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This chapter discusses eating disorder psychopathology and the prevalence of eating disorders diagnoses in boys. The key determinants in childhood eating disorders considered include psychological constructs such as body dissatisfaction and its influence on dieting and other weight loss strategies, biological factors such as height, weight, body mass index (BMI) and pubertal status. Recently boys have been included in epidemiological studies of eating disorders. Eating disorder psychopathology has most usually been reported as the dependent variable in risk factor research. Conclusions from the current literature highlight that boys do exhibit some of the psychological and biological factors that have been identified as eating disorders risk factors for girls. It is unlikely that an evidence-based treatment approach for boys and young men will be developed without multicentred trials that ensure adequate treatment sample sizes.
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