Navigation Links
Many With Serious Eating Disorders Could Go Undiagnosed

Too-rigid guidelines miss urgent cases of anorexia, bulimia, researchers say

MONDAY, April 12 (HealthDay News) -- The standard criteria psychiatrists use to diagnose anorexia nervosa and bulimia may be too rigid and exclude many patients who urgently require treatment for eating disorders, a new study suggests.

These patients are typically categorized as "Eating Disorder Not Otherwise Specified" (EDNOS), which has become a "mosh pit" that lumps dissimilar patients into a single category that's poorly recognized by doctors and health insurers, according to primary author Dr. Rebecka Peebles, an adolescent medicine specialist with the Comprehensive Eating Disorders Program at Lucile Packard Children's Hospital in California.

The EDNOS label is "a bit misleading to patients -- it can make them feel like they don't have a real eating disorder," Peebles said in a hospital news release.

She and her colleagues investigated whether adolescents with EDNOS are less ill than those who meet the full diagnostic criteria for anorexia or bulimia. The researchers examined the medical records of more than 1,300 female patients treated for eating disorders at Packard Children's, and created categories of "partial anorexia nervosa" and "partial bulimia nervosa" for patients who didn't quite meet the full criteria for these diseases.

Among the findings:

  • Nearly two-thirds of the patients had been categorized as EDNOS.
  • Patients with partial anorexia were more similar to patients with full-blown anorexia than to other EDNOS patients with partial bulimia.
  • About 60 percent of the EDNOS patients met medical criteria for hospitalization and, on average, were sicker than patients diagnosed with full-blown bulimia.

The sickest EDNOS patients were those who had lost more than 25 percent of their body weight before diagnosis and had severe malnutrition. These girls had been overweight and lost weight too fast and dangerously in order to achieve what's considered a normal weight. In some ways, these girls were worse off than underweight patients diagnosed with anorexia.

"People were initially just patting them on the back for their weight loss. It often took months or years for others to realize that what they were doing didn't seem healthy," Peebles said in the news release.

She believes that the findings, published online April 12 in the journal Pediatrics, suggest the need for re-evaluation of the medical criteria for eating disorders.

More information

The U.S. National Women's Health Information Center has more about eating disorders.

-- Robert Preidt

SOURCE: Lucille Packard Children's Hospital, news release, April 12, 2010

Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Zerion Software Releases iPad Data Collection App, Making the iPad a Serious Business Tool
2. Palliative Care: Transforming the Care of Serious Illness
3. Pioneering treatment reduces disability in premature babies with serious brain hemorrhage
4. Ongoing Toyota Recall Holds Serious Liability Implications For Manufacturer, but Consumers Must Be Protected, Says Texas Attorney Brad T. Wyly
5. Review Spotlights Clues to Serious Childhood Infection
6. New Survey Finds Infertility Delivers a Serious Blow to Self-Esteem
7. Emotions should be taken seriously
8. Cholesterol-Lowering Drug Shows Promise Against Serious Infections in Sickle Cell Disease
9. Parents Not Taking Concussions Seriously Enough
10. Concussions not taken seriously enough: McMaster researcher
11. Haiti Faces Serious Health Risks in Quakes Wake
Post Your Comments:
(Date:10/13/2017)... ... 13, 2017 , ... The International Association of Eating Disorders ... for the field of eating disorders, announces the opening of early registration for ... Florida at the Omni Resort at ChampionsGate. , The annual iaedp™ ...
(Date:10/13/2017)... ... ... Apple Rehab Shelton Lakes , which specializes in the delivery of sub-acute ... of a disaster drill on October 3rd. , Apple Rehab participated with the Shelton ... well as the Connecticut Long Term Care Mutual Aid Plan (LTC-MAP). The LTC-MAP ...
(Date:10/13/2017)... ... ... Global Healthcare Management’s 4th Annual Kids Fun Run brought out many kids ... sponsored by Global Healthcare Management’s CEO, Jon Letko, is aimed at getting kids excited ... all ages; it is a non-competitive, non-timed event, which is all about having fun ...
(Date:10/13/2017)... ... ... “The Journey: From the Mountains to the Mission Field”: the story of a missionary ... Journey: From the Mountains to the Mission Field” is the creation of published author, ... ages and currently teaches a class of ladies at her church, which she has ...
(Date:10/12/2017)... ... 12, 2017 , ... Planet Fitness, one of the largest and fastest growing ... open a flagship location in Covington, LA at 401 N. U.S. Highway 190, in ... to Office Depot in the Holiday Square shopping center. Its location allows it to ...
Breaking Medicine News(10 mins):
(Date:9/25/2017)... 25, 2017   Montrium , an industry ... today—from the IQPC Trial Master Files & Inspection ... that EastHORN Clinical Services has selected eTMF ... TMF management. EastHORN, a leading European contract research ... increase transparency to enable greater collaboration with sponsors, ...
(Date:9/22/2017)... SAN DIEGO , Sept. 22, 2017 ... ll medical device is now successfully helping those with ... Union. Fibromyalgia diagnosed Amanda in ... getting dressed and washing my hair, experiencing no sleep ... body in painful spasm… I cannot recommend [the AVACEN ...
(Date:9/18/2017)... 2017 EpiVax, Inc. ("EpiVax") a ... immune engineering, today announced a new NIH-funded ... ... and presents a challenge for traditional flu ... be effective. Using state-of-the-art bioinformatics and molecular modeling methods, ...
Breaking Medicine Technology: