Adolescent Bulimia Nervosa

@article{Hoste2012AdolescentBN,
  title={Adolescent Bulimia Nervosa},
  author={Renee Rienecke Hoste and Zandre Labuschagne and Daniel Grange},
  journal={Current Psychiatry Reports},
  year={2012},
  volume={14},
  pages={391-397}
}
Onset of bulimia nervosa (BN) typically occurs in adolescence and is frequently accompanied by medical and psychiatric sequelae that may have detrimental effects on adolescent development. Potentially serious medical consequences and high comorbid rates of mood disorders and suicidality underscore the need for early recognition and effective treatments. Research among adolescents with BN has lagged behind that of adults, although evidence is accumulating to support the efficacy of family-based… 
Bulimia Nervosa/Purging Disorder.
[The affective pathology in patients with adolescent bulimia nervosa].
  • V. Grachev
  • Psychology, Medicine
    Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
  • 2017
TLDR
The common forms of affective disorders comorbid with adolescent BN were dysthymia and bipolar affective disorder (BAD) type II and the best outcome was seen in patients with single episode of psychogenic endoform depression.
Eating Disorders in Children and Adolescents: State of the Art Review
TLDR
Outpatient family-based treatment focused on weight restoration, reducing blame, and empowering caregivers has emerged as particularly effective; cognitive behavioral therapy, individual therapy, and higher levels of care may also be appropriate.
Classification of eating disturbance in children and adolescents: proposed changes for the DSM-V.
TLDR
Lower and more developmentally sensitive thresholds of symptom severity should be used as diagnostic boundaries for children and adolescents to permit earlier identification and intervention to prevent the exacerbation of eating disorder symptoms.
Integrating Family-Based Treatment and Dialectical Behavior Therapy for Adolescent Bulimia Nervosa: Preliminary Outcomes of an Open Pilot Trial
TLDR
Preliminary findings support the utility of this integration of FBT and DBT in treating adolescent BN, although raise interesting questions as to the mechanism of symptom remission.
Pediatric Feeding and Eating Disorders: Current State of Diagnosis and Treatment
TLDR
Concerns remain regarding the validity of current diagnostic criteria for youth, including the clinical relevance of the size and frequency of binge eating episodes and 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.
Restrictive eating disorders in previously overweight adolescents and young adults
TLDR
Some patients with restrictive eating disorders are hiding in plain sight, and understanding the differences in presentation between these patients and those who have a more classic anorexia nervosa phenotype is critical to ensuring timely recognition and treatment.
Family Therapy for Child and Adolescent Eating Disorders: A Critical Review.
TLDR
This article critically review the evidence for eating disorder-focused family therapy through the lens of a moderate common factors paradigm and suggests that this treatment is likely to be effective as it provides a supportive and nonblaming context.
The relationship between drive to thinness, conscientiousness and bulimic traits during adolescence: a comparison between younger and older cases in 608 healthy volunteers
TLDR
Despite intrinsic methodological limits, the preliminary findings confirm that the transition between early and late years of adolescence is a critical phase of life span, with the consolidation of ‘conscientiousness’ eventually playing a protective role towards the onset of bulimic traits.
Brain functional changes in individuals with bulimia nervosa: a protocol for systematic review and meta-analysis
TLDR
This study aims to review the latest neurobiological evidence from studies of individuals with BN, examine the consistency of these findings and evaluate the food addiction hypothesis of the disease.
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References

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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
Lower eating concerns are the best predictor of remission for adolescents with BN, and family-based treatment of BN may be most effective in those cases with low levels of eating disorder psychopathology.
Classification of eating disturbance in children and adolescents: proposed changes for the DSM-V.
TLDR
Lower and more developmentally sensitive thresholds of symptom severity should be used as diagnostic boundaries for children and adolescents to permit earlier identification and intervention to prevent the exacerbation of eating disorder symptoms.
...
...