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Assessment of Eating Disorder Symptoms In Children and Adolescents

  • Chapter
Assessing Childhood Psychopathology and Developmental Disabilities

The most recent diagnostic classification system delineated by the American Psychiatric Association (DSM—IV; American Psychiatric Association, 2000) is not sensitive to the expression of disordered eating in children and adolescents (Cooper, Watkins, Bryant-Waugh, & Lask, 2002). The issues are complex. First, symptom expression in children and adolescents may manifest differently than in adults due to developmental influences on cognition, affect, and physical maturation. Second, children and adolescents may require different symptom thresholds for diagnosis given the sensitivity and importance of nutritional health for these age groups. Indeed, malnourishment may have permanent negative effects on cognitive and emotional functioning, sexual maturation, and physical growth, damage that may be particularly pronounced during this sensitive developmental period (Oninla, Owa, Onayade, & Taiwo, 2007). The end result of these challenges is that clinicians may fail to detect children and adolescents in need of intervention, the failure to detect lower symptom thresholds may have permanent negative health consequences, diminished sensitivity to the age-related expression of symptoms may interfere with appropriate treatment formulation, and the failure to consider developmental nuances may prevent the advance of a meaningful research agenda. This chapter is intended to address these important issues by proposing strategies for assessment that consider developmentally sensitive manifestations of eating disturbance in children and adolescents for the purposes of diagnosis and case formulation.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, 27705

    Nancy Zucker

  2. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, 27710

    Rhonda Merwin, Camden Elliott, Jennifer Lacy & Dawn Eichen

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  3. Camden Elliott
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  4. Jennifer Lacy
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  1. Department of Psychology, Louisiana State University, Baton Rouge, LA, 70803

    Johnny L. Matson  & Michael L. Matson  & 

  2. Department of Psychology, University of West Florida, Pensacola, FL, 32514-5751

    Frank Andrasik

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Zucker, N., Merwin, R., Elliott, C., Lacy, J., Eichen, D. (2009). Assessment of Eating Disorder Symptoms In Children and Adolescents. In: Matson, J.L., Andrasik, F., Matson, M.L. (eds) Assessing Childhood Psychopathology and Developmental Disabilities. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09528-8_14

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