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Eating disorders among children and adolescents
1Division of Adolescent Medicine, University of Rochester School of Medicine and Dentistry, NY, USA.
Pediatrics in Review
|October 1, 1995
Summary
Pediatricians can address anorexia nervosa and bulimia nervosa by viewing them as developmental issues. This approach helps manage biologic, psychological, and social factors in children and adolescents.
Area of Science:
- Pediatrics
- Developmental Psychology
- Child Psychiatry
Background:
- Anorexia nervosa and bulimia nervosa are extreme weight control behaviors in adolescents.
- These eating disorders in children often indicate severe psychiatric or family issues.
- Current approaches may frame these conditions solely as psychiatric problems.
Purpose of the Study:
- To advocate for a developmental framework for understanding and managing eating disorders in children and adolescents.
- To position pediatricians to address the multifaceted biologic, psychological, and social aspects of these conditions.
- To broaden pediatrician's focus beyond eating disorders to include general unhealthy weight control habits.
Main Methods:
- Conceptual analysis and synthesis of existing literature on eating disorders and developmental psychology.
- Framing eating disorders within a developmental context for pediatric practice.
- Highlighting the pediatrician's existing skills in managing chronic illnesses.
Main Results:
- A developmental approach allows pediatricians to address a wider range of issues related to eating, food choices, and weight control.
- Pediatricians are well-suited to manage the long-term treatment requirements of eating disorders.
- This broader perspective enables pediatricians to support all patients in maintaining healthy habits in a culture focused on thinness.
Conclusions:
- Viewing eating disorders through a developmental lens enhances pediatricians' ability to manage these complex conditions.
- Pediatricians can play a crucial role in addressing unhealthy weight control behaviors beyond formal eating disorder diagnoses.
- A developmental perspective empowers pediatricians to promote overall health and well-being in children and adolescents facing societal pressures related to weight.