title: Family physician consultation patterns indicate high risk for early-onset anorexia nervosa.
abstract: OBJECTIVE
  There is often a delay in the recognition of early-onset anorexia nervosa. The current study aimed to determine whether there are specific patterns in the frequency and content of family physician consultations that might predict its onset.
  
  
  METHODS
  Lifetime number and type of family physician consultations were recorded for three groups: (a) an index group comprising 19 girls with anorexia nervosa, onset under 14; (b) a clinical control group comprising 19 girls with an emotional disorder; and (c) a nonclinical group comprising 19 girls with no history of mental health problems.
  
  
  RESULTS
  Both clinical groups had an elevated number of consultations, particularly in the 5 years before diagnosis. The index group had a significantly higher number of eating, weight, and shape consultations (especially in the year before diagnosis), whereas the clinical control group had a greater number of psychological consultations.
  
  
  CONCLUSIONS
  A single consultation about eating behaviour or weight and shape concerns is a strong predictor of the subsequent emergence of anorexia nervosa.
authors.affiliation: Department of Mental Health, St. George's Hospital Medical School, London, United Kingdom. b:lask@sghms.ac.uk
authors.forename: Bryan
authors.initials: B
authors.lastname: Lask
authors.forename: Rachel
authors.initials: R
authors.lastname: Bryant-Waugh
authors.forename: Fiona
authors.initials: F
authors.lastname: Wright
authors.forename: Mari
authors.initials: M
authors.lastname: Campbell
authors.forename: Kate
authors.initials: K
authors.lastname: Willoughby
authors.forename: Glenn
authors.initials: G
authors.lastname: Waller
mesh_terms: D000293:Adolescent; D000342:Affective Symptoms / Q000175:diagnosis / Q000628:therapy; D017668:Age of Onset; D000856:Anorexia Nervosa / Q000175:diagnosis* / Q000628:therapy*; D001835:Body Weight; D016022:Case-Control Studies; D002648:Child; D005194:Family Practice / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors