{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T15:40:53Z","timestamp":1793029253160,"version":"4.5.0"},"reference-count":149,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,9,1]]},"abstract":"<jats:p>Despite their high prevalence, associated morbidity and mortality, and available treatment options, eating disorders (EDs) continue to be underdiagnosed by pediatric professionals. Many adolescents go untreated, do not recover, or reach only partial recovery. Higher rates of EDs are seen now in younger children, boys, and minority groups; EDs are increasingly recognized in patients with previous histories of obesity. Medical complications are common in both full and subthreshold EDs and affect every organ system. No single cause of EDs has emerged, although neurobiological and genetic predispositions are emerging as important. Recent treatment paradigms acknowledge that they are not caused by families or chosen by patients. EDs present differently in pediatric populations, and providers should have a high index of suspicion using new Diagnostic and Statistical Manual, 5th edition diagnostic criteria because early intervention can affect prognosis. 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. Pharmacotherapy is useful in specific contexts. Full weight restoration is critical, often involves high-calorie diets, and must allow for continued growth and development; weight maintenance is typically inappropriate in pediatric populations. Physical, nutritional, behavioral, and psychological health are all metrics of a full recovery, and pediatric EDs have a good prognosis with appropriate care. ED prevention efforts should work toward aligning with families and understanding the impact of antiobesity efforts. Primary care providers can be key players in treatment success.<\/jats:p>","DOI":"10.1542\/peds.2014-0194","type":"journal-article","created":{"date-parts":[[2014,8,26]],"date-time":"2014-08-26T01:14:44Z","timestamp":1409015684000},"page":"582-592","source":"Crossref","is-referenced-by-count":312,"title":["Eating Disorders in Children and Adolescents: State of the Art Review"],"prefix":"10.1542","volume":"134","author":[{"given":"Kenisha","family":"Campbell","sequence":"first","affiliation":[{"name":"The Craig Dalsimer Division of Adolescent Medicine, Department of Pediatrics, Perelman School of Medicine at The University of Pennsylvania, The Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecka","family":"Peebles","sequence":"additional","affiliation":[{"name":"The Craig Dalsimer Division of Adolescent Medicine, Department of Pediatrics, Perelman School of Medicine at The University of Pennsylvania, The Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2014,9,1]]},"reference":[{"issue":"4","key":"2021120908515354800_B1","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1007\/s11920-012-0282-y","article-title":"Epidemiology of eating disorders: incidence, prevalence and mortality rates.","volume":"14","author":"Smink","year":"2012","journal-title":"Curr Psychiatry Rep"},{"issue":"2","key":"2021120908515354800_B2","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.jadohealth.2008.07.019","article-title":"Disordered eating behaviors: what about boys?","volume":"44","author":"Domine","year":"2009","journal-title":"J Adolesc Health"},{"issue":"10","key":"2021120908515354800_B3","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1001\/archpediatrics.2011.145","article-title":"Incidence and age-specific presentation of restrictive eating disorders in children: a Canadian Paediatric Surveillance Program study.","volume":"165","author":"Pinhas","year":"2011","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"3","key":"2021120908515354800_B4","first-page":"547","article-title":"Eating disorders.","volume":"19","author":"Sigel","year":"2008","journal-title":"Adolesc Med State Art Rev"},{"issue":"2","key":"2021120908515354800_B5","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/s11920-010-0174-y","article-title":"Assessment of anorexia nervosa in children and adolescents.","volume":"13","author":"Weaver","year":"2011","journal-title":"Curr Psychiatry Rep"},{"issue":"1","key":"2021120908515354800_B6","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.chc.2008.07.005","article-title":"Adolescent eating disorders: definitions, symptomatology, epidemiology and comorbidity.","volume":"18","author":"Herpertz-Dahlmann","year":"2009","journal-title":"Child Adolesc Psychiatr Clin N Am"},{"issue":"8","key":"2021120908515354800_B7","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1176\/appi.ajp.2013.12070868","article-title":"A longitudinal investigation of mortality in anorexia nervosa and bulimia nervosa.","volume":"170","author":"Franko","year":"2013","journal-title":"Am J Psychiatry"},{"issue":"7","key":"2021120908515354800_B8","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1176\/ajp.152.7.1073","article-title":"Mortality in anorexia nervosa.","volume":"152","author":"Sullivan","year":"1995","journal-title":"Am J Psychiatry"},{"issue":"4","key":"2021120908515354800_B9","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1007\/s11920-012-0280-0","article-title":"Adolescent bulimia nervosa.","volume":"14","author":"Hoste","year":"2012","journal-title":"Curr Psychiatry Rep"},{"issue":"7","key":"2021120908515354800_B10","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1001\/archgenpsychiatry.2011.22","article-title":"Prevalence and correlates of eating disorders in adolescents. 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