Adolescents with bulimia nervosa and eating disorder not otherwise specified-purging only

Binford, Roslyn B.; Grange, Daniel Le

doi:10.1002/eat.20167

Cited by 72 publications

(94 citation statements)

References 14 publications

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“…This research replicates a growing body of work, 4,5,7,8,14 which has shown that the group of patients who purge in the absence of objective binge episodes closely resembles those with BN P. The EDNOS purging only patients reported as much psychological disturbance on the EDI and Rosenberg self-esteem inventory as did those with BN P. Although the purging only group reported higher levels of depression than the BN P, both groups had very high scores and at these elevated levels of depression the difference in depression scores is likely not clinically noticeable. As well, previous research 8 suggests that differences between these groups on depression may not be stable.…”

Section: Resultssupporting

confidence: 84%

“…2 A number of recent articles have focused on identifying subgroups of individuals within the broader EDNOS category. [3][4][5][6][7][8] In general, the small literature suggests that there may be justification to relax the current diagnostic boundaries between full syndrome BN and subsyndromal BN. 3,6,9 In addition, there appears to be a clinically significant subgroup of EDNOS patients with a purging only form of eating disorder-EDNOS P, 4,7,8 who both resemble and exhibit differences from patients with BN purging subtype (BN P).…”

Section: Introductionmentioning

confidence: 99%

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Eating disorder not otherwise specified: The view from a tertiary care treatment center

Rockert

Kaplan

Olmsted

2007

Int. J. Eat. Disord.

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Objective: This study sought to characterize a large number of adult outpatients diagnosed with eating disorder not otherwise specified (EDNOS). Method:The sample consisted of 1,449 patients who were classified as anorexia nervosa (AN), bulimia nervosa (BN), or assigned to one of six EDNOS categories. Eating disorder groups were compared on demographic features, symptom frequencies, and psychological functioning.Results: Forty percent of the sample was categorized as EDNOS. A subgroup of purging only patients closely resembled the BN purging subtype. Although EDNOS subthreshold BN patients reported less psychopathology than full syndrome BN they, nevertheless, displayed clinical levels of disturbance. Patients who bingeeat once a week demonstrate a profile of psychological functioning similar to those who binge eat twice a week.Conclusion: Consistent with previous research, in this sample there were subgroups embedded in the EDNOS category that both share similarities with and differ from full syndrome BN. V V C 2007 by Wiley Periodicals, Inc.

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Section: Resultssupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Eating disorder not otherwise specified: The view from a tertiary care treatment center

Rockert

Kaplan

Olmsted

2007

Int. J. Eat. Disord.

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“…Studies that examined purging solely in the context of AN or BN were not reviewed in detail. A total of 14 articles were identified, [5][6][7][8][9][10][11][12][13][14][15][16][17][18] reflecting 10 separate samples of PD. A challenge in reviewing the literature of a condition which has not been formally named or defined is heterogeneity of names and definitions used for the syndrome.…”

Section: Methodsmentioning

confidence: 99%

“…Table 1 presents the various names and definitions used across studies included in the review. Notably, the same name (EDNOS-P) has been paired with disparate definitions, 11,15 and no studies appear to have used the same definition. The term ''purging disorder'' is used in the current article because it neither assumes a close relation between PD and BN as reflected by the term ''subjective bulimia nervosa'' 7 and because EDNOS means ''eating disorder not otherwise specified'' which seems inherently contradictory to specifying a syndrome characterized by recurrent purging.…”

Section: Methodsmentioning

confidence: 99%

Purging disorder: Subthreshold variant or full-threshold eating disorder?

Keel

2007

Int. J. Eat. Disord.

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Objective: To review evidence of the clinical significance, distinctiveness, and prevalence of a newly characterized form of eating disorder not otherwise specified, purging disorder (PD).Method: Articles were identified by computerized and manual searches.Results: PD is a clinically significant disorder of eating that does not appear to differ meaningfully in severity from bulimia nervosa (BN). Preliminary evidence supports the distinctiveness of PD from BN, but no studies have directly examined PD in comparison with anorexia nervosa (AN). Epidemiological studies indicate that PD affects between 1.1 and 5.3% of young adult women in their lifetimes, reflecting lifetime prevalence rates comparable with those for AN and BN.Conclusion: More research on PD is needed, particularly with regard to etiology, treatment, course, and outcome. Such work would be greatly facilitated by standardization of the syndrome's definition. V V C 2007 by Wiley Periodicals, Inc.

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“…The internal reliability of the measure is high (Cronbach's alpha = 0.90; see Peterson et al, 2007). The EDE-Q is widely with adults with eating disorders and has demonstrated validity in the assessment of adolescents with eating disorders (Binford and LeGrange, 2005).…”

Section: Eating Disorder Examination-questionnaire (Edeq)mentioning

confidence: 99%

Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction

Germain

Hooley

2012

Psychiatry Research

118

116

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Non-suicidal self-injury (NSSI) involves deliberate acts (such as cutting) that directly damage the body but occur without suicidal intent. However, other non-suicidal behaviors that involve people mistreating or abusing themselves but that do not deliberately and directly damage bodily tissue may have much in common with NSSI. Such 'indirect' methods of self-injury might include involvement in abusive relationships, substance abuse, risky or reckless behavior, or eating disordered behavior. Using a community sample (N=156) we compared individuals engaging in NSSI (n=50), indirect (non-suicidal) self-injurers (n=38), and healthy controls (n=68) on a range of clinical and personality characteristics. As predicted, non-suicidal selfinjurers and indirect self-injurers showed more pathology than healthy controls on all measures.Comparisons of the NSSI and the Indirect self-injury groups revealed no significant differences on measures of dissociation, aggression, impulsivity, self-esteem, negative temperament, depressive symptoms, and borderline personality disorder. However, compared to people who engaged only in indirect forms of self-injury, those who engaged in NSSI were more self-critical, had higher scores on a measure of suicide proneness, and had a history of more suicide attempts.The findings suggest that NSSI and indirect self-injury are best viewed as separate and distinct clinical phenomena.Key Words = DSM-5, non-suicidal self-injury (NSSI), deliberate self-harm, suicide, borderline personality disorder, self-criticism.NSSI and Indirect Self--Injury 3 3

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Adolescents with bulimia nervosa and eating disorder not otherwise specified-purging only

Abstract: Results prompt reappraisal of current criteria of BN to encompass those who purge without binge eating.

Cited by 72 publications

References 14 publications

Eating disorder not otherwise specified: The view from a tertiary care treatment center

Eating disorder not otherwise specified: The view from a tertiary care treatment center

Purging disorder: Subthreshold variant or full-threshold eating disorder?

Direct and indirect forms of non-suicidal self-injury: Evidence for a distinction

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