Eating disorders: Early identification in general practice

Centre for Adolescent Health, Royal Children’s Hospital, Melbourne, Victoria, Australia.
Australian family physician (Impact Factor: 0.71). 03/2011; 40(3):108-11.
Source: PubMed


Eating disorders are complex illnesses that impact on both the physical and socio-emotional health of young people, and contribute to significant morbidity. Dieting behaviours and body image concerns are common in adolescence and it can be challenging to identify those at the extreme end of this spectrum who are at risk of an eating disorder.
This article presents a brief overview of eating disorders, with a focus on early identification in general practice. An approach to diagnosis is outlined together with an update on evidence based treatments.
General practitioners are uniquely placed to recognise early onset eating disorders, offer intervention and help coordinate and monitor treatment. Early detection and management may contribute to better outcomes.

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    ABSTRACT: AimTo identify the role of the nurse practitioner in caring for female adolescents with type 1 diabetes mellitus at risk for disordered eating behaviour and to formulate clinical recommendations for nurse practitioners in the primary care setting.Background Transition into adulthood can be difficult for female adolescents with type 1 diabetes mellitus. Challenges associated with management of this illness may place adolescent females at an increased risk for disordered eating.DesignDiscussion paper.Data SourcesSourced literature from 1991–2013, located through CINAHL, Health Source, Proquest, PubMed, PsychInfo, Web of Science and Medline databases.Implications for NursingNurses involved in the primary care of female adolescents with type 1 diabetes mellitus need to be aware of the increased risk for disordered eating behaviours and develop the competencies to care for both the adolescent and her family to reduce the serious consequences of these behaviours.Conclusion Awareness and acquisition of the skills required to intervene will enable nurse practitioners to recognize clients at risk for disordered eating, gain appreciation of the motivation of female adolescents with type 1 diabetes mellitus towards disordered eating behaviours and give optimal opportunity for education, counselling and recovery. Future direction for research includes exploration of the experiences of adolescents with type 1 diabetes mellitus; early interventions in the primary care setting; effective educational, preventative or supportive services for adolescents with this illness and their families; and outcomes to emerging technologies for insulin therapy on disordered eating occurrence.
    Journal of Advanced Nursing 03/2014; 70(9). DOI:10.1111/jan.12384 · 1.74 Impact Factor