Review of the prevalence and incidence of eating disorders

Hoek, Hans W.; Hoeken, Daphne van

doi:10.1002/eat.10222

Cited by 1,186 publications

(880 citation statements)

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“…The prevalence of eating disorders in females in Western cultures is about 10 times higher than in males. 25,26 The peak age for anorexia nervosa is younger (15-19 years) than the peak age for bulimia nervosa (20-24 years). 26 While eating disorders are more prevalent in Caucasian females from middle and upper social classes, they are increasingly common across ethnic and socioeconomic groups.…”

Section: Resultsmentioning

confidence: 99%

“…25,26 The peak age for anorexia nervosa is younger (15-19 years) than the peak age for bulimia nervosa (20-24 years). 26 While eating disorders are more prevalent in Caucasian females from middle and upper social classes, they are increasingly common across ethnic and socioeconomic groups. 27 In clinic-based studies, psychiatric comorbidity, primarily affective disorders, is common, particularly among patients with mixed anorectic and bulimic features.…”

Section: Resultsmentioning

confidence: 99%

“…19 As one might expect, hospitalized eating disorder patients generally carry the diagnosis of anorexia nervosa, since that diagnosis is more likely to have medical complications and to have a higher mortality rate because of medical and psychiatric causes. Although recent community-based epidemiological studies have not been conducted to produce up-to-date estimates, in the U.S. the lifetime prevalence of anorexia nervosa has been estimated at 0.5-3.7% depending on how narrowly or broadly anorexia is defined, 29,30 while the prevalence of bulimia has been estimated at 1.1-4.2%. 30 The high ratio of nearly five inpatients with anorexia to every one inpatient with bulimia in this study is not surprising, however, considering that the hospitalized patients are children and adolescents and that anorexia in young people has life-threatening potential.…”

Section: Resultsmentioning

confidence: 99%

“…Although recent community-based epidemiological studies have not been conducted to produce up-to-date estimates, in the U.S. the lifetime prevalence of anorexia nervosa has been estimated at 0.5-3.7% depending on how narrowly or broadly anorexia is defined, 29,30 while the prevalence of bulimia has been estimated at 1.1-4.2%. 30 The high ratio of nearly five inpatients with anorexia to every one inpatient with bulimia in this study is not surprising, however, considering that the hospitalized patients are children and adolescents and that anorexia in young people has life-threatening potential. It would be interesting to compare the results of this study with comparable information on characteristics of adult inpatients with eating disorders or of pediatric inpatients with psychiatric disorders.…”

Section: Resultsmentioning

confidence: 99%

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Inpatients with eating disorders: Demographic, diagnostic, and service characteristics from a nationwide pediatric sample

Calderon

Stoep

Collett

et al. 2007

Intl J Eating Disorders

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Objective: This study describes the demographic and clinical characteristics of youth hospitalized with an eating disorder, using the Pediatric Health Information System (PHIS) database.Method: Descriptive and inferential statistics were used to examine and compare PHIS inpatients (N 5 1,713) with a primary discharge diagnosis of anorexia, bulimia, or eating disorder, not otherwise specified.Results: Of pediatric inpatients with eating disorders, 92% were female and 78% were non-Hispanic white. Their mean age was 15.3 years; 71% had anorexia; 68% had one or more comorbid psychiatric disorders; 53% stayed on a psychiatric unit; the mean length of stay was 15.7 days. Private insurance paid for 55% of hospital stays. Patients without private insurance were more likely than patients with private insurance to be Black or Hispanic and to have comorbid psychiatric diagnoses. Conclusion:This study provides new information that can be used by hospitals to anticipate developmental and treatment needs of future inpatients with eating disorders. V V C 2007 by Wiley Periodicals, Inc.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Inpatients with eating disorders: Demographic, diagnostic, and service characteristics from a nationwide pediatric sample

Calderon

Stoep

Collett

et al. 2007

Intl J Eating Disorders

View full text Add to dashboard Cite

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“…4 The prevalence of subthreshold AN, defined as one criterion short of threshold, is greater-ranging from 0.37% to 1.3%. 5,6 Although awareness of the disorder has increased, the data on changing incidence are conflicting, with some studies suggesting that the incidence is increasing [7][8][9][10][11][12][13] and others reporting stable rates.…”

Section: Epidemiologymentioning

confidence: 99%

Anorexia nervosa: Definition, epidemiology, and cycle of risk

Bulik

Reba

Siega-Riz

et al. 2005

Int. J. Eat. Disord.

134

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Randomized Clinical Trial Comparing Family-Based Treatment With Adolescent-Focused Individual Therapy for Adolescents With Anorexia Nervosa

Lock

Grange²,

Agras³

et al. 2010

Arch Gen Psychiatry

761

643

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Context Evidence-based treatment trials for adolescents with anorexia nervosa are few. Objective To evaluate the relative efficacy of family-based treatment (FBT) and adolescent focused individual therapy (AFT) for adolescents with anorexia nervosa on full remission. Design Randomized controlled trial. Setting Stanford University and The University of Chicago (April 2005 until March 2009) Participants One hundred and twenty one participants, ages 12 through 18 years with DSM-IV diagnosis of anorexia nervosa except for not requiring ammenorhea. Interventions Twenty four outpatient hours of treatment over 12 months of FBT or AFT. Participants were assessed at baseline, end of treatment (EOT), 6 months and 12 months follow-up post treatment. Main outcome measures Full remission from anorexia nervosa defined as normal weight (>95% of expected gender, age, weight for height) and mean global Eating Disorder Examination (EDE) score within 1 standard deviation of published means. Secondary outcome measures included partial remission rates (>85% of expected weight for height plus those who were fully remitted) and changes in Body Mass Index (BMI) percentile and eating related psychopathology. Results There were no differences in full remission between treatments at EOT. However, at both 6 and 12 month follow-up FBT was significantly superior to AFT on this measure. FBT was significantly superior for partial remission at EOT but not at follow-up. In addition, BMI percentile at EOT was significantly superior for FBT, but this effect was not found at follow-up. Participants in FBT also had greater changes on the EDE at EOT than those in AFT, but there were no differences at follow-up. Conclusions Although both treatments led to considerable improvement and were similarly effective in producing full remission at EOT, FBT was more effective in facilitating full remission at both follow-up points. Clinical Trials Registry Effectiveness of Family-Based Versus Individual Psychotherapy in Treating Adolescents With Anorexia Nervosa (NCT00149786)

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Review of the prevalence and incidence of eating disorders

Abstract: Only a minority of people who meet stringent diagnostic criteria for eating disorders are seen in mental health care.

Cited by 1,186 publications

References 59 publications

Inpatients with eating disorders: Demographic, diagnostic, and service characteristics from a nationwide pediatric sample

Inpatients with eating disorders: Demographic, diagnostic, and service characteristics from a nationwide pediatric sample

Anorexia nervosa: Definition, epidemiology, and cycle of risk

Randomized Clinical Trial Comparing Family-Based Treatment With Adolescent-Focused Individual Therapy for Adolescents With Anorexia Nervosa

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