The mission of the National Institute of Mental Health (NIMH) is to reduce the burden of mental and behavioral disorders through research, and eating disorders embody an important fraction of this burden. Although past and current research has provided important knowledge regarding the etiology, classification, pathophysiology, and treatment of…

This paper discusses work with young people during their stay on an NHS psychiatric inpatient unit, especially focusing on the end of treatment and the appropriate timing of discharge into the community. When approaching the end of an admission, various factors are considered that seem particularly relevant to the decision of when a young person…

Background: There is growing evidence that family therapy is an effective treatment for adolescent anorexia nervosa. This study aimed to ascertain the long-term impact of two forms of outpatient family intervention previously evaluated in a randomised controlled trial (RCT). Method: A five-year follow-up was conducted on a cohort of 40 patients…

Cognitive behaviour therapy (CBT) is now suggested to be the treatment of choice for bulimia nervosa. However, it is also known than no more than approximately 50% of patients recover after receiving CBT. When the first-line manual-based treatment fails, the therapist should use other empirically supported treatments, and if they do not work or…

The authors investigated mediators hypothesized to account for the effects of 2 eating disorder prevention programs using data from 355 adolescent girls who were randomized to a dissonance or a healthy weight intervention or an active control condition. The dissonance intervention produced significant reductions in outcomes (body…

The excessive influence of shape or weight on self-evaluation--referred to as overvaluation--is considered by some a central feature across eating disorders but is not a diagnostic requirement for binge eating disorder (BED). This study examined shape/weight overvaluation in 399 consecutive patients with BED. Participants completed semistructured…

This 18-month prospective study investigated factors that contributed to changes in eating disorder symptoms among adolescents living in the People's Republic of China. Five hundred forty-one Chinese middle school and high school students (182 boys, 359 girls) completed measures of eating disorder symptoms; body dissatisfaction; appearance ideal…

Discusses body image among adolescents, explaining that today's adolescents are more prone to body image distortions and dissatisfaction than ever and examining the historical context; how self-image develops; normative discontent; body image distortions; body dysmorphic disorder (BDD); vulnerability of boys (muscle dysmorphia); who is at risk;…

Examines interpersonal problem solving, relationship conflict, and social support among women with and without eating disorders. Contrary to predictions, groups did not differ on relationship conflict and social support measures. As hypothesized, disordered eating symptoms were associated with less effective problem solving in eating and weight…

Examined whether variability in cognitive and emotional reactions to binges accounts for recurrence of binge eating. Evaluated attributional, cognitive, and affective reactions to 2 successive binges among 50 nonpurging normal-weight female bingers. Analyses suggest that cognitive states evoked by particular events were better predictors of how…

Offers guidelines to assist school personnel in addressing pica, an eating disorder involving consumption of nonedible substances frequently observed in people with mental retardation. Guidelines are organized around principles that stress surveying the situation, selecting treatments (behavioral, nutritional, and/or medical), and considering the…

In Study 1 a modification of the Body Shape Questionnaire (BSQ) was developed with a sample of female undergraduates. The BSQ-R-10 yielded reliable and valid scores and was strongly related to disordered eating. In Study 2, The BSQ-R-10 was cross-validated in another sample of female undergraduates; its psychometric properties were further…

The fourth edition of the "Diagnostic Statistical Manual of Mental Disorders" (DSM) recognizes that feeding problems of infants and children are not typically the same as eating problems of adolescents, thus the addition of a broad diagnostic category, "Feeding and Eating Disorders of Infancy or Early Childhood." Subtypes are…

States that although the influence of fashion advertising on women's relationships with food and their bodies has received considerable attention, the role of food advertising in women's magazines has been virtually unexplored. Argues that food advertisements reflect and contribute to the primary precursors of eating disorders: body…

Five eating reinforcement expectancies and one dieting--thinness reinforcement expectancy were identified and their factor structure replicated on an independent sample of 557 women. Expectancies for negative reinforcement from eating characterized bulimia but not anorexia and were correlated with indexes of restraint plus disinhibition in a…