Eating Disorders (ages 6–18 years) • Anorexia Nervosa ￮ Restricting type ￮ Binge-eating/purging type • Bulimia Nervosa • Binge-Eating Disorder Please note that DSM-5 includes with the eating disorders the feeding disorders of pica, rumination disorders, and avoidant/restrictive food intake disorder. These will not be discussed in the context of these guidelines. All Pediatricians and mental health clinicians should screen child and adolescent patients for eating disorders. Early intervention does lead to better outcomes. SCREENING TOOLS: ADOLESCENTS • The Eating Disorder Examination Questionnaire (EDE-Q): http://cedd.org.au/wordpress/wp-content/uploads/2014/09/Eating-Disorder-ExaminationQuestionnaire-EDE-Q.pdf • Eating Disorder Inventory (EDI): https://www.parinc.com/Products/Pkey/103 • Eating Attitudes Test (EAT): https://www.seattlechildrens.org/globalassets/documents/healthcare-professionals/pal/ratings/ eat-26-rating-scale.pdf • SCOFF Questionnaire: https://www.bmj.com/content/319/7223/1467 SCREENING TOOLS: YOUNGER CHILDREN • The Kids’ Eating Disorder Survey (KEDS), https://www.ncbi.nlm.nih.gov/pubmed/8340308 • Child-Eating Attitudes Test (CHEAT), https://www.ncbi.nlm.nih.gov/pubmed/7833961 • SCOFF, https://www.bmj.com/content/319/7223/1467 CLINICAL PEARLS: ANOREXIA NERVOSA (AN) AN has a crude mortality rate of approximately 5% per decade either from medical complications or suicide. This is the HIGHEST MORTALITY rate of all mental health disorders. • Prevalence with AN for females to males is 10:1.
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