Eating Disorders in People living with Chronic pain

Key things to know What the evidence shows
How common is it? Not established general chronic-pain population
Is it more common among people living with chronic pain? Eating problems are common but diagnostic ED prevalence insufficiently established
Are people living with chronic pain at higher risk? Some evidence
How much higher is the risk? One adolescent intensive pain cohort: 19.1% clinically diagnosed ED, highly selected
How often can it be missed? Very High
Does it show up differently among people living with chronic pain? Yes
How might it look different? Pain, nausea, GI symptoms or elimination diets can encourage avoidance/restriction; ED may be overlooked
What commonly occurs alongside it? PTSD; anxiety; depression
What can it be confused with? Medication-induced appetite changes; GI problems; pain-related appetite loss
Common screening tool SCOFF
Separate screening tool for people living with chronic pain EAT-16-Chronic Pain validated in adolescents with chronic pain
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