{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T16:05:43Z","timestamp":1783094743470,"version":"3.54.6"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,1,20]],"date-time":"2017-01-20T00:00:00Z","timestamp":1484870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["402784"],"award-info":[{"award-number":["402784"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study tested the hypothesis that latent class analysis (LCA) would successfully classify eating disorder (ED) symptoms in children into categories that mapped onto DSM\u20105 diagnoses and that these categories would be consistent across countries. Childhood onset ED cases were ascertained through prospective active surveillance by the Australian Paediatric Surveillance Unit, the Canadian Paediatric Surveillance Program, and the British Paediatric Surveillance Unit for 36, 24, and 14 months, respectively. Pediatricians and child psychiatrists reported symptoms of any child aged\u2009\u2264\u200912 years with a newly diagnosed restrictive ED. Descriptive analyses and LCA were performed separately for all three countries and compared. Four hundred and thirty\u2010six children were included in the analysis (Australia <jats:italic>n<\/jats:italic>\u2009=\u200970; Canada <jats:italic>n<\/jats:italic>\u2009=\u2009160; United Kingdom <jats:italic>n<\/jats:italic>\u2009=\u2009206). In each country, LCA revealed two distinct clusters, both of which presented with food avoidance. Cluster 1 (75%, 71%, 66% of the Australian, Canadian, and United Kingdom populations, respectively) presented with symptoms of greater weight preoccupation, fear of being fat, body image distortion, and over exercising, while Cluster 2 did not (all <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05). Cluster 1 was older, had greater mean weight loss and was more likely to have been admitted to an inpatient unit and have unstable vital signs (all <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01). Cluster 2 was more likely to present with a comorbid psychiatric disorder (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01). Clusters 1 and 2 closely resembled the DSM\u20105 criteria for anorexia nervosa and avoidant\/restrictive food intake disorder, respectively. Symptomatology and distribution were remarkably similar among countries, which lends support to two separate and distinct restrictive ED diagnoses.<\/jats:p>","DOI":"10.1002\/eat.22666","type":"journal-article","created":{"date-parts":[[2017,1,20]],"date-time":"2017-01-20T20:59:47Z","timestamp":1484945987000},"page":"657-664","source":"Crossref","is-referenced-by-count":35,"title":["Classification of childhood onset eating disorders: A latent class analysis"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9713-4272","authenticated-orcid":false,"given":"Leora","family":"Pinhas","sequence":"first","affiliation":[{"name":"Eating Disorders Residential Program, Ontario Shores Centre for Mental Health Sciences, Whitby Whitby Ontario Canada"},{"name":"Department of Psychiatry University of Toronto Toronto Ontario Canada"},{"name":"Eating Disorders Unit,The Hospital for Sick Children Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dasha","family":"Nicholls","sequence":"additional","affiliation":[{"name":"Great Ormond Street Institute of Child Health, University College London London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross D.","family":"Crosby","sequence":"additional","affiliation":[{"name":"Department of Biomedical Statistics and Methodology Neuropsychiatric Research Institute Fargo North Dakota United States of America"},{"name":"Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine  North Dakota United States of America"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Morris","sequence":"additional","affiliation":[{"name":"Discipline of Paediatrics and Child Health University of Sydney Sydney Australia"},{"name":"Eating Disorder Service, Children's Hospital at Westmead Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard M.","family":"Lynn","sequence":"additional","affiliation":[{"name":"Great Ormond Street Institute of Child Health, University College London London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sloane","family":"Madden","sequence":"additional","affiliation":[{"name":"Eating Disorder Service, Children's Hospital at Westmead Sydney Australia"},{"name":"Discipline of Psychiatry, University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,20]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM\u2010IV\u2010TR","author":"American Psychiatric Association","year":"2000"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004703-199308010-00001"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1995.tb01820.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2254"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.157.6.886"},{"key":"e_1_2_6_8_1","first-page":"277","article-title":"Diagnostic classification of eating disorders in children and adolescents: How does DSM\u2010IV\u2010TR compare to empirically\u2010derived categories?","volume":"49","author":"Eddy K. 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