{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:27:18Z","timestamp":1791228438440,"version":"4.1.0"},"reference-count":37,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":2468,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The incidence of eating disorders appears stable overall, but may be increasing in younger age groups. Data on incidence, clinical features and outcome of early-onset eating disorders are sparse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To identify new cases of early-onset eating disorders (&lt;13 years) presenting to secondary care over 1 year and to describe clinical features, management and 1-year outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Surveillance over 14 months through the established British Paediatric Surveillance System, and a novel child and adolescent psychiatry surveillance system set up for this purpose.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall incidence was 3.01\/100 000 (208 individuals). In total, 37% met criteria for anorexia nervosa; 1.4% for bulimia nervosa; and 43% for eating disorder not otherwise specified. Nineteen per cent showed determined food avoidance and underweight without weight\/shape concerns. Rates of comorbidity were 41%; family history of psychiatric disorder 44%; and early feeding difficulties 21%. Time to presentation was &gt;8 months. A total of 50% were admitted to hospital, typically soon after diagnosis. Outcome data were available for 76% of individuals. At 1 year, 73% were reported improved, 6% worse and 10% unchanged (11% unknown). Most were still in treatment, and seven were hospital in-patients for most of the year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Childhood eating disorders represent a significant clinical burden to paediatric and mental health services. Efforts to improve early detection are needed. These data provide a baseline to monitor changing trends in incidence.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.bp.110.081356","type":"journal-article","created":{"date-parts":[[2011,3,29]],"date-time":"2011-03-29T11:03:12Z","timestamp":1301396592000},"page":"295-301","source":"Crossref","is-referenced-by-count":246,"title":["Childhood eating disorders: British national surveillance study"],"prefix":"10.1192","volume":"198","author":[{"given":"Dasha E.","family":"Nicholls","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Lynn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell M.","family":"Viner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000254792_ref9","doi-asserted-by":"publisher","DOI":"10.1136\/adc.62.2.114"},{"key":"S0007125000254792_ref30","volume-title":"National Inpatient Child and Adolescent Psychiatric Survey (NICAPS)","year":"2002"},{"key":"S0007125000254792_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.chc.2008.07.008"},{"key":"S0007125000254792_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/BF03327560"},{"key":"S0007125000254792_ref11","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702005664"},{"key":"S0007125000254792_ref24","doi-asserted-by":"crossref","DOI":"10.1192\/bjp.169.6.705","article-title":"The demand for eating disorder care. 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