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Atypical eating disorders.

E Mitrany1

  • 1Child and Adolescent Psychosomatic Unit, Sheba Medical Center, Tel Hashomer, Israel.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|July 1, 1992
PubMed
Summary

Many eating disorder patients do not meet strict criteria for anorexia nervosa or bulimia. This study focuses on 35 atypical eating disorder cases, including Eating Disorders Not Otherwise Specified (N.O.S.) and obesity, highlighting their distinct clinical features.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Eating disorders encompass conditions beyond anorexia nervosa (A.N.) and bulimia.
  • Diagnostic criteria, such as DSM-III-R, may not capture all presentations.
  • Atypical eating disorders represent a significant subset of cases requiring further study.

Observation:

  • A study of 80 eating disorder patients identified 35 cases not meeting strict A.N. or bulimia criteria.
  • These 35 cases were classified as atypical eating disorders.
  • Within this group, 29 were diagnosed as Eating Disorders Not Otherwise Specified (N.O.S.), and 6 were classified under obesity.

Findings:

  • Atypical eating disorders present diverse clinical pictures, differing from A.N. and bulimia.
  • Some atypical cases share pathological traits with A.N. or bulimia.
  • Other atypical cases exhibit entirely different clinical manifestations.

Implications:

  • Recognizing atypical eating disorders is crucial for accurate diagnosis and treatment.
  • Further research into the specific characteristics and co-morbidities of these disorders is warranted.
  • Clinical practice should accommodate a broader spectrum of eating disorder presentations beyond established categories.

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