Eating Disorders in Childhood : Clinical Conditions of Anorexia Nervosa in Pediatrics(<Special Issue>Psychosomatic Disorders in Childhood and Adolescence)

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  • Miyamoto Shinya
    Graduate School of Comprehensive Human Sciences, University of Tsukuba

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  • 小児の摂食障害 : 小児科における診療実態:神経性食欲不振症を中心に(<特集>小児をめぐる心身医学)
  • 小児の摂食障害--小児科における診療実態:神経性食欲不振症を中心に
  • ショウニ ノ セッショク ショウガイ ショウニカ ニ オケル シンリョウ ジッタイ シンケイセイ ショクヨク フシンショウ オ チュウシン ニ

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Today, it is not rare to see anorexia nervosa even in pediatric clinics. Study on the clinical conditions of anorexia nervosa in Japan showed that al least 1,000 patients visited pediatric clinics per 1 year. Topics of anorexia nervosa in childhood are, (1) increase of pre-adolescent patients (the patients develop their disorder before menarche), (2) increase of patients who easily develop bulimia nervosa, (3) comorbidity of pervasive developmental disorders, and (4) child abuse as one of the most important background factors. The new diagnostic criteria (Great Ormond Street Criteria, GOSC) specific to eating disorders of children is proposed because children with these disorders develop many atypical clinical features.

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