Navigation Links
Many With Serious Eating Disorders Could Go Undiagnosed
Date:4/12/2010

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:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson ... Recently, he has implemented orthobiologic procedures as a method for treating his patients. ... the first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced traumatic events ... turn to unhealthy avenues, such as drug or alcohol abuse, as a coping mechanism. ... tools for healthy coping following a traumatic event. , Trauma sufferers tend to feel ...
(Date:6/24/2016)... MIAMI, Fla. (PRWEB) , ... June 24, 2016 , ... ... Florida Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this ... of Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this ...
(Date:6/24/2016)... , ... June 24, 2016 , ... People across the ... Genome magazine’s Code Talker Award, an essay contest in which patients and their families ... to be presented at the 2016 National Society of Genetic Counselors (NSGC) Annual Education ...
(Date:6/24/2016)... ... 24, 2016 , ... Strategic Capital Partners, LLC (SCP) in ... investment capital for emerging technology companies. SCP has delivered investment events and ... more than a million dollars of capital investment for five companies. ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Research and Markets has announced the addition of the ... to their offering. ... World Market for Companion Diagnostics covers the world market for ... report includes the following: , World IVD ... (N. America, EU, ROW), 2015-2020 , World IVD Companion ...
(Date:6/24/2016)... 2016  Arkis BioSciences, a leading innovator in ... durable cerebrospinal fluid treatments, today announced it has ... is led by Innova Memphis, followed by Angel ... investors.  Arkis, new financing will accelerate the commercialization ... release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)... 2016 Research and Markets has ... by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), ... Parenteral) - Global Forecast to 2021" report to ... The global pharmaceutical excipients market is projected to reach ... 6.1% in the forecast period 2016 to 2021. ...
Breaking Medicine Technology: