ArticleEating and weight disorders : EWD2022
Eating disorder severity and psychological morbidity in adolescents with anorexia nervosa or atypical anorexia nervosa and premorbid overweight/obesity.
Article in Eating and weight disorders : EWD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- A systematic review of weight stigma and disordered eating cognitions and behaviors.Body image · 2024Pooled it
- Famine, plague, and slaughters: The fleeing famine hypothesis of anorexia nervosa reconsidered.Psychological review · 2026Article
- The intensive outreach programme for child and adolescent eating disorders: an uncontrolled case series of clinical characteristics and treatment outcomes.Journal of eating disorders · 2026Article
- Observational
- The Relationship Between Premorbid Weight Status and Eating Disorder Onset in Adolescents: A Longitudinal Study.The International journal of eating disorders · 2026Article
- A comparison of methods for calculating expected body mass indices among youth with eating disorders.Journal of eating disorders · 2026Article
- Do Weight Suppression and Body Mass Index Predict Daily Body Image and Eating Urges in Non-Clinical Adults?European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Clinician's Experience of Working with an Intensive Outpatient Programme for Child and Adolescent Eating Disorders-A Reflexive Thematic Analysis.Behavioral sciences (Basel, Switzerland) · 2026Article
- An Exploration of Clinical Characteristics and Treatment Outcomes Associated with Dietetic Intervention in Adolescent Anorexia Nervosa.Nutrients · 2024Article
- Growing up in a larger body: youth- and parent-reported triggers for illness and barriers to recovery from anorexia nervosa.Journal of eating disorders · 2024Article
- Understanding community provider practices in diagnosing and treating atypical anorexia nervosa: A mixed methods study.The International journal of eating disorders · 2024Article
- Naturalistic symptom trajectories of atypical anorexia nervosa, anorexia nervosa, and bulimia nervosa in a prospective cohort study of United States college students.The International journal of eating disorders · 2024Article
- Comparisons between atypical anorexia nervosa and anorexia nervosa: Psychological and comorbidity patterns.The International journal of eating disorders · 2024Article
- Do risk factors differentiate DSM-5 and drive for thinness severity groups for anorexia nervosa?Journal of eating disorders · 2024Article
- Comparison among anorexia nervosa adolescents with or without previous overweight, obese, and healthy adolescents.Frontiers in psychiatry · 2024Article
- "You Don't Look Anorexic": Atypical anorexia patient experiences of weight stigma in medical care.Body image · 2023Article
- Children's eating attitudes test (ChEAT): validation and reliability in Turkish children.Journal of eating disorders · 2023Article
- An exploration of the association between premorbid weight status on patient and caregiver factors at pre and post-treatment among youth with anorexia nervosa/atypical anorexia nervosa.Eating behaviors · 2023Article
- Approach to anorexia nervosa and atypical anorexia nervosa in adolescents.Canadian family physician Medecin de famille canadien · 2023Review
- Case report: Anorexia nervosa and unspecified restricting-type eating disorder in Jewish ultra-orthodox religious males, leading to severe physical and psychological morbidity.Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA significant proportion of adolescents with anorexia nervosa (AN) or atypical anorexia nervosa (AAN) experience premorbid overweight/obesity, yet distinct characteristics among this subset of patients remain unclear. This study examined eating disorder (ED) symptom severity, psychological morbidity, and weight stigma in patients with premorbid overweight/obesity as compared to patients with premorbid normal weights.
methodsParticipants included adolescents with AN or AAN (aged 12-18) who received multidisciplinary treatment at a pediatric medical center in the United States. ED symptoms, anxiety, and depression were compared among patients with premorbid overweight/obesity (n = 43) and premorbid normal weights (n = 63). Associations between weight stigma, ED severity, and psychological morbidity were also examined.
resultsPatients with premorbid overweight/obesity reported greater ED severity (p = 0.04), anxiety (p < 0.003), depression (p = 0.02), and a higher frequency of weight-based teasing by peers (p = 0.003) and parent weight talk about their own weights (p < 0.001). Weight-based teasing was positively associated with ED symptoms, anxiety, and depression for all patients, regardless of premorbid weight status.
conclusionsAdolescents with AN or AAN and a history of overweight/obesity may present with greater ED symptom severity and psychological morbidity than patients with normal weight histories. Distinct prevention and treatment interventions for adolescents with AN or AAN and premorbid overweight/obesity may be warranted. LEVEL OF EVIDENCE: Level III, case-control analytic study.
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