{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:18:27Z","timestamp":1759335507193,"version":"3.37.3"},"reference-count":20,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,8,18]],"date-time":"2015-08-18T00:00:00Z","timestamp":1439856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"NIMH","doi-asserted-by":"crossref","award":["T32 MH082761"],"award-info":[{"award-number":["T32 MH082761"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>\u2003Picking and nibbling (P&amp;N), defined as eating in an unplanned and repetitious way between meals and snacks, is prevalent among adults with eating disorders (EDs), but unexamined among youth with EDs. This study sought to assess the prevalence of P&amp;N in youth with EDs and its association with ED and comorbid pathology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>\u2003Youth (<jats:italic>N<\/jats:italic>\u2009=\u2009515; ages 7\u201318) who presented to one outpatient ED research\u2010clinical program were assessed for ED and comorbid pathology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>\u2003Two\u2010fifths (<jats:italic>n<\/jats:italic>\u2009=\u2009214, 41.6%) of youth endorsed P&amp;N. These individuals were older (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) and had a higher percent expected body weight (<jats:italic>p<\/jats:italic>\u2009=\u2009.006) than those who denied P&amp;N. Controlling for age and percent expected body weight, P&amp;N was only associated with global ED pathology in youth with anorexia nervosa (AN) or atypical AN (<jats:italic>p<\/jats:italic>\u2009=\u2009.007). P&amp;N was not associated with ED diagnosis, ED pathology in youth with bulimia nervosa or subclinical bulimia nervosa, binge eating, compensatory behaviors, secret eating, or the presence of a mood or anxiety disorder (<jats:italic>p<\/jats:italic>'s\u2009&gt;\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>\u2003Consistent with research in adults, P&amp;N is prevalent but not significantly associated with ED pathology, except for global ED pathology in youth with AN\/atypical AN, or comorbid disorders. \u00a9 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:1102\u20131105).<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22444","type":"journal-article","created":{"date-parts":[[2015,8,18]],"date-time":"2015-08-18T08:18:20Z","timestamp":1439885900000},"page":"1102-1105","source":"Crossref","is-referenced-by-count":5,"title":["Picking and nibbling in children and adolescents with eating disorders"],"prefix":"10.1002","volume":"48","author":[{"given":"Andrea E.","family":"Kass","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience The University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin C.","family":"Accurso","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California San Francisco California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea B.","family":"Goldschmidt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience The University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seeba","family":"Anam","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience The University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine E.","family":"Byrne","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience The University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Kinasz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience The University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandria","family":"Goodyear","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience The University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Setareh","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neuroscience The University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Le Grange","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California San Francisco California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2011.10.005"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2014.08.010"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2009.08.011"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2013.07.001"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22167"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20853"},{"key":"e_1_2_6_8_1","first-page":"317","volume-title":"Binge Eating: Nature, Assessment and Treatment","author":"Fairburn CG","year":"1993"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22188"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2234"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.03.004"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.12.012"},{"key":"e_1_2_6_13_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, 5th ed.: DSM\u20105","author":"American Psychiatric Association","year":"2013"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22063"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/chi.0b013e31815cd9cf"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.128"},{"volume-title":"Diagnostic and Statistical Manual of Mental Disorders, 4th ed. 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