Eating Disorders: the Basics

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@fyinews team

17/04/2025

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fyi:
  • Disclaimer
  • What are eating disorders?
  • Causes
  • How many people are affected and who are they?
  • Anorexia Nervosa
  • Bulimia Nervosa
  • Binge Eating Disorder
  • Other common eating disorders
  • Treatment
  • The situation in Greece

Disclaimer

This material is for informational purposes only and is not a diagnostic tool.

Trigger warning: discusses eating disorders.

What are eating disorders?

(fyiteam)

Eating disorders belong to the category of mental disorders with a significant biological basis.

They are characterized by severe and persistent disruptions in individuals’ behavior around food, often linked to negative thoughts and emotions.

They have serious impacts on both physical and mental health.

Causes

(fyiteam)

In most cases, a combination of biological, psychological, and social factors contribute, such as:

  • Heredity
  • Temperamental traits
  • Co-occurrence with other mental disorders (e.g., 32% of those with body dysmorphic disorder* also have an eating disorder)
  • Social pressure from sources like social media

*The patient constantly fixates on a perceived flaw in their appearance, to the point that it interferes with their daily activities.

 

How many people are affected and who are they?

(fyiteam)

From 2013 to 2018, it was estimated that, on average, 7.8% of the global population would experience an eating disorder in their lifetime.

Research shows that women are more commonly affected. This stereotype has led research to focus mainly on women, making it difficult to find male participants. However, eating disorders do not have a gender.

In Greece, there are no available epidemiological data.

Below are the most commonly observed eating disorders.

Anorexia Nervosa

(fyiteam)

Patients with anorexia nervosa severely restrict their calorie intake, leading to nutrient deficiencies and often—though not always—a very low body weight.

Their mental health is affected by an intense fear of gaining weight and a distorted body image.

The disorder can result in serious health issues (e.g., brain atrophy) and has the second-highest mortality rate of any mental disorder (after opioid addiction).

Bulimia Nervosa

(fyiteam)

Individuals with bulimia nervosa exhibit a two-stage eating pattern:

  • Consumption of large amounts of food in a short period (binge eating episode), often done in secret.
  • ‘Purging’ the food through methods like vomiting, using laxatives, or excessive exercise.

They experience intense thoughts about food and weight, which negatively impact their mental health. One of the most common physical health issues is tooth damage caused by stomach acid from frequent vomiting.

Binge Eating Disorder

(fyiteam)

Individuals with binge eating disorder consume large amounts of food in a short period (1-2 hours) and feel unable to stop, followed by feelings of shame, sadness, and guilt.

This behavior occurs at least once a week for several months and negatively affects both mental and physical health, increasing the risk of obesity.

Fyi: It is the most common eating disorder worldwide.

 

Other common eating disorders

(fyiteam)

Pica: Strong urge to consume non-edible substances (e.g., dirt, metal, hair, glass).

Rumination Disorder: Undigested food returns to the mouth after swallowing, then is either re-chewed, re-swallowed, or spit out.

Avoidant/Restrictive Food Intake Disorder: Limiting the amount or type of food consumed for reasons not related to weight loss efforts.

Treatment

(fyiteam)

Each eating disorder and each patient has unique characteristics, meaning there is no universal treatment.

Treatment and recovery are managed by psychologists, psychiatrists, dietitians, and other medical professionals, depending on the severity of the case, such as when hospitalization is needed.

As part of the treatment, it is recommended to involve the family, as its members also need support

 

The situation in Greece

(fyiteam)

Currently, Greece has 12 specialized beds for the treatment of eating disorders in public hospitals: 6 at Attikon, 3 at Aiginiteio, and 3 at Sismanogleio (for adolescents).

Experts say the country needs 60 beds.

As a result, both public and private facilities currently have long waiting lists.

Sources

Hellenic Center for Eating Disorders

Center for Applied Advanced Eating Disorders

NHS 

American Psychiatric Association

Cleveland Clinic 

Jama Network

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