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dc.contributor.authorWalker, T.
dc.contributor.authorWatson, Hunna
dc.contributor.authorLeach, D.
dc.contributor.authorMcCormack, J.
dc.contributor.authorTobias, K.
dc.contributor.authorHamilton, M.
dc.contributor.authorForbes, D.
dc.date.accessioned2017-01-30T15:08:30Z
dc.date.available2017-01-30T15:08:30Z
dc.date.created2015-02-01T20:00:58Z
dc.date.issued2014
dc.identifier.citationWalker, T. and Watson, H. and Leach, D. and McCormack, J. and Tobias, K. and Hamilton, M. and Forbes, D. 2014. Comparative Study of Children and Adolescents Referred for Eating Disorder Treatment at a Specialist Tertiary Setting. International Journal of Eating Disorders. 47 (1): pp. 47-53.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/43566
dc.identifier.doi10.1002/eat.22201
dc.description.abstract

To examine child and adolescent differences in the clinical presentation of eating disorders (EDs) at referral to a specialist pediatric program

dc.publisherJohn Wiley & Sons, Inc.
dc.subjectchild
dc.subjecteating disorders
dc.subjectanorexia nervosa
dc.subjectadolescent
dc.subjectmedical complications
dc.subjectbulimia nervosa
dc.subjectdevelopmental psychopathology
dc.titleComparative Study of Children and Adolescents Referred for Eating Disorder Treatment at a Specialist Tertiary Setting
dc.typeJournal Article
dcterms.source.volume47
dcterms.source.startPage47
dcterms.source.endPage53
dcterms.source.issn0276-3478
dcterms.source.titleInternational Journal of Eating Disorders
curtin.note

Objective: To examine child and adolescent differences in the clinical presentation of eating disorders (EDs) at referral to a specialist pediatric program. Method: This study compared cognitive, behavioral, and physical and medical features of children (≤12 years) and adolescents (13–18 years) with EDs presenting to a state-wide specialist pediatric ED service over two decades (N = 656; 8–18 years; 94% female). Results: Significant differences were found between the groups. Children were more commonly male (p < .001), had lower eating pathology scores (p < .001), were less likely to binge eat (p = .02), purge (p < .001) or exercise for shape and weight control (p < .001), and lost weight at a faster rate than adolescents (p = .009), whereas adolescents were more likely to present with bulimia nervosa spectrum disorders (p = .004). Children and adolescents did not differ significantly on mean body mass index z-score, percentage of body weight lost, or indicators of medical compromise (p > .05). Discussion: The clinical presentation of EDs differs among children and adolescents, with eating pathology and behavioral symptoms less prominent among children. Frontline health professionals require knowledge of these differences to assist with early detection, diagnosis, and prognosis.

curtin.departmentSchool of Psychology and Speech Pathology
curtin.accessStatusFulltext not available


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