Eating disorders affect an estimated 5 million Americans everyyear. These illnesses anorexia nervosa, bulimia nervosa,binge-eating disorder, and their variants are characterizedby a serious disturbance in eating, such as restriction of intakeor bingeing, as well as distress or excessive concern aboutbody shape or body weight. In addition to their effects on psychologicalwell-being, they have a potentially devastating effect on healththrough the physiologic sequelae of altered nutritional statusor purging. The mortality rate associated with anorexia nervosaalone, at 0.56 percent per year, is more than 12 times as highas the mortality . . . [Full Text of this Article]
Epidemiology, Cause, and Outcome
Assessment
Medical Assessment
Psychiatric Assessment
Outpatient Management
Medical Treatment
Psychiatric Treatment
Summary
Source Information
From the Departments of Psychiatry (A.E.B., D.B.H.), Pediatrics (D.B.H.), and Medicine (S.K.G., A.K.), Massachusetts General Hospital and Harvard Medical School; and the Harvard Eating Disorders Center, Harvard Medical School (A.E.B., D.B.H.) all in Boston.
Address reprint requests to Dr. Herzog at the Harvard Eating Disorders Center, 356 Boylston St., Boston, MA 02116, or at dherzog@partners.org.
References
Related Letters:
Eating Disorders
Mehler P. S., Bravender T., Becker A. E., Grinspoon S. K., Klibanski A., Herzog D. B.
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N Engl J Med 1999;
341:614-616, Aug 19, 1999.
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