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OBJECTIVE: This study aimed to investigate the specific risk factors, correlates, and markers associated with the development of symptomatology of early-onset BN and subclinical BN. METHOD: Two semi-structured interviews were used to examine symptomatology and antecedent factors of bulimic symptoms in a sample of British adolescents. RESULTS: Adolescents with early-onset eating pathology were significantly more likely to report an earlier age of menarche than those developing the disorder at the typical age, and were found to have a different pathway of symptom development. DISCUSSION: Increased awareness of this may help identify those particularly at risk for developing an early-onset of eating pathology.

Original publication




Journal article


Int J Eat Disord

Publication Date





287 - 294


Adolescent, Age of Onset, Bulimia Nervosa, Feeding and Eating Disorders, Female, Humans, Interview, Psychological, Menarche, Risk Factors, Young Adult