Eating disorder not otherwise specified in adolescents.
Abstract
Objective To examine the frequency, type, and clinical severity of eating disorder not otherwise specified (EDNOS) in adolescents seeking treatment through an outpatient eating disorders service.Method Two hundred eighty-one consecutive referrals to an eating disorders program were assessed using the Eating Disorder Examination (EDE) and self-report measures of depression and self-esteem.Results The majority of adolescents presented with EDNOS (59.1%; n = 166) relative to anorexia nervosa (AN; 20.3%; n = 57) and bulimia nervosa (BN; 20.6%; n = 58). Most EDNOS youths could be described as subthreshold AN (SAN; 27.7%; n = 46), subthreshold BN (SBN; 19.9%; n = 33), EDNOS purging (27.7%; n = 46), or EDNOS bingeing (6.0%; n = 10); yet 31 (18.7%) could not be categorized as such (EDNOS "other"). Overall differences in eating disorder pathology, depressive symptoms, and self-esteem emerged between the EDNOS types, wherein adolescents with EDNOS bulimic variants (SBN, EDNOS purging, and EDNOS bingeing) had more pathology than youths with SAN or EDNOS "other." There were no differences in these variables between AN and SAN; in contrast, compared with BN, youths with EDNOS bulimic variants reported lower EDE scores and higher self-esteem, although there were no between-group differences in depression.Conclusions As in adults with eating disorders, EDNOS predominates and is heterogeneous with regard to eating disorder pathology and associated features in an adolescent clinical sample. Lack of differences between AN and SAN suggests that the strict criteria for AN could be relaxed; differences between BN and EDNOS bulimic variants do not support their combination.
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The high prevalence estimates of subthreshold anorexia nervosa (0.8%) and subthreshold binge-eating disorder (2.5%) provide evidence for a spectrum of eating disorders among youths in the general population.
“The high prevalence estimates of SAN (0.8%) and SBED (2.5%) provide evidence for a spectrum of eating disorders among youths in the general population.17–19”
From Prevalence and Correlates of Eating Disorders in Adolescents: Results From the National Comorbidity Survey Replication Adolescent Supplement (2011) · cites this paper as [17]
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- Authors
- EDDY, K. T., CELIO DOYLE, A., RIENECKE HOSTE, R., HERZOG, D. B., & le GRANGE, D.
- Affiliations
- Harvard University (US)
- Corresponding author
- EDDY, KAMRYN T.
- ORCID
- EDDY, KAMRYN T.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2008-02
- Volume
- 47
- Issue
- 2
- Pages
- 156-164
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2051863914
- Cited by
- 153
- References
- 38
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 4 · 2019: 1 · 2018: 7 · 2017: 11 · 2016: 10 · 2015: 12 · 2014: 15 · 2013: 14 · 2012: 17
- FWCI
- 16.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Chicago
- Centers for Disease Control and Prevention (K23 MN 01923)
- National Institute of Mental Health (MH 070620, R01MH070620)
- 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 disorder not otherwise specified, adolescents, anorexia nervosa, bulimia nervosa, purging, bingeing, depressive symptoms, self-esteem, Eating Disorder Examination, diagnostic criteria
- MeSH terms
- Adolescent, Anorexia Nervosa, Feeding and Eating Disorders, Chicago, Cross-Sectional Studies, Depression, Female, Hospitals, University, Humans, Male, Personality Inventory, Referral and Consultation, Self Concept, Comorbidity, Incidence, Bulimia Nervosa
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