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38–39). Reprinted with permission of Psychology Press, a subsidiary of Taylor & Francis. 30 DEFINING EATING DISORDERS 31 cause funding agencies to be reluctant to provide money for these over other public health problems. More important, perhaps, it is not clear how the DSM-IV-TR criteria apply to children and, sometimes, young adolescents. In regard to targeted prevention, it is difficult to know how to describe the disorders in a way that will enable teachers and parents, and perhaps even medical personnel, to accurately identify children who might be in the early phases of eating disorders.

Finally, the prospective data provide little evidence of continuity in the personality aspects of AN and BN, with the possible exception of negative emotionality. Perfectionism, self-esteem, interoceptive awareness, and impulsivity are among the personality characteristics that have not received consistent support (see Stice, 2002, for a review). Thus, the prospective data suggest that there may be a partial continuum in which some eating attitudes and behaviors are continuous across the recognized categories of nondieters, normative dieters, chronic dieters, EDNOS, and AN and BN, whereas personality characteristics and psychopathology are discontinuous (Connors, 1996; Levine & Smolak, 1992).

First, there is no correction for ethnicity. Clearly, the CDC believes that there is a “universal” healthy child. This approach might be criticized on the basis that the effects of obesity appear to vary across cultures (Kumanyika, 1995). In addition, there are considerable ethnic group differences in rates of obesity. These differences first appear around puberty (Rosner, Prineas, Loggie, & Daniels, 1998). Second, the charts are based on corrected data from national surveys. These data are corrected in the sense that they do not simply reflect national norms.

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