Truly late onset of eating disorders: A study of 11 cases averaging 60 years of age at presentation

David Beck, Regina Casper, Arnold Andersen

Research output: Contribution to journalArticle

Abstract

Objective: To study late-onset cases of eating disorders in order to (1) document the occurrence of these cases as truly new onset, even if postmenopausal; (2) to alert clinicians to the category of late-onset eating disorders, especially clinical features and treatment response; (3) to challenge some prevailing assumptions of etiology. Methods: Selection of cases of eating disorders with first onset after age 40 that met DSM-IV criteria, by review of eating disorders admissions to three university hospital programs. Results: Eleven patients, approximately 1% of all cases of eating disorders, had first onset of an eating disorder after age 40 and as late as 77, with an average onset of 56 and clinical presentation at 60 years. They met DSM-IV criteria for all subtypes of eating disorders. In general, concurrent medical and comorbid psychiatric symptoms made recognition and treatment more complex. Discussion: Truly late-onset cases do occur, challenging etiological theories requiring adolescent age of onset, premenopausal endocrine functioning, or adolescent psychodynamic conflicts. Late occurring cases, after accurate diagnosis, require an appreciation of psychological themes pertinent to this age group, such as bereavement or unresolved body image issues. Age by itself is no barrier to onset of eating disorders, which may occur whenever self-starvation and/or binge-purge behaviors become entrenched as sustaining behaviors for amelioration of psychodynamic conflicts, mood disorders, or interpersonal distress.

Original languageEnglish (US)
Pages (from-to)389-395
Number of pages7
JournalInternational Journal of Eating Disorders
Volume20
Issue number4
DOIs
StatePublished - Dec 1996
Externally publishedYes

Fingerprint

eating disorders
Age of Onset
Diagnostic and Statistical Manual of Mental Disorders
death and dying
body image
Bereavement
Feeding and Eating Disorders
Late Onset Disorders
Body Image
emotions
selection methods
distress
Starvation
Mood Disorders
signs and symptoms (animals and humans)
starvation
Psychiatry
etiology
Age Groups
Psychology

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health
  • Food Science
  • Psychology(all)
  • Clinical Psychology

Cite this

Truly late onset of eating disorders : A study of 11 cases averaging 60 years of age at presentation. / Beck, David; Casper, Regina; Andersen, Arnold.

In: International Journal of Eating Disorders, Vol. 20, No. 4, 12.1996, p. 389-395.

Research output: Contribution to journalArticle

Beck, David ; Casper, Regina ; Andersen, Arnold. / Truly late onset of eating disorders : A study of 11 cases averaging 60 years of age at presentation. In: International Journal of Eating Disorders. 1996 ; Vol. 20, No. 4. pp. 389-395.
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