Skip to main content

Eating Disorders: Disorders of Under- and Overnutrition

  • Chapter
  • First Online:
Nutrition Guide for Physicians and Related Healthcare Professionals

Part of the book series: Nutrition and Health ((NH))

Abstract

Eating disorders represent extremes in nutrition. These extremes of under- and overnutrition can exist within the same person, as in anorexia nervosa, binge-eating/purging type, where an individual severely restricts daily caloric intake while periodically consuming extremely large amounts of food. Alternatively, the extremes can be found by definition, as in anorexia nervosa, restricting type, and binge-eating disorder. Current diagnostic criteria for eating disorders are outlined in the Diagnostic and Statistical Manual–5th Edition (DSM 5) from the American Psychiatric Association (American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 2013) and include anorexia nervosa, bulimia nervosa, binge eating disorder, and otherwise specified feeding or eating disorder (OSFED). There are several clinically significant forms of disordered eating that are included in the OSFED category that are growing in recognition, including night eating syndrome and purging disorder.

This chapter will provide diagnostic criteria for each of these forms of disordered eating and a brief overview of prevalence, assessment issues, treatment, and prevention efforts.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.

    Book  Google Scholar 

  2. Centers for Disease Control growth charts for the United States. Available at http://www.cdc.gov/growthcharts. Last Accessed 8 Feb 2016.

  3. Fichter MM, Quadflieg N. Mortality in eating disorders - results of a large prospective clinical longitudinal study. Int J Eat Disord. 2016;49:391–401.

    Article  PubMed  Google Scholar 

  4. Stiles-Shields C, Bamford B, Lock J, Le Grange D. The effect of driven exercise on treatment outcomes for adolescents with anorexia and bulimia nervosa. Int J Eat Disord. 2015;48:392–6.

    Article  PubMed  Google Scholar 

  5. Lepage ML, Crowther JH, Harrington EF, Engler P. Psychological correlates of fasting and vigorous exercise as compensatory strategies in undergraduate women. Eat Behav. 2008;9:423–9.

    Article  PubMed  Google Scholar 

  6. Stunkard AJ, Grace WJ, Wolff HG. The night-eating syndrome: a pattern of food intake among certain obese patients. Am J Med. 1955;19:78–86.

    Article  CAS  PubMed  Google Scholar 

  7. Birketvedt G, Florholmen J, Sundsfjord J, et al. Behavioral and neuroendocrine characteristics of the night-eating syndrome. JAMA. 1999;282:657–63.

    Article  CAS  PubMed  Google Scholar 

  8. Allison KC, Lundgren JD, O’Reardon JP, et al. Proposed diagnostic criteria for night eating syndrome. Int J Eat Disord. 2010;43:241–7.

    PubMed  PubMed Central  Google Scholar 

  9. Allison KC, Ahima RS, O’Reardon JP, et al. Neuroendocrine profiles associated with energy intake, sleep, and stress in the night eating syndrome. J Clin Endocrinol Metab. 2005;90:6214–7.

    Article  CAS  PubMed  Google Scholar 

  10. Keel PK. Purging disorder: subthreshold variant or full-threshold eating disorder? Int J Eat Disord. 2007;40:589–94.

    Article  Google Scholar 

  11. Keel PK, Wolfe BE, Liddle RA, DeYoung KP, Jimerson DC. Clinical features and physiological response to a test meal in purging disorder and bulimia nervosa. Arch Gen Psychiatry. 2007;64:1058–66.

    Article  PubMed  Google Scholar 

  12. Hudson JI, Hiripi E, Pope HG, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey replication. Biol Psychiatry. 2007;61:348–58.

    Article  PubMed  Google Scholar 

  13. Rand CSW, MacGregor AM, Stunkard AJ. The night eating syndrome in the general population and among post-operative obesity surgery patients. Int J Eat Disord. 1997;22:65–9.

    Article  CAS  PubMed  Google Scholar 

  14. Halmi KA. Management of anorexia nervosa in inpatient and partial hospitalization settings. In: Yager J, Powers PS, editors. Clinical manual of eating disorders. Washington, DC: American Psychiatric Publishing; 2007. p. 113–25.

    Google Scholar 

  15. Fairburn CG. Cognitive behavior therapy and eating disorders. New York: Guilford Press; 2008.

    Google Scholar 

  16. Mitchell JE, Steffen KJ, Roerig JL. Management of bulimia nervosa. In: Yager J, Powers PS, editors. Clinical manual of eating disorders. Washington, DC: American Psychiatric Publishing; 2007. p. 171–93.

    Google Scholar 

  17. Mitchell JE, Devlin MJ, de Zwaan M, Crow SJ, Peterson CB. Psychotherapy for binge eating disorder. Binge-eating disorder: clinical foundations and treatment. New York: Guilford Press; 2008. p. 58–69.

    Google Scholar 

  18. Dare C, Eisler I. Family therapy for anorexia nervosa. In: Garner DM, Garfinkel P, editors. Handbook of treatment for eating disorders. New York: Guilford Press; 1997. p. 307–24.

    Google Scholar 

  19. le Grange D, Lock J, Dymek M. Family-based therapy for adolescents with bulimia nervosa. Am J Psychother. 2003;57:237–51.

    PubMed  Google Scholar 

  20. Grilo CM, Masheb RM, Wilson GT, Gueorguieva R, White MA. Cognitive-behavioral therapy, behavioral weight loss, and sequential treatment for obese patients with binge eating disorder: a randomized controlled trial. J Consult Clin Psychol. 2011;79:675–85.

    Article  PubMed  PubMed Central  Google Scholar 

  21. McElroy SL, Hudson JI, Mitchell JE, et al. Efficacy and safety of lisdexamfetamine for treatment of adults with moderate to severe binge-eating disorder: a randomized clinical trial. JAMA Psychiat. 2015;72:235–46.

    Article  Google Scholar 

  22. Stice E, Becker CB, Yokum S. Eating disorder prevention: current evidence-base and future directions. Int J Eat Disord. 2013;46:478–85.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Becker CB, Bull S, Schaumberg K, Cauble A, Franco A. Effectiveness of peer-led eating disorders prevention: a replication trial. J Consult Clin Psychol. 2008;76:347–54.

    Article  PubMed  Google Scholar 

  24. Taylor CB, Bryson S, Luce KH, et al. Prevention of eating disorders in at-risk college-age women. Arch Gen Psychiatry. 2006;63:881–8.

    Article  PubMed  Google Scholar 

Suggested Further Reading

  • Fairburn CG. Cognitive behavior therapy and eating disorders. New York: Guilford Press; 2008.

    Google Scholar 

  • Lundgren JD, Allison KC, Stunkard AJ, eds. Night eating syndrome: research, assessment, and treatment. New York: Guilford; 2012.

    Google Scholar 

  • Mitchell JE, Devlin MJ, de Zwaan M, Crow SJ, Peterson CB. Binge-eating disorder: clinical foundations and treatment. New York: Guilford Press; 2008.

    Google Scholar 

  • Smolak L, Levine MP, eds. The Wiley handbook of eating disorders. West Sussex: Wiley Blackwell; 2015.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kelly C. Allison Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Allison, K.C., Hopkins, C.M. (2017). Eating Disorders: Disorders of Under- and Overnutrition. In: Temple, N., Wilson, T., Bray, G. (eds) Nutrition Guide for Physicians and Related Healthcare Professionals. Nutrition and Health. Humana Press, Cham. https://doi.org/10.1007/978-3-319-49929-1_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-49929-1_7

  • Published:

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-49928-4

  • Online ISBN: 978-3-319-49929-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics