Eating patterns in youth with restricting and binge eating/purging type anorexia nervosa. Issue 8 (29th April 2014)

• Record Type: Journal Article
• Authors: Elran‐Barak, Roni; Accurso, Erin C.; Goldschmidt, Andrea B.; Sztainer, Maya; Byrne, Catherine; Le Grange, Daniel
• Is Part Of: International journal of eating disorders. Volume 47:Issue 8(2014:Dec.)
• Page Start: 878
• Page End: 883
• Publication Date: 2014-04-29
• Subjects: Appetite disorders -- Periodicals; Ingestion disorders -- Periodicals; Eating disorders -- Periodicals; 616.8526
• DOI: 10.1002/eat.22289
• Languages: English
• ISSNs: 0276-3478

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <sec id="eat22289-sec-0001" sec-type="section"> <title>Objective</title> <p>To describe eating patterns in youth with restricting and binge/purge type anorexia nervosa (AN) and to examine whether eating patterns are associated with binge eating or purging behaviors.</p> </sec> <sec id="eat22289-sec-0002" sec-type="section"> <title>Method</title> <p>Participants included 160 children and adolescents (<italic>M</italic> = 15.14 ± 2.17 years) evaluated at The University of Chicago Eating Disorders Program who met criteria for DSM‐5 restrictive type AN (AN‐R; 75%; <italic>n</italic> = 120) or binge eating/purging type AN (AN‐BE/P; 25%; <italic>n</italic> = 40). All participants completed the eating disorder examination on initial evaluation.</p> </sec> <sec id="eat22289-sec-0003" sec-type="section"> <title>Results</title> <p>Youth with AN‐R and AN‐BE/P differed in their eating patterns, such that youth with AN‐R consumed meals and snacks more regularly relative to youth with AN‐BE/P. Among youth with AN‐BE/P, skipping dinner was associated with a greater number of binge eating episodes (<italic>r</italic> = −.379, <italic>p</italic> < .05), while skipping breakfast was associated with a greater number of purging episodes (<italic>r</italic> = −.309, <italic>p</italic> < .05).</p> </sec> <sec id="eat22289-sec-0004" sec-type="section"> <title>Discussion</title> <p>Youth with AN‐R generally follow a regular meal schedule, but are likely consuming insufficient amounts of food across meals and snacks. In contrast, youth with AN‐BE/P tend to have more irregular eating patterns, which may play a role in binge eating and purging behaviors. Adults monitoring of meals may be beneficial for youth with AN, and particularly those with AN‐BE/P who engage in irregular eating patterns. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:878–883)</p> </sec> </abstract>