Priority 10 from the Eating Disorders (Netherlands) PSP

UNCERTAINTY: What causes the need for self-destructive behaviour in patients with an eating disorder? (JLA PSP Priority 10)
Overall ranking	10
JLA question ID	0039/10
Explanatory note	Many of the behavious exhibited by patients with an eating disorder, such as fasting, self-induced vomiting or self-harm, can be constued as self-destructive behavriour. The underlying mechanisms of these self-destructive behaviors remain unclear.
Evidence	Cucchi, A., Ryan, D., Konstantakopoulos, G., Stroumpa, S., Kaçar, A. Ş, Renshaw, S., Kravariti, E. (2016). Lifetime prevalence of non-suicidal self-injury in patients with eating disorders: A systematic review and meta-analysis. Psychological Medicine Psychol. Med., 46(07), 1345-1358. doi:10.1017/s0033291716000027 Pollert, G. A., Kauffman, A. A., & Veilleux, J. C. (2016). Symptoms of Psychopathology Within Groups of Eating-Disordered, Restrained Eating, and Unrestrained Eating Individuals. Journal of Clinical Psychology J. Clin. Psychol., 72(6), 621-632. doi:10.1002/jclp.22283
Health Research Classification System category	Mental Health

Extra information provided by this PSP
Original uncertainty examples	Why can eating disorders be associated with self-injury?
Submitted by	Clinician x 1, Patients x 4, Carers x 2

PSP information
PSP unique ID	0039
PSP name	Eating Disorders (Netherlands)
Total number of uncertainties identified by this PSP	77
Date of priority setting workshop	3 June 2016