The Neurobiology of Eating Disorders

Child Adolesc Psychiatr Clin N Am. 2019 Oct;28(4):629-640. doi: 10.1016/j.chc.2019.05.007. Epub 2019 Jul 4.

Abstract

Eating disorders are severe psychiatric illnesses with a typical age of onset in adolescence. Brain research in youth and young adults may help us identify specific neurobiology that contributes to onset and maintenance of those disorders. This article provides a state-of-the-art review of our current understanding of the neurobiology of anorexia nervosa and bulimia nervosa. This includes brain structure and function studies to understand food restriction, binge-eating or purging behaviors, cognitive and emotional factors, as well as interoception. Binge-eating disorder and avoidant restrictive food intake disorder are also discussed, but the literature is still very small.

Keywords: Anorexia nervosa; Brain; Bulimia nervosa; Eating disorder; Imaging; Neurobiology.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Adolescent
  • Anorexia Nervosa / diagnosis
  • Binge-Eating Disorder / diagnosis
  • Brain / physiopathology*
  • Bulimia Nervosa / diagnosis
  • Child
  • Feeding and Eating Disorders / diagnosis*
  • Feeding and Eating Disorders / physiopathology*
  • Humans
  • Magnetic Resonance Imaging
  • Nerve Net*
  • Neurobiology*
  • Young Adult