotti, N. Gregorini, and F. Montecchi. "Relationships between eating disorders and personality disorders in adolescents." European Psychiatry 26, S2 (March 2011): 722. http://dx.doi.org/10.1016/s0924-9338(11)72427-0.

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IntroductionSeveral research studies have investigated Personality Disorder (PD) comorbidity in adult with Eating Disorders (ED), which showed an association between the two types of disorder.ObjectiveThe aim of this study is to examine the relationships between ED and PD in a sample of adolescents between 14 to 18 years of age.MethodSixty-seven adolescents with ED treated in an outpatients setting [23 Anorexia Nervosa (AN), 17 Bulimia Nervosa (BN) and 27 Eating Disorder Not Otherwise Specified (EDNOS)] were assessed using the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II), the Beck Depression Inventory (BDI) and the Eating Attitudes Test (EAT).ResultsOverall, 13 (19.4%) of ED patients had one or more PD. Cluster C PDs were the most common specific PDs. No significant difference was found between AN and BN based on the general presence of PDs. EDNOS patients had a lower prevalence of PDs compared to AN and BN patients. ED patients with a PD had an higher BDI rates compared to ED patients without PDs. No significant difference was observed in EAT rates between ED patients with and without PDs.ConclusionsCluster C PDs were the most frequent PDs found in ED adolescent patients. The prevalence of PDs is similar in AN and BN patients, whilst EDNOS patients have a lower prevalence of PDs compared to AN and BN patients. ED adolescent patients with current PD comorbidity show higher depression scores.
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Asna, Alfi Fairuz, and Muh Nur Hasan Syah. "Eating Disorders Risks and Over Intake of Energy and Macronutrients among Girl Students in Mitra Keluarga School of Health Sciences." Indonesian Journal of Nutritional Science 1, no. 1 (February 28, 2021): 27. http://dx.doi.org/10.52023/ijns.v1i1.2517.

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Group of adolescents who have eating behaviour disorders, food intake restrictions, alcohol consumption, drug addiction require special nutritional attention. In 2013 there were 73% of obese teens in Indonesia. This prevalence increases every year. This study aims to determine the risk of eating disorders and their relationship with excessive food intake. This study was cross sectional design with the simple sixe of 97 girls in grade of university level. Risk of eating disorders was determined by using questionnaires Eating Attitudes Test (EAT-26). Intake of nutrient was collected by semi quantitative questionnaires. Data analyszed by Chi-square test using SPSS. The results found that among girls, 5% were at high risk of eating disorder, more than 50% have over intake of energy, protein and fat, and 46,4% have over intake of carbohydrate. There was no relationship between risk of eating disorder and energy and macronutrient intake. However, those who were at high risk of eating disorder have over intake of energy, carbohydrate, protein, and fat. Adolescent girls who were at high risk of eating disorders have higher intake of energy and micronutrients. It is recommended for further research on eating disorders risks, eating behaviour and body image.
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Patel, Dilip R., Donald E. Greydanus, Helen D. Pratt, and Elaine L. Phillips. "Eating Disorders in Adolescent Athletes." Journal of Adolescent Research 18, no. 3 (May 2003): 280–96. http://dx.doi.org/10.1177/0743558403018003006.

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Kim, Youl-Ri. "Eating Disorders and Adolescent Health." Pediatric Gastroenterology, Hepatology & Nutrition 15, Suppl 1 (2012): S1. http://dx.doi.org/10.5223/pghn.2012.15.suppl1.s1.

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Stettler, N., A. M. Tershakovec, M. B. Leonard, and G. C. Patton. "Onset of adolescent eating disorders." BMJ 318, no. 7200 (June 26, 1999): 1761. http://dx.doi.org/10.1136/bmj.318.7200.1761.

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Emans, S. Jean. "Eating disorders in adolescent girls*." Pediatrics International 42, no. 1 (January 24, 2000): 1–7. http://dx.doi.org/10.1046/j.1442-200x.2000.01172.x.

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Steinhausen, Hans-Christoph, and Reinhold Seidel. "Outcome in adolescent eating disorders." International Journal of Eating Disorders 14, no. 4 (December 1993): 487–96. http://dx.doi.org/10.1002/1098-108x(199312)14:4<487::aid-eat2260140412>3.0.co;2-7.

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Gruber, Maria, Daniel König, Julika Holzhäuser, Deirdre Maria Castillo, Victor Blüml, Rebecca Jahn, Carmen Leser, Sonja Werneck-Rohrer, and Harald Werneck. "Parental feeding practices and the relationship with parents in female adolescents and young adults with eating disorders: A case control study." PLOS ONE 15, no. 11 (November 19, 2020): e0242518. http://dx.doi.org/10.1371/journal.pone.0242518.

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Objective Perceived parental influence on diet in early adolescence in the context of the parental relationship had previously not been studied in a clinical sample. The aim of this study was to investigate a possible association between eating disorders and characteristics of the relationship with parents and the parental feeding practices in early adolescence. Methods 21 female adolescents and young adults with an eating disorder (ED)–bulimia nervosa or anorexia nervosa–and 22 females without eating disorder (healthy control; HC), aged between 16 and 26, were assessed via self-report questionnaires for problematic eating behaviour, relationship with parents, perceptions of parent’s feeding practices at the age of 10–13 years and personality. Statistical evaluation was performed by means of group comparisons, effect sizes, regression analyses and mediator analyses. Results Adolescent and young adult females with ED reported more fears/overprotection and rejection/neglect by their mothers and less self-responsibility in terms of eating behaviour during adolescence than did the HC. The relationship with the fathers did not differ significantly. Females who perceived more cohesion, rejection/neglect and fears/overprotection by the mother were more likely to suffer from an ED. Rejection/neglect by both parents were associated with less self-acceptance of the young females with even stronger effect sizes for the fathers than the mothers. Harm prevention in the young females was a partial mediator between fears/overprotection and the drive for thinness. Conclusions The parental relationship is partly reflected in the self-acceptance and self-responsibility in eating of the adolescent and young females, both of them are particularly affected in EDs. Stressors in the parent-child relationship should be targeted in treatment of eating disorders. Nutritional counselling for parents might be useful in early adolescence.
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Manley, Ronald S., and Pierre Leichner. "Anguish and Despair in Adolescents with Eating Disorders." Crisis 24, no. 1 (January 2003): 32–36. http://dx.doi.org/10.1027//0227-5910.24.1.32.

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Summary: Adolescents struggling against anorexia nervosa or bulimia nervosa often experience self-punishing thoughts and behaviors, including self-mutilation, and suicidal ideation and attempts. These arise out of the profound anguish and despair frequently experienced by these young people. This paper outlines four particularly salient clinical themes underlying this despair that have significant implications for treatment. A practice perspective is discussed which emphasizes empathic listening and the development of a strong therapeutic alliance with the adolescent. Treatment recommendations draw from narrative theory and practice, and from feminist perspectives. The paper also draws on cognitive therapy and on recent developments in the areas of spirituality and motivational enhancement. Involving the distressed adolescent's family is also addressed.
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MARCHI, MARGARET, and PATRICIA COHEN. "Early Childhood Eating Behaviors and Adolescent Eating Disorders." Journal of the American Academy of Child & Adolescent Psychiatry 29, no. 1 (January 1990): 112–17. http://dx.doi.org/10.1097/00004583-199001000-00017.

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Wentz, Elisabet, Anna Björk, and Jovanna Dahlgren. "Is There An Overlap Between Eating Disorders and Neurodevelopmental Disorders in Children with Obesity?" Nutrients 11, no. 10 (October 17, 2019): 2496. http://dx.doi.org/10.3390/nu11102496.

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This study aimed at assessing the prevalence of eating disorders (EDs) and ED symptomatology in children with obesity, and at investigating whether EDs occur more often among individuals with a comorbid attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Seventy-six children (37 girls, 39 boys, age 5–16 years) were recruited at an outpatient obesity clinic. The adolescents completed ED instruments including The Eating Disorder Examination Questionnaire (EDE-Q) and The Eating Disorder Inventory for children (EDI-C). The parents of all participants were interviewed regarding the child’s psychiatric morbidity. Diagnoses of ADHD and ASD were collected from medical records. Anthropometric data were compiled. Eight participants (11%) fulfilled the criteria for a probable ED and 16 participants (21%) had ADHD and/or ASD. Two adolescent girls had a probable ED and coexistent ADHD and ASD. No other overlaps between EDs and ADHD/ASD were observed. Loss of control (LOC) eating was present in 26 out of 40 (65%) adolescents, seven of whom had ADHD, ASD or both. LOC eating was not overrepresented among teenagers with ADHD and/or ASD. Weight and shape concerns were on a par with age-matched adolescents with EDs. EDs and ED behavior are more common among children/adolescents with obesity than in the general population. There is no substantial overlap between EDs and ADHD/ASD in adolescents with obesity.
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Dalle Grave, Riccardo, and Simona Calugi. "Cognitive behaviour therapy for adolescents with eating disorders: An effective alternative to the disease-based treatments." IJEDO 4 (January 10, 2022): 1–5. http://dx.doi.org/10.32044/ijedo.2022.01.

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Several clinical services offer eclectic multidisciplinary treatments with no evidence of efficacy and effectiveness for adolescents with eating disorders. These treatments are usually based on the ‘disease model’ of eating disorders. The model postulates that eating disorders are the result of a specific disease (i.e., anorexia nervosa, bulimia nervosa or other eating disorders), and patients are considered not to have control of their illness. Therefore, they need the external control of parents and/or health professionals. In this model, the patients adopt a passive role in the treatment. On the contrary, enhanced cognitive behaviour therapy (CBT-E) for adolescents is based on a ‘psychological model’ of eating disorders. Patients are helped to understand the psychological mechanisms that maintain their eating disorder and are ‘actively’ involved in the recovery process. Clinical studies showed that more than 60% of adolescent patients who complete the treatment achieve a full response at 12-month follow-up. The treatment is well accepted by young people and their parents, and its collaborative nature is well suited to ambivalent young patients who may be particularly concerned about control issues and for parents who cannot participate in all treatment sessions.
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Ma'sunnah, Khoirum, Heri Purnama Pribadi, and Dian Agnesia. "HUBUNGAN PENGETAHUAN GIZI, PERSEPSI CITRA TUBUH DAN GANGGUAN MAKAN DENGAN STATUS GIZI REMAJA PUTRI SEKOLAH MENENGAH KEJURUAN DI KABUPATEN GRESIK." Ghidza Media Jurnal 3, no. 1 (October 4, 2021): 207. http://dx.doi.org/10.30587/ghidzamediajurnal.v3i1.3084.

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Adolescents are a group that is vulnerable to health problems and nutrition, especially in adolescent girls. The emergence of nutritional problems in adolescent girls can be caused by: by a extreem diet, physical activity, knowledge of nutrition, poor eating habits and lifestyle ( life style ) such as body image ( body image ). Besides that in the view of the young women a good body is a slim body so that many teenagers feel dissatisfied and not confident if the body is not slim then, this body image is the trigger level the emergence of eating disorders in adolescents. This study aims to identify and analyze the relationship between nutritional knowledge, perception of body image and disorders eating with nutritional status of adolescent girls in vocational high schools in Gresik Regency. This research is an Analytical Observational study with a Cluster Random design Sampling with respondents as many as 87 respondents who were selected by purposive sampling. The instrument used in this study was a nutritional knowledge questionnaire, questionnaire BSQ-34, EAT-26 questionnaire and food recall questionnaire 1 x 24 hours as additional data intake respondent energy. Data analysis using Chi-Square test and spearman test. The results shows that most of the respondents have good nutritional status (82.2%), there are (65.6%) respondents have sufficient knowledge of nutrition, there are (40.2%) respondents feel dissatisfied with their body image, there are (41.4%) respondents at risk of having eating disorders and eating disorders most of the respondents experienced a severe energy deficit with an average energy of 776 kcal. Test statistics between nutritional knowledge and nutritional status (p= 0.000), body image and nutritional status (p= 0.129) and eating disorders with nutritional status (p = 0.465). The conclusion, there is a relationship knowledge of nutrition with nutritional status of adolescent girls and there is no relationship body image, eating disorders with nutritional status of adolescent girls in Gresik Regency.
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Martino, Sara, and David Lester. "Menarche and Eating Disorders." Psychological Reports 113, no. 1 (August 2013): 315–17. http://dx.doi.org/10.2466/15.02.pr0.113x15z5.

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160 undergraduate women ( M age = 20.3, SD = 1.52) were assessed for depression, drug abuse, and eating disorders. The age of menarche was positively correlated with higher scores on a screening measure for eating disorders, a finding opposite to past studies for adolescent girls.
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Albuquerque, C., S. Regalo, and S. Pires. "Eating disorders in adolescents Portuguese." European Psychiatry 26, S2 (March 2011): 710. http://dx.doi.org/10.1016/s0924-9338(11)72415-4.

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IntroductionThe eating disorders are serious psychological problems which particularly affect young women. In this context, and in view of epidemiological data are still scarce in Portugal, is of great interest to boost a current and ongoing research.ObjectiveThis study aims to identify and characterize, in Portuguese adolescents, behavioral and psychological dimensions associated with eating disorders Methods: Using quantitative methods, the study focused on a group of 458 adolescent students, aged between 15 and 20 years (average: 16.86), mostly female (58.70%), attending the tenth grade (37.80%) and without having to diet at the present time (74.70%). As measurement instruments were used anthropometric data and “Eating Disorders Inventory - EDI (Garner, Olmsted & Polivy, 1983).ResultsThe female adolescents tend to have higher results in the clinical subscales of EDI, suggesting a higher level of psychological distress. An analysis of age distribution of adolescents shows a peak for the characteristic signs of anorexia at 16 and a peak for the symptoms of bulimia at 20. Finally, adolescents who are currently dieting tend to score higher on all subscales of EDI, which suggests they tend to seek more leanness, feel greater body dissatisfaction, interpersonal distrust increased, fear of maturity and also a greater general feeling of powerlessness, insecurity, low self-esteem and loss of control over their lives.ConclusionsAfter it performed this situation diagnosis, we intend to formulate a proposal of intervention in school environment, in the scope of Health Education, that can help these young it will carry out his healthier form life project.
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Ranalli, Dennis N., and Deborah Studen-Pavlovich. "Eating Disorders in the Adolescent Patient." Dental Clinics of North America 65, no. 4 (October 2021): 689–703. http://dx.doi.org/10.1016/j.cden.2021.06.009.

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Lepkowska, Dorothy. "Identifying eating disorders in adolescent boys." British Journal of School Nursing 6, no. 6 (July 2011): 282–83. http://dx.doi.org/10.12968/bjsn.2011.6.6.282.

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Reijonen, Jori H., Helen D. Pratt, Dilip R. Patel, and Donald E. Greydanus. "Eating Disorders in the Adolescent Population:." Journal of Adolescent Research 18, no. 3 (May 2003): 209–22. http://dx.doi.org/10.1177/0743558403018003002.

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Pratt, Helen D., Elaine L. Phillips, Donald E. Greydanus, and Dilip R. Patel. "Eating Disorders in the Adolescent Population:." Journal of Adolescent Research 18, no. 3 (May 2003): 297–317. http://dx.doi.org/10.1177/0743558403018003007.

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Steinhausen, H. C., S. Boyadjieva, M. Griogoroiu-Serbanescu, and K. J. Neumärker. "The outcome of adolescent eating disorders." European Child & Adolescent Psychiatry 12 (January 1, 2003): 1. http://dx.doi.org/10.1007/s00787-003-1112-x.

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Whitelaw, M., H. Gilbertson, K. J. Lee, and S. M. Sawyer. "Restrictive Eating Disorders Among Adolescent Inpatients." PEDIATRICS 134, no. 3 (August 25, 2014): e758-e764. http://dx.doi.org/10.1542/peds.2014-0070.

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Yoon, Tae-Il, Esther Thorson, and Myoung-chun Lee. "Body Image Processing in Korean Adolescent and College-Aged Females." Communication and Culture in Korea 13, no. 1 (June 6, 2003): 141–61. http://dx.doi.org/10.1075/japc.13.1.09yoo.

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Research on body image has neglected a number of factors that seem likely to influence individuals’ eating disorders. This study looks at eating disorder relationships with age, cultural background, physical and psychological factors, amount and type of media exposure, and body image processing (i.e., comparing and endorsing thin ideals). Survey results from a sample of 376 Korean adolescent and college-aged females confirmed the mediating effect body image processing had on eating disorder indicators. Although striking age differences were found in the relationship between media use and eating disorders, there were also similarities between the two age groups. Comparing and endorsing thin ideals played a more important role among adolescent girls than among college-aged women. Contrary to previous research reported in the U.S., exposure to television “thin drama” was not a significant predictor of Korean females’ body image disturbance. Instead, exposure to foreign media had direct and indirect impacts on eating disorders among Korean females. Implications of the age and cross-cultural differences were discussed.
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Castagnini, A. C., L. Foldager, E. Caffo, and P. H. Thomsen. "Early-adult outcome of child and adolescent mental disorders as evidenced by a national-based case register survey." European Psychiatry 38 (October 2016): 45–50. http://dx.doi.org/10.1016/j.eurpsy.2016.04.005.

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AbstractBackgroundMental disorders show varying degrees of continuity from childhood to adulthood. This study addresses the relationship of child and adolescent mental disorders to early adult psychiatric morbidity.MethodsFrom a population at risk of 830,819 children and adolescents aged 6-16 years, we selected all those (n = 6043) who were enrolled for the first time in the Danish Psychiatric Register with an ICD-10 F00-99 diagnosis in 1995-1997, and identified any mental disorder for which they received treatment up to 2009.ResultsNeurodevelopmental and conduct disorders were the principal diagnostic groups at 6-16 years and exhibited a characteristic male preponderance; while affective, eating, neurotic, stress-related and adjustment disorders were more common in girls. Over a mean follow-up period of 10.1 years, 1666 (27.6%) cases, mean age 23.4 years, were referred for treatment to mental health services, and they had a markedly higher risk than the general population (RR 5.1; 95% CI 4.9-5.4). Affective, eating, neurodevelopmental, obsessive-compulsive and psychotic disorders had the strongest continuity. Heterotypic transitions were observed for affective, eating, neurodevelopmental, personality and substance use disorders.ConclusionsThese findings suggest that individuals with psychiatric antecedents in childhood and adolescence had a high risk of being referred for treatment in early adulthood, and many mental disorders for which they required treatment revealed both homotypic and heterotypic continuity.
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Petisco-Rodríguez, Cristina, Laura C. Sánchez-Sánchez, Rubén Fernández-García, Javier Sánchez-Sánchez, and José Manuel García-Montes. "Disordered Eating Attitudes, Anxiety, Self-Esteem and Perfectionism in Young Athletes and Non-Athletes." International Journal of Environmental Research and Public Health 17, no. 18 (September 16, 2020): 6754. http://dx.doi.org/10.3390/ijerph17186754.

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Eating disorders are associated with short and long-term consequences that can affect sports performance. The purposes of this study were to investigate whether female athletes, particularly gymnasts and footballers, exhibit more eating problems compared to female non-athletes, and to identify individual personality characteristics including anxiety, self-esteem, and perfectionism as possible contributors to eating disorder risk. In a sample of 120 participants, 80 adolescent female athletes were compared to a control condition of 40 non-athletes (mean age 17.2 ± 2.82). Participants responded to a questionnaire package to investigate the presence of disordered eating (SCOFF) and psychological variables in relation to disordered eating symptoms or eating disorder status. Subsequently, anthropometric measures were obtained individually by trained staff. There were statistically significant differences between conditions. One of the most important results was the score in SCOFF (Mann–Whitney = 604, p < 0.05; Cohen’s d = 0.52, r = 0.25), being higher in control than in the gymnast condition. These results suggest that non-athlete female adolescents show more disturbed eating behaviours and thoughts than female adolescents from aesthetic sport modalities and, therefore, may have an enhanced risk of developing clinical eating disorders.
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Hoy, M. K., I. Contento, J. Books-Gunn, J. Graber, and M. P. Warren. "Eating patterns of adolescent girls with Subclintcal eating disorders." Journal of the American Dietetic Association 95, no. 9 (September 1995): A29. http://dx.doi.org/10.1016/s0002-8223(95)00454-8.

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Cobelo, Alicia Weisz, and Ana Paula Gonzaga. "The mother-daughter relationship in eating disorders: the psychotherapy group of mothers." Revista Latinoamericana de Psicopatologia Fundamental 15, no. 3 suppl 1 (September 2012): 657–67. http://dx.doi.org/10.1590/s1415-47142012000500003.

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Psychotherapeutic interventions that bring about differentiation, separation, individuation and autonomy in the mother-daughter relationship are recommended as treatment for eating disorders. With this goal in mind, a psychotherapy group for mothers was organized in an outpatient program for adolescents with eating disorders at a public institution, as one of the psychotherapeutic approaches in the multidisciplinary treatment of adolescent patients. Evidence suggests that this approach can be relevant and effective in the treatment of eating disorders.
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Mcdermott, Brett M., Mary Batik, Lynne Roberts, and Peter Gibbon. "Parent and Child Report of Family Functioning in a Clinical Child and Adolescent Eating Disorders Sample." Australian & New Zealand Journal of Psychiatry 36, no. 4 (August 2002): 509–14. http://dx.doi.org/10.1046/j.1440-1614.2002.01043.x.

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Objective: To investigate parent and self-report of family dysfunction in children and adolescents with eating disorders. Further, to investigate family functioning differences across the eating disorders diagnostic groups; anorexia nervosa, eating disorders not otherwise specified (EDNOS) and bulimia nervosa, and between the restricting and binge-purge eating disorders behavioural subtypes. Methods: The Family Adjustment Device General Functioning Scale (FAD-GFS) was administered to 100 children and their parents who presented consecutively at an eating disorders assessment clinic. DSM-IV eating disorders diagnoses in this group included 42 children diagnosed with anorexia nervosa, 26 with EDNOS, 12 with bulimia nervosa and 20 diagnosed as having no eating disorder. Results: Both the parent and child FAD-GFS report demonstrated high internal consistency supporting the suitability of this instrument for research with this sample. Parent and child reports were moderately positively correlated. Total scores for all eating disorders diagnostic categories were significantly higher than community norms. Anorexia nervosa, EDNOS and bulimia nervosa groups did not significantly differ on parent or child reports. FAD-GFS profiles for restricters and binge-purgers suggest higher levels of family dysfunction in the families of binge purgers. Conclusions: The FAD-GFS has suitable psychometric properties for use as a summary instrument with young people diagnosed with an eating disorder. However, more informative instruments assaying a greater range of constructs, especially in the impulsive, dyscontrol domain, are required to investigate differences among eating disorders diagnostic groups and behavioural subtypes.
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Brown, Melanie, Ayelet Hochman, and Nadia Micali. "Emotional instability as a trait risk factor for eating disorder behaviors in adolescents: Sex differences in a large-scale prospective study." Psychological Medicine 50, no. 11 (August 5, 2019): 1783–94. http://dx.doi.org/10.1017/s0033291719001818.

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AbstractBackgroundTemperament and personality traits, including negative emotionality/neuroticism, may represent risk factors for eating disorders. Further, risk factors may differ by sex. We examined longitudinal temperament/personality pathways of risk for purging and binge eating in youth stratified by sex using data from a large-scale prospective study.MethodsTemperament, borderline personality features, sensation seeking, ‘big five’ personality factors, and depressive symptoms were measured at five time points from early childhood to adolescence in 5812 adolescents (3215 females; 2597 males) in the Avon Longitudinal Study of Parents and Children. We conducted univariate analyses with these predictors of binge eating and purging at 14 and 16 years for total and sex-stratified samples. We used structural equation modeling (SEM) to fit data to a path analysis model of hypothesized associations.ResultsOf the total sample, 12.54% engaged in binge eating and 7.05% in purging by 16 years. Prevalence was much greater and increased dramatically for females from 14 years (7.50% binge eating; 2.40% purging) to 16 years (15.80% binge eating; 9.50% purging). For both sexes, borderline personality, depressive symptoms and lower emotional stability predicted eating disorder behaviors; sensation seeking and conscientiousness were also significant predictors for females. SEM identified an ‘emotional instability’ pathway for females from early childhood into adolescence (RMSEA = 0.025, TLI = 0.937 and CFI = 0.970).ConclusionsBinge eating and purging are common in female and male adolescents. Early temperament/personality factors related to difficulty regulating emotions were predictive of later adolescent eating disorder behaviors. Results have important clinical implications for eating disorder prevention and intervention.
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Hergenroeder, Albert C., Constance M. Wiemann, Christopher Henges, and Amanda Dave. "Outcome of adolescents with eating disorders from an adolescent medicine service at a large children’s hospital." International Journal of Adolescent Medicine and Health 27, no. 1 (February 1, 2015): 49–56. http://dx.doi.org/10.1515/ijamh-2013-0341.

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Abstract Objective: To describe outcomes of adolescents with eating disorders treated by an interdisciplinary adolescent medicine service at a large children’s hospital and to identify factors, including hospitalization, associated with outcome. Design: The study design was a retrospective chart review of patients. Setting: The setting was an inpatient and outpatient adolescent service in a large urban children’s hospital. Participants: A total of 218 adolescents diagnosed with anorexia nervosa, bulimia nervosa, or eating disorder not otherwise specified participated in the study. Intervention: Interdisciplinary inpatient and outpatient treatment for eating disorders was adopted for intervention. Outcome measures: Patient outcomes were categorized as fully recovered, partially recovered/improved, or poorly recovered/exhibiting chronicity. Results: Being admitted to the study hospital once and longer duration of follow-up were associated with full or partial recovery. In contrast, being readmitted to the study hospital and longer duration of illness prior to the initial contact with this service were associated with poor recovery. Premorbid obesity was unrelated to outcome. Conclusions: Earlier detection and referral of adolescents with eating disorders are needed because a high percentage of patients, especially those with anorexia nervosa, required hospitalization at initial contact. The benefits of inpatient admission may extend beyond medical stabilization of the most medically compromised patients to include improved therapeutic relationship with the treatment team and improved follow-up. Many patients prematurely terminate treatment; factors contributing to premature termination of therapy need further exploration.
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Semenova, N., H. Slobodskaya, and E. Rezun. "Suicidal Behavior in Adolescent Girls with Eating Disorders." European Psychiatry 65, S1 (June 2022): S383. http://dx.doi.org/10.1192/j.eurpsy.2022.972.

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Introduction Eating disorders are associated with suicidal behavior in adolescents. But the relationship between subthreshold eating disorders and suicidality is not well understood. Objectives To examine suicidal behavior in adolescent girls with eating disorders (ED) and subthreshold eating disorders (SED). Methods The study of 917 girls aged 12–17 used the Body Image and Eating Distress scale (Koskelainen et al., 2001) and questions about intentional self-harm (burns or cuts), suicidal thoughts and suicidal attempts. Adolescents were divided into three groups: girls with ED (n = 20); girls with SED (n = 88); and control group (CG, n = 809). Results Self-harm was reported by 55% of girls with ED, 35.2% of girls with SED and 20.2% of CG girls (χ2 = 15.82, p <0.001). Suicidal ideation was reported by 65% of girls with ED, 51.1% of girls with SED and 27.2% of CG girls (χ2 = 21.86, p <0.001). Suicidal attempts were reported by 45% of girls with ED, 17.1% of girls with SED and 7.5% of the CG. There were no differences in the prevalence of self-harm and suicidal ideation between the ED and SED groups, rates of suicide attempts were 2.6 times higher in the ED group. Conclusions Girls with both ED and SED have a high risk of suicidal behavior: 2.7-4.5 times higher rates of self-harm, 1.9-2.4 times higher rates of suicidal ideation, and 2.3-6 times higher rates of suicidal attempts. Management of such adolescents should include assessment of the risk of suicide. Disclosure The study was supported by the Russian Science Foundation grant # 21-15-00033.
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BURGE, DORLI, CONSTANCE HAMMEN, JOANNE DAVILA, SHANNON E. DALEY, BLAIR PALEY, NANGEL LINDBERG, DAVID HERZBERG, and KAREN D. RUDOLPH. "The relationship between attachment cognitions and psychological adjustment in late adolescent women." Development and Psychopathology 9, no. 1 (March 1997): 151–67. http://dx.doi.org/10.1017/s0954579497001119.

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This longitudinal study of 137 female high school seniors investigated the relationship of attachment cognitions, current psychological functioning, and psychological functioning 12 months later. Attachment cognitions, assessed with the Revised Adult Attachment Scale and the Inventory of Parent and Peer Attachment, were significantly associated with current symptomatology. The Revised Adult Attachment Scale, in interaction with initial symptomatology, predicted depression, substance abuse, eating disorders, and personality disorders 12 months later. The Inventory of Parent and Peer Attachment parent subscales predicted eating disorder and personality disorder symptomatology, whereas the peer subscales predicted substance abuse, eating disorder, and personality disorder symptomatology.
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Riva, Anna, Maria Pigni, Nunzia Delia Albanese, Mariella Falbo, Simona Di Guardo, Eleonora Brasola, Francesco Biso, and Renata Nacinovich. "Eating Disorders in Children and Adolescent Males: A Peculiar Psychopathological Profile." International Journal of Environmental Research and Public Health 19, no. 18 (September 11, 2022): 11449. http://dx.doi.org/10.3390/ijerph191811449.

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(1) Background: Eating Disorders (EDs) are severe psychiatric disorders with high rates of mortality, multiple medical and psychiatric comorbidities associated, and often chronic illness. Historically, EDs are among the most gendered of psychiatric illnesses, and male presentations have been perceived as rare and unusual. This perception resulted in the systematic underrepresentation of males in research on Eds, and as consequence, in a scarcity of research investigating clinical and psychological features in this population. (2) Methods: The present study aims to evaluate clinical and psychopathological features in a sample of 287 children and adolescents, 27 males and 260 females with EDs, in order to identify similarities and differences. (3) Results: Males were younger than females, with similar medical and clinical conditions, but a different distribution of typology of EDs in middle childhood and middle adolescents. The Eating Disorders Inventory-3, TAS-20 for alexithymia and CDI for depressive symptoms’ profiles are similar, while males showed higher scores at the global indexes of Symptom Checklist 90-Revised test in early adolescence. (4) Conclusions: Results suggest gender-specific similarities and differences in clinical and psychological features in children and adolescent males, which may require specific diagnosis and treatment.
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Schmidt, Sarah, and Christoph Randler. "Morningness-Eveningness and Eating Disorders in a Sample of Adolescent Girls." Journal of Individual Differences 31, no. 1 (January 2010): 38–45. http://dx.doi.org/10.1027/1614-0001/a000005.

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Eating disorders and morningness-eveningness preferences are presumed to be associated with each other. We tested this hypothesis in an adolescent population using a questionnaire for morningness (CSM) and three scales of the EDI-2: drive for thinness, bulimic behavior, and body dissatisfaction. After controlling for age and BMI, we found a positive association between eveningness and all three scales; evening-oriented girls reported higher values in eating disorders. There was a positive correlation between body dissatisfaction and drive for thinness on the one side and bedtimes during the week and on the weekend on the other, again supporting the view that eveningness and eating disorders are associated. The association between circadian preference and eating disorders thus emerges already in adolescence.
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