Current Psychiatry Reports

, 16:446

Pediatric Feeding and Eating Disorders: Current State of Diagnosis and Treatment

Authors

  • Nichole R. Kelly
    • Department of Medical and Clinical PsychologyUniformed Services University of the Health Sciences (USUHS), DoD
    • Section on Growth and Obesity, Program in Developmental Endocrinology and GeneticsEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), DHHS
  • Lisa M. Shank
    • Department of Medical and Clinical PsychologyUniformed Services University of the Health Sciences (USUHS), DoD
    • Section on Growth and Obesity, Program in Developmental Endocrinology and GeneticsEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), DHHS
  • Jennifer L. Bakalar
    • Department of Medical and Clinical PsychologyUniformed Services University of the Health Sciences (USUHS), DoD
    • Section on Growth and Obesity, Program in Developmental Endocrinology and GeneticsEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), DHHS
    • Department of Medical and Clinical PsychologyUniformed Services University of the Health Sciences (USUHS), DoD
    • Section on Growth and Obesity, Program in Developmental Endocrinology and GeneticsEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), DHHS
Eating Disorders (AS Kaplan, Section Editor)

DOI: 10.1007/s11920-014-0446-z

Cite this article as:
Kelly, N.R., Shank, L.M., Bakalar, J.L. et al. Curr Psychiatry Rep (2014) 16: 446. doi:10.1007/s11920-014-0446-z
Part of the following topical collections:
  1. Topical Collection on Eating Disorders

Abstract

The Diagnostic and Statistical Manual of Mental Disorders now recognizes six primary feeding and eating disorders including pica, rumination disorder, avoidant/restrictive food intake disorder, anorexia nervosa, bulimia nervosa and binge-eating disorder. Guided by research from the past 3 years, the current review outlines diagnostic criteria for each disorder, their clinical correlates and treatment options. Recent modifications to diagnostic criteria will likely help to improve treatment outcomes and prognosis. Nevertheless, several concerns remain regarding the validity of current diagnostic criteria for youth, including the clinical relevance of the size and frequency of binge eating episodes. Additionally, the lack of randomized controlled trials has led to an overreliance on data from quasi-experimental studies, case series and single case studies that impede development of strong clinical recommendations for treating feeding and eating disorders. Recommendations for future research include identifying empirically supported treatments and prevention programs focused on early markers of pediatric feeding and eating concerns.

Keywords

PediatricChildAdolescentEating disorderFeeding disorderBinge eatingLoss of control eatingAnorexia nervosaBulimia nervosaPicaRuminationAvoidant/restrictive food intakeCompensatory behaviorRegurgitationWeightOverweightObesity

Copyright information

© Springer Science+Business Media New York (outside the USA) 2014