PMID- 38130097
OWN - NLM
STAT- MEDLINE
DCOM- 20240214
LR  - 20240214
IS  - 1098-108X (Electronic)
IS  - 0276-3478 (Linking)
VI  - 57
IP  - 2
DP  - 2024 Feb
TI  - What medical providers need to elevate outpatient care for adolescents and young 
      adults with binge-eating disorder: A novel protocol.
PG  - 294-302
LID - 10.1002/eat.24110 [doi]
AB  - PURPOSE: Binge-eating disorder (BED) in adolescents and young adults is 
      underrecognized and understudied and no standardized guidelines exist for medical 
      providers caring for this population. To highlight the lack of extant evidence, 
      we examine the demographic characteristics of youth with BED in an academic 
      eating disorders (EDs) program and primary care clinic and describe the needs of 
      their medical care providers. METHOD: A retrospective chart review was conducted 
      for patients who met criteria for BED from July 2021 to June 2022. We surveyed 
      their medical providers to understand their needs in caring for this population. 
      A multidisciplinary team with expertise in the care of youth with EDs amalgamated 
      current evidence in caring for youth with BED into a protocolized care schema 
      designed for implementation in the outpatient medical setting. RESULTS: Eighteen 
      youth with BED were reviewed, 14 identified as female, 3 as male, and 1 as 
      "Other." Average age was 15.4 (2.7) years old, and mean body mass index was 35.90 
      (8.25). 33.3% (6) patients identified as White/Caucasian, followed by 22.2% (4) 
      Hispanic/Latinx. Eleven of 18 were privately insured. The most common medical 
      recommendations were for regular meals and snacks and for individual 
      psychotherapy. Medical providers desired more education about identification and 
      management of youth with BED. CONCLUSIONS: To address the lack of medical care 
      guidelines for youth with BED, recommendations in this Forum include: increased 
      education for medical providers, standardized medical monitoring, an emphasis on 
      psychotherapy, and a weight-inclusive orientation. PUBLIC SIGNIFICANCE: 
      Adolescents and young adults with BED are underrecognized and undertreated. 
      Little is known about the characteristics of these patients and the medical care 
      these patients receive within academic EDs program. For the first time, 
      preliminary recommendations for medical care are provided.
CI  - (c) 2023 The Authors. International Journal of Eating Disorders published by Wiley 
      Periodicals LLC.
FAU - Downey, Amanda E
AU  - Downey AE
AUID- ORCID: 0000-0002-5206-7798
AD  - Department of Pediatrics, University of California, San Francisco, San Francisco, 
      California, USA.
AD  - Department of Psychiatry and Behavioral Sciences, University of California, San 
      Francisco, San Francisco, California, USA.
FAU - Odette, Michelle
AU  - Odette M
AUID- ORCID: 0000-0002-0380-7913
AD  - Department of Pediatrics, University of California, San Francisco, San Francisco, 
      California, USA.
FAU - Sanders, Austin E
AU  - Sanders AE
AUID- ORCID: 0000-0001-7308-2797
AD  - Department of Pediatrics, University of California, San Francisco, San Francisco, 
      California, USA.
FAU - Kuykendall, Mikayla
AU  - Kuykendall M
AUID- ORCID: 0009-0005-1980-7765
AD  - Department of Pediatrics, University of California, San Francisco, San Francisco, 
      California, USA.
FAU - Saunders, Elizabeth
AU  - Saunders E
AUID- ORCID: 0009-0004-7763-7664
AD  - Department of Pediatrics, University of California, San Francisco, San Francisco, 
      California, USA.
FAU - Nagata, Jason M
AU  - Nagata JM
AUID- ORCID: 0000-0002-6541-0604
AD  - Department of Pediatrics, University of California, San Francisco, San Francisco, 
      California, USA.
FAU - Forsberg, Sarah
AU  - Forsberg S
AUID- ORCID: 0009-0001-5664-5591
AD  - Department of Psychiatry and Behavioral Sciences, University of California, San 
      Francisco, San Francisco, California, USA.
FAU - Buckelew, Sara M
AU  - Buckelew SM
AUID- ORCID: 0000-0001-8252-0293
AD  - Department of Pediatrics, University of California, San Francisco, San Francisco, 
      California, USA.
FAU - Garber, Andrea K
AU  - Garber AK
AUID- ORCID: 0000-0002-7563-0651
AD  - Department of Pediatrics, University of California, San Francisco, San Francisco, 
      California, USA.
LA  - eng
PT  - Journal Article
DEP - 20231221
PL  - United States
TA  - Int J Eat Disord
JT  - The International journal of eating disorders
JID - 8111226
SB  - IM
MH  - Humans
MH  - Male
MH  - Adolescent
MH  - Female
MH  - Young Adult
MH  - Child, Preschool
MH  - *Binge-Eating Disorder/epidemiology
MH  - Retrospective Studies
MH  - Psychotherapy
MH  - Body Mass Index
MH  - Ambulatory Care
OTO - NOTNLM
OT  - adolescents
OT  - binge-eating disorder
OT  - eating disorders
EDAT- 2023/12/22 06:43
MHDA- 2024/02/09 12:44
CRDT- 2023/12/22 02:14
PHST- 2023/11/22 00:00 [revised]
PHST- 2023/10/07 00:00 [received]
PHST- 2023/11/23 00:00 [accepted]
PHST- 2024/02/09 12:44 [medline]
PHST- 2023/12/22 06:43 [pubmed]
PHST- 2023/12/22 02:14 [entrez]
AID - 10.1002/eat.24110 [doi]
PST - ppublish
SO  - Int J Eat Disord. 2024 Feb;57(2):294-302. doi: 10.1002/eat.24110. Epub 2023 Dec 
      21.