International Journal of Child and Adolescent Health ISSN: 1939-5930
Volume1, Issue 4 © 2008 Nova Science Publishers, Inc.
Editorial
Eating Disorders and Disordered Eating:
Socio-Cultural and Familial Perspectives
Associate Professor Yael Latzer
1
, DSc,
Associate Professor Daniel Stein
2
, MD and
Professor Joav Merrick
3
, MD, MMedSci,
DMSc
1
Director, Institute for the Treatment and Study of
Eating Disorders, Division of Psychiatry, Rambam,
Health Care Campus, Haifa, Israel. affiliated with the
Faculty of Social Welfare and Health Siences, Haifa
University, Israel. Email:latzer@zahav.net.il
2
Director, Pediatric Psychosomatic Department, Edmond
and Lily Safra Children’s Hospital, Chaim Sheba
Medical Center, Tel Hashomer, affiliated with the
Sackler Faculty of Medicine, Tel Aviv University, Israel.
E-mail: dstein@netvision.net.il
3
Director, National Institute of Child Health and Human
Development, Medical Director, Ministry of Social
Affairs, Jerusalem, Israel and Professor of Pediatrics,
Kentucky Children’s Hospital, University of Kentucky,
Lexington, United States of America. E-mail:
jmerrick@zahav.net.il
Editorial
Eating disorders (EDs) and disordered eating
behaviors are considered a major disease of the
modern World, being among the most prevailing
public health problems in female adolescents and
young adults in recent decades, and reaching in many
Western countries an epidemic proportion (1). EDs
are a complex, often misunderstood, bio-psycho-socio
construct, likely reflecting an inter-dependent
interaction of antecedent genetic, biological,
psychological, familial and socio-cultural parameters
(2).
The different EDs are group into several well-
known clinical entities. According to the most
updated diagnostic criteria of the American
Psychiatric Association, the Diagnostic and Statistical
Manual of Mental Disorders, 4th edition, Text
Revised (DSM-IV-TR (3), the different EDs are
categorized into anorexia nervosa (AN), bulimia
nervosa (BN), binge eating disorder (BED) and eating
disorders not otherwise specified (ED-NOS), also
termed partial, or sub-clinical, ED syndromes. The
latter group includes a variety of maladaptive eating-
related preoccupations and behaviors that do not reach
the severity of full-blown ED (4), but are distinct
from mere dieting and disturbances in body image in
having the potential to induce significant morbidity.
Furthermore, almost half of individuals with ED-NOS
may progress to the full syndrome within several
years (5). Binge Eating Disorder (BED) is currently
considered a separate provisional category in the
DSM-IV-TR (3), although formally it is still
diagnosed within the ED-NOS spectrum.
EDs can be differentiated according to weight
(low in AN, normal in BN and often overweight in
BED), and the presence or absence of bingeing and
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