Journal of the American Academy of Child & Adolescent Psychiatry
New researchAdolescent Eating Disorders Predict Psychiatric, High-Risk Behaviors and Weight Outcomes in Young Adulthood
Section snippets
Participants
The Avon Longitudinal Study of Parents and Children (ALSPAC) is a longitudinal, population-based, prospective study of women and their children.11 All pregnant women living in the geographical area of Avon, UK, who were expected to deliver between April 1, 1991, and December 31, 1992, were invited to participate in the study. Children from 14,541 pregnancies were enrolled; 13,988 children were alive at 1 year. An additional 713 children were enrolled at age 7 years (Phases 2 and 3).11 All women
Results
Socio-demographic data of adolescents included in the study are shown in Table 2.
Discussion
EDs were common in this large UK population–based study and almost doubled in prevalence between ages 14 and 16 years. EDs that did not reach full DSM-5 diagnostic thresholds were the most common. It is difficult to compare prevalence estimates in this study with our US study because of differences in study design (birth cohort in whom all youth have a similar age in ALSPAC versus a wider age gap in the Growing Up Today Study [GUTS]), and of criteria used for diagnoses (binge eating once a week
References (54)
- et al.
Eating disorder NOS (EDNOS): an example of the troublesome ‘not otherwise specified’ (NOS) category in DSM-IV
Behav Res Ther
(2005) - et al.
Diagnostic classification of eating disorders in children and adolescents: how does DSM-IV-TR compare to empirically-derived categories?
J Am Acad Child Adolesc Psychiatry
(2010) - et al.
The co-occurrence of smoking and binge drinking in adolescence
Addict Behav
(2000) - et al.
Suicidal behavior in adolescents and adults with bulimia nervosa
Compr Psychiatry
(2014) - et al.
Anxiety in the eating disorders: understanding the overlap
Clin Psychol Rev
(2008) - et al.
Health and economic burden of the projected obesity trends in the USA and the UK
Lancet
(2011) - et al.
Cumulative prevalence of psychiatric disorders by young adulthood: a prospective cohort analysis from the Great Smoky Mountains Study
J Am Acad Child Adolesc Psychiatry
(2011) - et al.
Sociodemographic and psychiatric determinants of attrition in the Netherlands Study of Depression and Anxiety (NESDA)
Compr Psychiatry
(2012) - et al.
The incidence of eating disorders in the UK in 2000–2009: findings from the general practice research database
BMJ Open
(2013) - et al.
Prospective association of common eating disorders and adverse outcomes
Pediatrics
(2012)
Prevalence and correlates of eating disorders in adolescents. Results from the national comorbidity survey replication adolescent supplement
Arch Gen Psychiatry
Diagnostic and Statistical Manual of Mental Disorders
Prevalence and severity of DSM-5 eating disorders in a community cohort of adolescents
Int J Eat Disord
Mortality rates in patients with anorexia nervosa and other eating disorders. A meta-analysis of 36 studies
Arch Gen Psychiatry
A comparative analysis of role attainment and impairment in binge-eating disorder and bulimia nervosa: results from the WHO World Mental Health Surveys
Epidemiol Psychiatr Sci
Prevalence and correlates of disordered eating in a general population sample: the South East London Community Health (SELCoH) study
Soc Psychiatry Psychiatr Epidemiol
Cohort Profile: The ‘Children of the 90s’—the index offspring of the Avon Longitudinal Study of Parents and Children
Int J Epidemiol
Youth risk behavior surveillance—United States, 1995
J Sch Health
Comparison of self-report to interview assessment of bulimic behaviors among preadolescent and adolescent girls and boys
Int J Eat Disord
Development and evaluation of the McKnight Risk Factor Survey for assessing potential risk and protective factors for disordered eating in preadolescent and adolescent girls
Int J Eat Disord
Peer, parent, and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys
Pediatrics
Diagnosing eating disorders in adolescents: a comparison of the eating disorder examination and the development and well-being assessment
Int J Eat Disord
The Development and Well-Being Assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology
J Child Psychol Psychiatry
Frequency and patterns of eating disorder symptoms in early adolescence
J Adolesc Health
Body mass index cut offs to define thinness in children and adolescents: international survey
BMJ
Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee
World Health Organ Tech Rep Ser
Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers
Psychol Med
Cited by (156)
Stimulant prodrugs: A pharmacological and clinical assessment of their role in treating ADHD and binge-eating disorder
2024, Advances in PharmacologyTraumatic Stress and Resilience Among Transgender and Gender Diverse Youth
2023, Child and Adolescent Psychiatric Clinics of North AmericaSexual Minority College Undergraduate Students Have Worse Health-Related Quality of Life, Diet Quality, and Weight Dissatisfaction Than Their Heterosexual Peers
2023, Journal of Nutrition Education and BehaviorA reflexive thematic analysis of #WhatIEatInADay on TikTok
2023, Eating BehaviorsNot Only Metabolic Complications of Childhood Obesity
2024, Nutrients
The UK Medical Research Council (ref:74882), Wellcome Trust (ref:076467, 102215/2/13/2), and University of Bristol provide core support for the Avon Longitudinal Study of Parents and Children (ALSPAC). This research was funded by a National Institute of Health grant to Drs. Field and Micali (MH087786), and a National Institute of Health Research clinician scientist award to Dr. Micali (DHCS/08/08/012).
Dr. Horton served as the statistical expert for this research.
The authors are grateful to all of the families who took part in this study, the midwives for their help in recruiting them, and the whole ALSPAC team, including interviewers, computer and laboratory technicians, clerical workers, research scientists, volunteers, managers, receptionists, and nurses.
Disclosure: Drs. Micali, Solmi, Horton, Crosby, Eddy, Calzo, Sonneville, Swanson, and Field report no biomedical financial interests or potential conflicts of interest.