Eating Disorders in Adolescents With Chronic Pain

Leslie A. Sim, Jocelyn Lebow, Karen Weiss, Tracy Harrison, Barbara Bruce

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: Given that youth with chronic pain frequently experience disruptions in eating patterns that may place them at risk for disordered eating, the purpose of this study was to examine the clinical characteristics and illness course of adolescents with chronic pain and comorbid eating disorders. Methods: Using a retrospective chart review, 34 adolescents with chronic pain and concurrent eating disorders were identified. These adolescents were compared with 34 age-, gender-, and eating disorder symptom-matched adolescents who had an eating disorder without chronic pain. Results: The majority of adolescents with chronic pain and an eating disorder had a primary medical diagnosis of abdominal pain (n = 14), followed by autonomic dysfunction (n = 10) and headache (n = 6). Although in 41.2% of teens with chronic pain, eating disorder symptoms developed after the onset of their pain, 35.3% reported having eating disorder symptoms before they experienced chronic pain. Body mass index did not differ between the groups, but the duration of eating disorder symptoms was significantly longer for the chronic pain group (p <.001). Discussion: Despite comparable severity, eating disorders are undetected for longer periods in patients with chronic pain, which may contribute to a poorer prognosis. Implications for eating disorder conceptualization, detection, and treatment are discussed.

Original languageEnglish (US)
JournalJournal of Pediatric Health Care
DOIs
StateAccepted/In press - 2016

Fingerprint

Chronic Pain
Somatoform Disorders
Eating
Feeding and Eating Disorders
Abdominal Pain
Headache
Body Mass Index
Pain

Keywords

  • Adolescents
  • Anorexia nervosa
  • Autonomic dysfunction
  • Bulimia nervosa
  • Chronic pain
  • Eating disorders

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Sim, L. A., Lebow, J., Weiss, K., Harrison, T., & Bruce, B. (Accepted/In press). Eating Disorders in Adolescents With Chronic Pain. Journal of Pediatric Health Care. https://doi.org/10.1016/j.pedhc.2016.03.001

Eating Disorders in Adolescents With Chronic Pain. / Sim, Leslie A.; Lebow, Jocelyn; Weiss, Karen; Harrison, Tracy; Bruce, Barbara.

In: Journal of Pediatric Health Care, 2016.

Research output: Contribution to journalArticle

Sim, Leslie A. ; Lebow, Jocelyn ; Weiss, Karen ; Harrison, Tracy ; Bruce, Barbara. / Eating Disorders in Adolescents With Chronic Pain. In: Journal of Pediatric Health Care. 2016.
@article{c4f88bb046954f5da7f37fffca2d473c,
title = "Eating Disorders in Adolescents With Chronic Pain",
abstract = "Introduction: Given that youth with chronic pain frequently experience disruptions in eating patterns that may place them at risk for disordered eating, the purpose of this study was to examine the clinical characteristics and illness course of adolescents with chronic pain and comorbid eating disorders. Methods: Using a retrospective chart review, 34 adolescents with chronic pain and concurrent eating disorders were identified. These adolescents were compared with 34 age-, gender-, and eating disorder symptom-matched adolescents who had an eating disorder without chronic pain. Results: The majority of adolescents with chronic pain and an eating disorder had a primary medical diagnosis of abdominal pain (n = 14), followed by autonomic dysfunction (n = 10) and headache (n = 6). Although in 41.2{\%} of teens with chronic pain, eating disorder symptoms developed after the onset of their pain, 35.3{\%} reported having eating disorder symptoms before they experienced chronic pain. Body mass index did not differ between the groups, but the duration of eating disorder symptoms was significantly longer for the chronic pain group (p <.001). Discussion: Despite comparable severity, eating disorders are undetected for longer periods in patients with chronic pain, which may contribute to a poorer prognosis. Implications for eating disorder conceptualization, detection, and treatment are discussed.",
keywords = "Adolescents, Anorexia nervosa, Autonomic dysfunction, Bulimia nervosa, Chronic pain, Eating disorders",
author = "Sim, {Leslie A.} and Jocelyn Lebow and Karen Weiss and Tracy Harrison and Barbara Bruce",
year = "2016",
doi = "10.1016/j.pedhc.2016.03.001",
language = "English (US)",
journal = "Journal of Pediatric Health Care",
issn = "0891-5245",
publisher = "Mosby Inc.",

}

TY - JOUR

T1 - Eating Disorders in Adolescents With Chronic Pain

AU - Sim, Leslie A.

AU - Lebow, Jocelyn

AU - Weiss, Karen

AU - Harrison, Tracy

AU - Bruce, Barbara

PY - 2016

Y1 - 2016

N2 - Introduction: Given that youth with chronic pain frequently experience disruptions in eating patterns that may place them at risk for disordered eating, the purpose of this study was to examine the clinical characteristics and illness course of adolescents with chronic pain and comorbid eating disorders. Methods: Using a retrospective chart review, 34 adolescents with chronic pain and concurrent eating disorders were identified. These adolescents were compared with 34 age-, gender-, and eating disorder symptom-matched adolescents who had an eating disorder without chronic pain. Results: The majority of adolescents with chronic pain and an eating disorder had a primary medical diagnosis of abdominal pain (n = 14), followed by autonomic dysfunction (n = 10) and headache (n = 6). Although in 41.2% of teens with chronic pain, eating disorder symptoms developed after the onset of their pain, 35.3% reported having eating disorder symptoms before they experienced chronic pain. Body mass index did not differ between the groups, but the duration of eating disorder symptoms was significantly longer for the chronic pain group (p <.001). Discussion: Despite comparable severity, eating disorders are undetected for longer periods in patients with chronic pain, which may contribute to a poorer prognosis. Implications for eating disorder conceptualization, detection, and treatment are discussed.

AB - Introduction: Given that youth with chronic pain frequently experience disruptions in eating patterns that may place them at risk for disordered eating, the purpose of this study was to examine the clinical characteristics and illness course of adolescents with chronic pain and comorbid eating disorders. Methods: Using a retrospective chart review, 34 adolescents with chronic pain and concurrent eating disorders were identified. These adolescents were compared with 34 age-, gender-, and eating disorder symptom-matched adolescents who had an eating disorder without chronic pain. Results: The majority of adolescents with chronic pain and an eating disorder had a primary medical diagnosis of abdominal pain (n = 14), followed by autonomic dysfunction (n = 10) and headache (n = 6). Although in 41.2% of teens with chronic pain, eating disorder symptoms developed after the onset of their pain, 35.3% reported having eating disorder symptoms before they experienced chronic pain. Body mass index did not differ between the groups, but the duration of eating disorder symptoms was significantly longer for the chronic pain group (p <.001). Discussion: Despite comparable severity, eating disorders are undetected for longer periods in patients with chronic pain, which may contribute to a poorer prognosis. Implications for eating disorder conceptualization, detection, and treatment are discussed.

KW - Adolescents

KW - Anorexia nervosa

KW - Autonomic dysfunction

KW - Bulimia nervosa

KW - Chronic pain

KW - Eating disorders

UR - http://www.scopus.com/inward/record.url?scp=84961774937&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84961774937&partnerID=8YFLogxK

U2 - 10.1016/j.pedhc.2016.03.001

DO - 10.1016/j.pedhc.2016.03.001

M3 - Article

JO - Journal of Pediatric Health Care

JF - Journal of Pediatric Health Care

SN - 0891-5245

ER -