{"id":"https://openalex.org/W2076978299","doi":"https://doi.org/10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.0.co;2-j","title":"Truly late onset of eating disorders: A study of 11 cases averaging 60 years of age at presentation","display_name":"Truly late onset of eating disorders: A study of 11 cases averaging 60 years of age at presentation","publication_year":1996,"publication_date":"1996-12-01","ids":{"openalex":"https://openalex.org/W2076978299","doi":"https://doi.org/10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.0.co;2-j","mag":"2076978299","pmid":"https://pubmed.ncbi.nlm.nih.gov/8953326"},"language":"en","primary_location":{"id":"doi:10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.0.co;2-j","doi":"https://doi.org/10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.0.co;2-j","is_oa":false,"landing_page_url":"https://doi.org/10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.0.co;2-j","pdf_url":null,"source":{"id":"https://openalex.org/S74080386","display_name":"International Journal of Eating Disorders","issn_l":"0276-3478","issn":["0276-3478","1098-108X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","erih-plus","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Eating Disorders","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5056996670","display_name":"David A. Beck","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David Beck","raw_affiliation_strings":["VAMC, Duke University, GRECC (182), Durham, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"VAMC, Duke University, GRECC (182), Durham, NC, USA","institution_ids":["https://openalex.org/I170897317"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058279785","display_name":"Regina C. Casper","orcid":"https://orcid.org/0000-0002-7198-8533","observed_orcids":["https://orcid.org/0000-0002-7198-8533"]},"institutions":[{"id":"https://openalex.org/I4210137306","display_name":"Stanford Medicine","ror":"https://ror.org/03mtd9a03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]},{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Regina Casper","raw_affiliation_strings":["Stanford University Medical School, Stanford, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Stanford University Medical School, Stanford, California","institution_ids":["https://openalex.org/I4210137306","https://openalex.org/I97018004"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111482705","display_name":"Arnold E. Andersen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Arnold Andersen","raw_affiliation_strings":["College of Medicine, University of Iowa, Iowa City, Iowa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Medicine, University of Iowa, Iowa City, Iowa","institution_ids":["https://openalex.org/I126307644"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5111482705"],"corresponding_institution_ids":["https://openalex.org/I126307644"],"apc_list":{"value":4300,"currency":"USD","value_usd":4300},"apc_paid":null,"fwci":1.067,"has_fulltext":false,"cited_by_count":53,"citation_normalized_percentile":{"value":0.78027606,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"20","issue":"4","first_page":"389","last_page":"395"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10263","display_name":"Eating Disorders and Behaviors","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10263","display_name":"Eating Disorders and Behaviors","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12873","display_name":"Nutrition, Health and Food Behavior","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13393","display_name":"Child Nutrition and Feeding Issues","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/eating-disorders-in-older-adults","display_name":"eating disorders in older adults","score":0.8080000281333923},{"id":"https://openalex.org/keywords/postmenopausal-women","display_name":"postmenopausal women","score":0.9049999713897705},{"id":"https://openalex.org/keywords/etiology-of-eating-disorders","display_name":"etiology of eating disorders","score":0.7739999890327454},{"id":"https://openalex.org/keywords/body-image","display_name":"body image","score":0.7120000123977661},{"id":"https://openalex.org/keywords/bereavement","display_name":"bereavement","score":0.8650000095367432},{"id":"https://openalex.org/keywords/binge-purge-behavior","display_name":"binge-purge behavior","score":0.8019999861717224},{"id":"https://openalex.org/keywords/self-starvation","display_name":"self-starvation","score":0.8220000267028809},{"id":"https://openalex.org/keywords/psychodynamic-conflicts","display_name":"psychodynamic conflicts","score":0.7639999985694885},{"id":"https://openalex.org/keywords/treatment-response","display_name":"treatment response","score":0.6510000228881836}],"concepts":[{"id":"https://openalex.org/C2776394216","wikidata":"https://www.wikidata.org/wiki/Q373822","display_name":"Eating disorders","level":2,"score":0.8291033506393433},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.6235689520835876},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6019585132598877},{"id":"https://openalex.org/C102655426","wikidata":"https://www.wikidata.org/wiki/Q940923","display_name":"Psychodynamics","level":2,"score":0.5879809856414795},{"id":"https://openalex.org/C2777767895","wikidata":"https://www.wikidata.org/wiki/Q4691924","display_name":"Age of onset","level":3,"score":0.5726872682571411},{"id":"https://openalex.org/C2781426410","wikidata":"https://www.wikidata.org/wiki/Q2303219","display_name":"Binge eating","level":3,"score":0.554145097732544},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5254772305488586},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5241168737411499},{"id":"https://openalex.org/C2777031586","wikidata":"https://www.wikidata.org/wiki/Q131749","display_name":"Anorexia nervosa","level":3,"score":0.44684121012687683},{"id":"https://openalex.org/C2777134132","wikidata":"https://www.wikidata.org/wiki/Q188638","display_name":"Mood disorders","level":3,"score":0.42781826853752136},{"id":"https://openalex.org/C2780733359","wikidata":"https://www.wikidata.org/wiki/Q331769","display_name":"Mood","level":2,"score":0.42367714643478394},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.39736276865005493},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.37857845425605774},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.27798300981521606},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.24613463878631592},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.24281442165374756},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.08519443869590759},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.08301779627799988}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000856","descriptor_name":"Anorexia Nervosa","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D000856","descriptor_name":"Anorexia Nervosa","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D001828","descriptor_name":"Body Image","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002032","descriptor_name":"Bulimia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D002032","descriptor_name":"Bulimia","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017668","descriptor_name":"Age of Onset","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.0.co;2-j","doi":"https://doi.org/10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.0.co;2-j","is_oa":false,"landing_page_url":"https://doi.org/10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.0.co;2-j","pdf_url":null,"source":{"id":"https://openalex.org/S74080386","display_name":"International Journal of Eating Disorders","issn_l":"0276-3478","issn":["0276-3478","1098-108X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","erih-plus","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Eating Disorders","raw_type":"journal-article"},{"id":"doi:10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.3.co;2-4","doi":"https://doi.org/10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.3.co;2-4","is_oa":false,"landing_page_url":"https://doi.org/10.1002/(sici)1098-108x(199612)20:4<389::aid-eat6>3.3.co;2-4","pdf_url":null,"source":{"id":"https://openalex.org/S74080386","display_name":"International Journal of Eating Disorders","issn_l":"0276-3478","issn":["0276-3478","1098-108X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","erih-plus","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Eating Disorders","raw_type":"journal-article"},{"id":"pmid:8953326","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8953326","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The International journal of eating disorders","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1990386556","https://openalex.org/W1993858537","https://openalex.org/W2013620837","https://openalex.org/W2039966743","https://openalex.org/W2043086484","https://openalex.org/W2050369477","https://openalex.org/W2062564531","https://openalex.org/W2067271251","https://openalex.org/W2104089210","https://openalex.org/W2152922773","https://openalex.org/W2402197559"],"related_works":["https://openalex.org/W1993468907","https://openalex.org/W2067271251","https://openalex.org/W2028051549","https://openalex.org/W1497492025","https://openalex.org/W2064099479","https://openalex.org/W7171938049","https://openalex.org/W7140237147","https://openalex.org/W4384923333","https://openalex.org/W2065264025","https://openalex.org/W2276066357"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"study":[2],"late-onset":[3,33,142],"cases":[4,17,53,85,143],"of":[5,15,32,48,52,54,69,83,86,92,108,123,152,169,193,211],"eating":[6,34,55,70,87,94,124,194],"disorders":[7,56,71],"in":[8],"order":[9],"to":[10,26,29,43,73,173,191],"(1)":[11],"document":[12],"the":[13,30],"occurrence":[14],"these":[16],"as":[18,100,102,178,206],"truly":[19],"new":[20],"onset,":[21,153],"even":[22],"if":[23],"postmenopausal;":[24],"(2)":[25],"alert":[27],"clinicians":[28],"category":[31],"disorders,":[35,88,195,215],"especially":[36],"clinical":[37,111],"features":[38],"and":[39,99,110,130,136],"treatment":[40,137],"response;":[41],"(3)":[42],"challenge":[44],"some":[45],"prevailing":[46],"assumptions":[47],"etiology.":[49],"METHODS:":[50],"Selection":[51],"with":[57,104],"first":[58,90],"onset":[59,91,107,192],"after":[60,96,163],"age":[61,97,151,175],"40":[62,98],"that":[63],"met":[64,117],"DSM-IV":[65,118],"criteria,":[66],"by":[67,186],"review":[68],"admissions":[72],"three":[74],"university":[75],"hospital":[76],"programs.":[77],"RESULTS:":[78],"Eleven":[79],"patients,":[80],"approximately":[81],"1%":[82],"all":[84,121],"had":[89],"an":[93,105,167],"disorder":[95],"late":[101],"77,":[103],"average":[106],"56":[109],"presentation":[112],"at":[113],"60":[114],"years.":[115],"They":[116],"criteria":[119],"for":[120,209],"subtypes":[122],"disorders.":[125],"In":[126],"general,":[127],"concurrent":[128],"medical":[129],"comorbid":[131],"psychiatric":[132],"symptoms":[133],"made":[134],"recognition":[135],"more":[138],"complex.":[139],"DISCUSSION:":[140],"Truly":[141],"do":[144],"occur,":[145],"challenging":[146],"etiological":[147],"theories":[148],"requiring":[149],"adolescent":[150,158],"premenopausal":[154],"endocrine":[155],"functioning,":[156],"or":[157,180,216],"psychodynamic":[159,212],"conflicts.":[160],"Late-occurring":[161],"cases,":[162],"accurate":[164],"diagnosis,":[165],"require":[166],"appreciation":[168],"psychological":[170],"themes":[171],"pertinent":[172],"this":[174],"group,":[176],"such":[177],"bereavement":[179],"unresolved":[181],"body":[182],"image":[183],"issues.":[184],"Age":[185],"itself":[187],"is":[188],"no":[189],"barrier":[190],"which":[196],"may":[197],"occur":[198],"whenever":[199],"self-starvation":[200],"and/or":[201],"binge-purge":[202],"behaviors":[203,208],"become":[204],"entrenched":[205],"sustaining":[207],"amelioration":[210],"conflicts,":[213],"mood":[214],"interpersonal":[217],"distress.":[218]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":4}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}