Atypical anorexia nervosa: A scoping review to determine priorities in research and clinical practice

Author:

Beard Jessica1ORCID,Waller Glenn1ORCID

Affiliation:

1. Department of Psychology University of Sheffield Sheffield UK

Abstract

AbstractBackgroundThere is currently a limited understanding of the identification, nature, and treatment of Atypical Anorexia Nervosa (AAN). Recent systematic reviews have identified only small numbers of candidate papers, and some areas lack any meaningful review so far – particularly treatment outcomes. A key issue is the lack of clarity in the literature regarding the definition of weight loss criteria.ObjectivesThis scoping review aimed to determine the nature and extent of our knowledge of AAN, in order to assist in the development of future systematic reviews and meta‐analyses, as well as indicating what further research is needed.MethodFollowing the identification of 6747 records, 317 records using the term AAN or a defined equivalent were identified from six databases, including the ‘grey’ literature.ResultsOf the 317 studies, 111 provided participant characteristics, and only 10 provided discrete treatment outcomes. Each of these subsets of the data are tabulated and supported with supplementary material, so that future systematic reviewers can access this resource.DiscussionThe pattern and content of the existing studies allows recommendations to be made regarding future reviews, research and clinical practice. There is a particular need for clear weight/weight loss criteria and adequate interventions.

Publisher

Wiley

Reference32 articles.

1. American Psychiatric Association. (1994).Diagnostic and statistical manual of mental disorders(4th ed.). Washington DC.

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4. Stigmatization of anorexia nervosa versus atypical anorexia nervosa: An experimental study.

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