Eating disorders
Abstract
Eating disorders are an important cause of physical and psychosocial morbidity in adolescent girls and young adult women. They are much less frequent in men. Eating disorders are divided into three diagnostic categories: anorexia nervosa, bulimia nervosa, and the atypical eating disorders. However, the disorders have many features in common and patients frequently move between them, so for the purposes of this Seminar we have adopted a transdiagnostic perspective. The cause of eating disorders is complex and badly understood. There is a genetic predisposition, and certain specific environmental risk factors have been implicated. Research into treatment has focused on bulimia nervosa, and evidence-based management of this disorder is possible. A specific form of cognitive behaviour therapy is the most effective treatment, although few patients seem to receive it in practice. Treatment of anorexia nervosa and atypical eating disorders has received remarkably little research attention.
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Anorexia nervosa is a severe psychiatric disorder that primarily affects adolescents and young adult women.
“Anorexia nervosa (AN) is a severe psychiatric disorder that primarily affects adolescents and young adult women (Becker et al., 1999; Fairburn and Harrison, 2003; Walsh and Devlin, 1998).”
From Feasibility of guided internet-based cognitive behavioral therapy for patients with anorexia nervosa (2022) · cites this paper as Fairburn and Harrison, 2003
Empirically-supported treatments such as CBT are estimated to be effective for only about half of individuals who seek treatment for BN and for an even smaller percentage of clients with AN.
“Empirically-supported treatments such as cognitive behavior therapy (CBT) are estimated to be effective for only about half of individuals who seek treatment for BN (Whittal, Agras, & Gould, 1999) and for an even smaller percentage of clients with AN (Fairburn & Harrison, 2003).”
From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Fairburn & Harrison, 2003
Women with PCOS have higher prevalence of risk factors for eating disorders, including excess weight, depression, anxiety, low self-esteem and poor body image.
“Women with PCOS have higher prevalence of risk factors for eating disorders, including excess weight, depression, anxiety, low selfesteem and poor body image. 119”
From Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline (2011) · cites this paper as [119]
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Validity of the Arabic version of the eating attitude test
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Twin studies and the etiology of eating disorders
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Self-citationCognitive-behavioral group psychotherapy of bulimia nervosa: Importance of logistical variables
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Strober (1997) · doi:10.1002/(sici)1098-108x(199712)22:4
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Gut feelings: the emerging biology of gut-brain communication
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Prevention of Eating Disorders in At-Risk College-Age Women
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- Authors
- Fairburn, C. G., & Harrison, P. J.
- Affiliations
- Warneford Hospital (GB)
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2003-02
- Volume
- 361
- Issue
- 9355
- Pages
- 407-416
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W4211016487
- Cited by
- 1,396
- References
- 128
- Citations by year
- 2026: 23 · 2025: 31 · 2024: 41 · 2023: 28 · 2022: 45 · 2021: 58 · 2020: 55 · 2019: 41 · 2018: 91 · 2017: 75 · 2016: 84 · 2015: 80 · 2014: 64 · 2013: 61 · 2012: 77
- FWCI
- 11.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- eating disorders, anorexia nervosa, bulimia nervosa, atypical eating disorders, adolescent girls, young women, genetic susceptibility, environmental risk factors, cognitive behavioral therapy, evidence-based treatment, psychosocial morbidity
- MeSH terms
- Anorexia Nervosa, Antidepressive Agents, Bulimia, Family, Health Priorities, Humans, Psychotherapy, Recurrence, Research, Risk Factors, Self Concept, Self-Help Groups, Antipsychotic Agents, Treatment Outcome, Evidence-Based Medicine, Genetic Predisposition to Disease, Needs Assessment
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