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“Once again, the two renowned clinicians, Dr. Le Grange and Dr. Lock, have put together a highly informative source, inviting contributions from an internationally recognized group of authorities currently working with medically ill and psychiatrically compromised eating disorder children and adolescents....The ready-to-use charts and diagrams, clinical vignettes, and clinical issue discussions and follow up are easy to read and help the reader with decision making regarding their patients....One of the most valuable, concise, and comprehensive textbooks available to date on eating disorder treatment of children and adolescents. I would highly recommend this book as a must read for child psychiatry residents and fellows and other trainees interested in diagnosis and management of . It is a keeper.”

—Eating Disorders


“As a clinician who engages families in the treatment of eating disorders, I cannot think of a more comprehensive, authoritative, and thoughtfully curated collection of knowledge about these complex disorders. With its groundbreaking focus on the fundamental developmental nature of anorexia nervosa and bulimia nervosa, Eating Disorders in Children and Adolescents asks meaningful questions, broadens our understanding, sharpens our efforts, and strengthens our resolve.”

—Leslie Sim, PhD, ABPP, Clinical Director, Mayo Inpatient Eating Disorders Program; Department of Psychiatry and Psychology, Mayo Graduate School of Medicine


“An authoritative and comprehensive guide to the assessment and treatment of eating disorders in children and adolescents. I strongly recommend this unique resource.”

—Christopher G. Fairburn, OBE, DM, FMedSci, FRCPsych, Professor of Psychiatry, University of Oxford, United Kingdom


“A timely and important contribution. No previous book has addressed this subject in such detail. The 25 chapters, written by leaders in the field, provide a comprehensive, scholarly, and clinically useful review of all major topics pertaining to individuals with eating disorders in this age group. I highly recommend this book to all clinicians who work with patients with eating disorders.”

—James E. Mitchell, MD, The Lee A. Christoferson Chair in Neuroscience Research and Chester Fritz Distinguished University Professor, University of North Dakota School of Medicine and Health Sciences


“Eating disorders in childhood and adolescence have been quite neglected, despite the fact that the majority of eating disorders begin at this time. This welcome book pulls together what is known about causation, consequences, and treatment. It provides essential knowledge not only for treating this population, but also for better understanding eating disorders in adults. Practitioners, researchers, and graduate students specializing in eating disorders should have this valuable book on their shelves.”

—W. Stewart Agras, MD, Department of Psychiatry and Behavioral Sciences (Emeritus), Stanford University


“Written by experts who work specifically with children and adolescents with eating disorders, this handbook updates the practitioner on neurobiology and gene-environment interactions, diagnostic challenges, and advances in evidence-based treatment and prevention. Clearly and concisely written, this book should be on the shelf of every professional who treats eating disorders in children and teens.”

—Neville H. Golden, MD, The Marron and Mary Elizabeth Kendrick Professor in Pediatrics, Stanford University School of Medicine; Chief, Division of Adolescent Medicine, Lucile Packard Children’s Hospital

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Table of Contents

Introduction

1. Childhood and Adolescence: Looking at Eating Disorders When They Start, Daniel Le Grange

I. Etiology and Neurobiology

2. Neurobiology of Anorexia Nervosa, Walter H. Kaye

3. Environmental and Genetic Risk Factors for Eating Disorders: A Developmental Perspective, Sarah E. Racine, Tammy L. Root, Kelly L. Klump, and Cynthia M. Bulik

4. The Role of Family Environment in Etiology: A Neuroscience Perspective, Michael Strober and Tara Peris

II. Epidemiology and Course

5. Epidemiology of Eating Disorders in Children and Adolescents, Mark L. Norris, Susan J. Bondy, and Leora Pinhas

6. Course and Outcome, Hans-Christoph Steinhausen

III. Diagnosis and Classification

7. Diagnosis and Classification of Disordered Eating in Childhood, Rachel Bryant-Waugh and Dasha Nicholls

8. Diagnosis and Classification of Eating Disorders in Adolescence, Kamryn T. Eddy, David B. Herzog, and Nancy L. Zucker

IV. Medical Issues and Assessment

9. Medical Issues Unique to Children and Adolescents, Debra K. Katzman and Sheri M. Findlay

10. Assessment of Eating Disorders in Children and Adolescents, Katharine L. Loeb, Melanie Brown, and Michal Munk Goldstein

V. Treatment

Intensive Treatment Programs

11. Improving Connections for Adolescents across High-Intensity Settings for the Treatment of Eating Disorders, Mary Tantillo and Richard Kreipe

Outpatient Treatment Programs for Anorexia Nervosa

12. Family-Based Treatment for Anorexia Nervosa: Evolution, Evidence Base, and Treatment Approach, James Lock

13. Multifamily Therapy for Adolescent Anorexia Nervosa, Pennie Fairbairn, Mima Simic, and Ivan Eisler

14. Adolescent-Focused Psychotherapy for Anorexia Nervosa, Ann Moye, Kara Fitzpatrick, and Renee Rienecke Hoste

Outpatient Treatments for Bulimia Nervosa and Binge-Eating Disorder

15. Family-Based Treatment for Bulimia Nervosa: Theoretical Model, Key Tenets, and Evidence Base, Daniel Le Grange

16. Cognitive-Behavioral Therapy for Adolescent Bulimia Nervosa and Binge-Eating Disorder, Mari Campbell and Ulrike Schmidt

17. Supportive Psychotherapy for Bulimia Nervosa in Adolescents, Renee Rienecke Hoste and Angela Celio Doyle

Other Treatments or Clinical Groups

18. Early Treatment for Eating Disorders, Katharine L. Loeb, Katherine E. Craigen, Michal Munk Goldstein, James Lock, and Daniel Le Grange

19. Parent Groups in the Treatment of Eating Disorders, Nancy L. Zucker, Katharine L. Loeb, Sheetal Patel, and Autumn Shafer

20. Treatments Targeting Aberrant Eating Patterns in Overweight Youth, Kerri N. Boutelle and Marian Tanofsky-Kraff

21. Pharmacotherapy for Eating Disorders in Children and Adolescents, Jennifer Couturier and Wendy Spettigue

VI. Prevention

22. Prevention of Eating Disorders in Children and Adolescents, Dianne Neumark-Sztainer

23. Innovative Approaches to Prevention and Intervention: The Internet, Angela Celio Doyle, Roslyn Binford Hopf, and Debra L. Franko

VII. The Role of Parents

24. A Parent’s Perspective on Family Treatment, Harriet Brown

Concluding Comments

25. Where Are We Going from Here?, James Lock

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About the Editors

Daniel Le Grange, PhD, is Benioff UCSF Professor in Children’s Health in the Department of Psychiatry and UCSF Weill Institute for Neurosciences and Director of the Eating Disorders Program at the University of California, San Francisco. He is Emeritus Professor at the University of Chicago, where he was Director of the Eating Disorders Program until 2014. Dr. Le Grange was a member of the team at the Maudsley Hospital in London that developed family-based treatment for anorexia nervosa. Over his career, he has treated numerous adolescents and families struggling with eating disorders. He is a recipient of the Leadership Award in Research from the Academy of Eating Disorders and an Early Career Development Award from the National Institute of Mental Health, and is a Fellow of the Academy of Eating Disorders.

• Author's website
• All titles by Daniel Le Grange

James Lock, MD, PhD, is Professor of Child Psychiatry and Pediatrics in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine. He is also Director of the Stanford Child and Adolescent Eating Disorders Program. The author of numerous scientific publications on eating disorders in youth, Dr. Lock is a Distinguished Fellow of the American Psychiatric Association and of the American Academy of Child and Adolescent Psychiatry. He is a recipient of awards including the Agnes Purcell McGavin Award for Distinguished Career Achievement in Child and Adolescent Psychiatry from the American Psychiatric Association, the Price Family Foundation Award for Research Excellence from the National Eating Disorder Association, the Leadership Award in Research from the Academy of Eating Disorders, and Early and Mid-Career Development Awards from the National Institute of Mental Health.

• Author's website
• All titles by James Lock

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Contributors

Susan J. Bondy, PhD, Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada

Kerri N. Boutelle, PhD, Department of Psychiatry, University of California, San Diego, La Jolla, California

Harriet Brown, Syracuse, New York

Melanie Brown, MA, Department of Psychology, Fairleigh Dickinson University, Teaneck, New Jersey

Rachel Bryant-Waugh, PhD, Department of Child and Adolescent Mental Health, Great Ormond Street Hospital, University College London, London, United Kingdom

Cynthia M. Bulik, PhD, Departments of Psychiatry and Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Mari Campbell, DClinPsy, Child and Adolescent Eating Disorders Team, South London and Maudsley NHS Foundation Trust, London, United Kingdom

Jennifer Couturier, PhD, Pediatric Eating Disorders Program, McMaster Children's Hospital, Hamilton, Ontario, Canada

Angela Celio Doyle, PhD, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois

Katherine E. Craigen, BA, Department of Psychology, Fairleigh Dickinson University, Teaneck, New Jersey

Kamryn T. Eddy, PhD, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts

Ivan Eisler, PhD, Section of Family Therapy, Institute of Psychiatry, Kings College London, London, United Kingdom

Pennie Fairbairn, MSc, Michael Rutter Centre for Children and Adolescents, South London and Maudsley NHS Foundation Trust, London, United Kingdom

Sheri M. Findlay, MD, Department of Pediatrics, McMaster Children's Hospital and McMaster University, Hamilton, Ontario, Canada

Kara Fitzpatrick, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California

Debra L. Franko, PhD, Department of Counseling and Applied Psychology, Northeastern University, Boston, Massachusetts

Michal Munk Goldstein, BA, Department of Psychology, Fairleigh Dickinson University, Teaneck, New Jersey

David B. Herzog, MD, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts

Roslyn Binford Hopf, PhD, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois

Renee Rienecke Hoste, PhD, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois

Debra K. Katzman, MD, Division of Adolescent Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada

Walter H. Kaye, MD, Department of Psychiatry, University of California, San Diego, La Jolla, California

Kelly L. Klump, PhD, Department of Psychology, Michigan State University, East Lansing, Michigan

Richard Kreipe, MD, Department of Pediatric and Adolescent Medicine, University of Rochester Medical Center, Rochester, New York

Daniel Le Grange, PhD, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois

James Lock, MD, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California

Katharine L. Loeb, PhD, Eating and Weight Disorders Program, Mount Sinai School of Medicine, New York, New York

Ann Moye, PhD, private practice, Bloomfield Hills, Michigan

Dianne Neumark-Sztainer, PhD, Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota

Dasha Nicholls, MD, Department of Child and Adolescent Mental Health, Great Ormond Street Hospital, University College London, London, United Kingdom

Mark L. Norris, PhD, Department of Pediatrics, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada

Sheetal Patel, DPhil, School of Journalism and Mass Communication, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Tara Peris, PhD, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California

Leora Pinhas, MD, Eating Disorders Program, Department of Psychiatry, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada

Sarah E. Racine, MA, Department of Psychology, Michigan State University, East Lansing, Michigan

Tammy L. Root, PhD, Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Autumn Shafer, PhD, School of Journalism and Mass Communication, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Ulrike Schmidt, PhD, Eating Disorders Outpatients Unit, Institute of Psychiatry, Kings College London, London, United Kingdom

Mima Simic, PhD, Michael Rutter Centre for Children and Adolescents, South London and Maudsley NHS Foundation Trust, London, United Kingdom

Wendy Spettigue, MD, Eating Disorder Program, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada

Hans-Christoph Steinhausen, MD, PhD, Department of Child and Adolescent Psychiatry, Aalborg Psychiatric Hospital, Aarhus University Hospital, Aalborg, Denmark; Department of Child and Adolescent Clinical Psychology, Institute of Psychology, University of Basel, Basel, Switzerland; and Department of Child and Adolescent Psychiatry, University of Zurich, Zurich, Switzerland

Michael Strober, PhD, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California

Marian Tanofsky-Kraff, PhD, Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, Maryland

Mary Tantillo, PhD, Department of Clinical Nursing, University of Rochester School of Nursing, Rochester, New York

Nancy L. Zucker, PhD, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina

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Audience

Child/adolescent psychiatrists, psychologists, social workers, counselors, and others working with children and adolescents with eating disorders.

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Course Use

May serve as a supplemental text in graduate-level courses.