Eating disorders in childhood and adolescence

Czech version

Authors: Koutek Jiří; Kocourková Jana
Authors‘ workplace: Dětská psychiatrická klinika, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha
Published in: Čes-slov Pediat 2024; 79 (3): 167-172.
Category: Chapters for Specialization in Pediatrics
doi: https://doi.org/10.55095/CSPediatrie2024/020

Overview

Eating disorders are psychosomatic disorders that primarily affect the psyche, but also significantly affect the somatic area. They occur mainly in form of anorexia nervosa and bulimia nervosa. The disorder mainly affects girls and young women, often begins during puberty and adolescence and persists into adulthood. A characteristic feature of anorexia nervosa is restricting food intake in order to reduce weight, bulimia nervosa is characterized by paroxysmal overeating followed by vomiting. These conditions are subject of cooperation between a general prediatrician, a hospital pediatrician and a child and adolescent psychiatrist. It is necessary to exclude the organic cause of the disease and assess the condition from the point of view of malnutrition. The management can be on out-patient basis, but very often requires in-patient treatment. More serious somatic complications must be dealt within the pediatric department. Complex treatment includes refeeding, regimen and psychotherapeutic treatment, and/or psychopharmacotherapy. In this case, treatment is ongoing in an inpatient psychiatric facility.

Keywords:

symptoms – bulimia nervosa – treatment – anorexia nervodsa

Sources

1. Mezinárodní klasifikace nemocí, 10. revize. Psychiatrické centrum Praha 1992.

2. Krch FD. Poruchy příjmu potravy. Praha, Grada Publishing 2005.

3. Uhlíková P. Poruchy příjmu u dětí a dospívajících. In: Papežová H, et al. Anorexie, bulimie a psychogenní přejídání. Praha: Mladá fronta 2018.

4. DSM-5. Praha. Hogrefe-Testcentrum 2015.

5. Hornberger LL, Lane MA. Identification and management of eating disorders in children and adolescents. Pediatrics 2021; 147 (1): e2020040279.

6. Krásničanová H. Vztahy mezi tělesnou hmotností a skeletální maturací. Stav výživy a biologický věk – vybrané auxologické aspekty. Postgrad Med 2010; 12(Příloha 2): 52–58.

7. Papežová H (ed.). Spektrum poruch příjmu potravy. Praha: Grada Publishing 2010.

8. Shah M, Sachdeva M, et al. Eating disorders in the age of COVID-19. Psychiatry Res 2020; 290: 113122.

9. Vuillier L, May L, et al. The impal of the COVID-19 pandemic on individuals with rating disorders: the role of emotion regulativ and exploration of online treatment experiences. J Eat Disorder 2021; 9.

10. Lebl J, Janda J, Pohunek P, Starý J, et al. Klinická pediatrie. Praha: Galén 2012.

11. Ulrichová M, Radvanský J, Koutek J. Tělesné složení u pacientek s mentální anorexií. Psychiatr Praxi 2011; 22(1): e9–e15.

12. Dare C, Eisler I. A multi-family group day treatment programme for adolescent rating disorder. Eur Eat Disord Rev 2000; 8: 4–18.

13. Couturier J, Lock J. A review of medication use for children and adolescents with rating disorders. J Can Acad Child Adolesc Psychiat 2007; 16(4): 173–176.

14. Brewerton TD, D’Agostino M. Adjunctive use of olanzapine in the treatment of avoidant restrictive food intake disorder in children and adolescnts in an rating disorders program. J Child Adolesc Psychopharmacol 2017; 27(10): 920–922.

15. Herpertz-Dahlmann B. Treatment of rating disorders in child and adolescent psychiatry. Curr Opin Psychiat 2017; 30(6): 438–445.

16. Papežová H, Kocourková J, Koutek J. Poruchy příjmu potravy. In: Raboch J, et al. Psychiatrie: Doporučené postupy psychiatrické péče IV. Praha: Psychiatrická společnost ČLS JEP 2014.