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:5/29/2017)... ... 2017 , ... A New York high tech innovator and a Canadian not-for-profit ... of Artificial Intelligence (AI) in helping nudge men forward to be more proactive about ... of the Canadian Men’s Health Foundation (CMHF), whose mission is to inspire men to ...
(Date:5/28/2017)... ... ... HYPERAMS, LLC announced it will perform the inventory liquidation of ... The sale began this week and the inventory is expected to sell quickly. ... medical accessories, including blood pressure cuffs, stethoscopes, CPR masks, as well as blank polos, ...
(Date:5/28/2017)... ... 28, 2017 , ... Viewers likely know Rob Lowe from such 80s hits ... for his work on NBC’s The West Wing and Parks and Recreation. But recently, ... “Informed,” which puts the spotlight on important modern-day issues that face today’s society. One ...
(Date:5/27/2017)... ... ... In any business, follow up is critical to success. It is the same ... there will always be some patients who can’t or won’t make a immediate decision. ... it comes to presenting treatment. After the patient leaves, most practices end up ...
(Date:5/26/2017)... NY (PRWEB) , ... May 26, 2017 , ... Mediaplanet ... & Wound Care" campaign in USA Today, which will educate readers on how to ... of the campaign, a large focus is placed on melanoma. Dancing with the Stars ...
Breaking Medicine News(10 mins):
(Date:5/10/2017)... Md. , May 10, 2017 CSSi, ... solutions for the clinical research industry, is proud to ... www.CSSiEnroll.com . The new website features both enriched content ... user experience and enhances the company,s already well-established position ... industry. "After many months of hard ...
(Date:5/9/2017)... , May 9, 2017  Semler Scientific, ... provides technology solutions to improve the clinical effectiveness ... results for the first quarter ended March 31, ... products enable our customers to identify when preventive ... intervene before events like heart attacks or strokes ...
(Date:5/6/2017)... , May 5, 2017  May is Stroke ... one of the most important methods to prevent a ... the Centers for Disease Control and Prevention, undetected and ... 1 Omron, the global leader in personal heart ... the elimination of heart attack and stroke and is ...
Breaking Medicine Technology: