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. 2020 Jan;50(1):24-29.
doi: 10.1111/imj.14691.

Current approach to eating disorders: a clinical update

Phillipa Hay  1   2
Affiliations

Current approach to eating disorders: a clinical update

Phillipa Hay. Intern Med J. 2020 Jan.

Abstract

This article presents current diagnostic conceptualisations of eating disorders, including new disorders such as binge eating disorder (BED) and avoidant/restrictive food intake disorder (ARFID). This is followed by contemporary findings in the epidemiology of eating disorders, their broad sociodemographic distribution and the increases in community prevalence. Advances and the current status of evidence-based treatment and outcomes for the main eating disorders, anorexia nervosa, bulimia nervosa and BED are discussed with focus on first-line psychological therapies. Deficits in knowledge and directions for further research are highlighted, particularly with regard to treatments for BED and ARFID, how to improve treatment engagement and the management of osteopenia.

Keywords: anorexia nervosa; binge eating disorder; bulimia nervosa; epidemiology; treatment.

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References

    1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders (5th edn) (DSM‐5). Washington, DC: American Psychiatric Association; 2013.
    1. World Health Organization . International Statistical Classification of Diseases and Related Health Problems, 11th Revision (ICD‐11). Geneva: World Health Organization; 2019.
    1. Hay P, Mitchison D, Lopez Collado AE, González‐Chica DA, Stocks N, Touyz S. Burden and health‐related quality of life of eating disorders, including avoidant/restrictive food intake disorder (ARFID), in the Australian population. J Eat Disord 2017; 5: 21. - PMC - PubMed
    1. Galmiche M, Déchelotte P, Lambert G, Tavolacci MP. Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. Am J Clin Nutr 2019; 109: 1402–13. - PubMed
    1. Udo T, Grilo CM. Prevalence and correlates of DSM‐5–defined eating disorders in a nationally representative sample of US adults. Biol Psychiatry 2018; 84: 345–54. - PMC - PubMed

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