Long-term stability of eating disorder diagnoses

Fichter, Manfred M.; Quadflieg, Norbert

doi:10.1002/eat.20443

Cited by 121 publications

(73 citation statements)

References 18 publications

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“…Reasons for the stronger prediction in AN could be greater homogeneity and greater stability over time in AN, both in terms of (non) migration to other diagnoses and lower remission rates. [34][35][36] This suggests strong maintaining factors, and our results indicate that generalized self-control may be one of them. Also, restrictive symptoms relate more to self-image in AN, i.e., symptoms are more ego-syntonic than in other ED groups and therefore less likely to change.…”

Section: Summary Of Results and Methodological Considerationsmentioning

confidence: 76%

Anorexic self‐control and bulimic self‐hate: Differential outcome prediction from initial self‐image

Birgegård

Björck

Norring

et al. 2008

Intl J Eating Disorders

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Section: Summary Of Results and Methodological Considerationsmentioning

confidence: 76%

Anorexic self‐control and bulimic self‐hate: Differential outcome prediction from initial self‐image

Birgegård

Björck

Norring

et al. 2008

Intl J Eating Disorders

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“…It remains true that BED is more likely to remit than other eating disorders, 58 (Agras et al, submitted for publication) but in spite of its remitting pattern, patients perceive the disorder as stable and enduring, often lasting over a decade. 57 Furthermore, the findings that certain specialized treatments targeting specific BED related psychopathology perform better in reducing binge eating than do nonspecific behavioral weight loss treatments 79,80 is not consistent with Stunkard's and Allison's hypothesis.…”

Section: Is Bed Simply a Marker For Psychopathology?mentioning

confidence: 95%

“…Cachelin et al 56 completed a small followup study of individuals with BED, and also found considerable variability in maintenance of the BED diagnosis at 6-month follow-up. Finally, Fichter and Quadflieg 58 longitudinally studied a large group of various eating disordered patients, including 60 BED patients. They found little evidence of diagnostic crossover between BED and AN.…”

Section: Longitudinal Studies Of Bed Diagnostic Statusmentioning

confidence: 99%

The validity and clinical utility of binge eating disorder

Wonderlich

Gordon

Mitchell

et al. 2009

Intl J Eating Disorders

228

115

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Objective: This review attempted to examine the validity and clinical utility of the DSM-IV binge eating disorder (BED) diagnosis across a wide range of validating strategies.Method: Various electronic databases (Pub Med, Psych Info) were searched for terms relevant to the diagnosis of BED (e.g., binge eating disorder, binge eating) in order to identify papers. Additionally, published papers were reviewed in order to locate additional manuscripts and papers that were presented at meetings. Results:The validity and utility of BED varied substantially according to the validator chosen. There is reasonable evidence that BED can be differentiated from other existing eating disorders and is associated with significant impairment and clinical levels of eating disorder psychopathology. The relationship of BED to obesity is complex, and in spite of some positive findings, further research examining the predictive power of BED, beyond the simple presence of obesity and associated psychopathology, in relationship to clinically relevant outcomes is needed.Discussion: Binge eating disorder is being considered for inclusion in the DSM-V and various options regarding this decision are reviewed based upon the empirical findings in the paper. V

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“…Some studies have shown that ED were subject to diagnosis crossover [34, 49,50] . This may have consequences on the interpretation of our results.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Empirical Eating Disorder Phenotypes in a Clinical Female Sample: Results from a Latent Class Analysis

Dechartres¹,

Huas²,

Godart³

et al. 2010

Psychopathology

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Background/Aims: To empirically classify phenotypes of eating disorders (ED) using latent class analysis (LCA), and to validate this classification based on clinical outcomes. Methods: LCA was applied to 968 inpatients. The resultant classes were validated by clinical outcomes including mortality. Results: A 5-class solution showed the best fit. The symptoms of latent class 1 (LC1; 26% of the sample) resembled anorexia nervosa (AN), bingeing-purging (AN-B/P) subtype; those of LC2 (23%) resembled bulimia nervosa; those of LC3 (11%) were close to AN-B/P without weight and body concerns; those of LC4 resembled restrictive anorexia nervosa (RAN) without weight and body concerns, and those of LC5 RAN. A history of hospitalization for ED was significantly more frequent for LC3 and LC4. The lowest BMI at admission were presented in LC4. LC1 showed the highest level of psychological disturbances and LC4 the lowest. LC3 and LC4 differed from LC1 and LC5 by higher percentages of treatment dropout (64.9 vs. 57.2 and 55.7 vs. 47.5%, respectively; overall p = 0.001). Survival rates tended to be different between the LC (p = 0.09). Conclusions: Subgroups of AN patients with low weight and body concerns seem more severe at hospitalization and more difficult to manage, with a higher rate of treatment dropout than the ‘typical’ AN patients.

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Long-term stability of eating disorder diagnoses

Cited by 121 publications

References 18 publications

Anorexic self‐control and bulimic self‐hate: Differential outcome prediction from initial self‐image

Anorexic self‐control and bulimic self‐hate: Differential outcome prediction from initial self‐image

The validity and clinical utility of binge eating disorder

Outcomes of Empirical Eating Disorder Phenotypes in a Clinical Female Sample: Results from a Latent Class Analysis

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