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Comparison of DSM‐III and DSM‐III‐R bulimia nervosa classifications for psychopathology and other eating behaviors
Author(s) -
Lancelot Cynthia,
BrooksGunn Jeanne,
Warren Michelle P.,
Newman Denise L.
Publication year - 1991
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/1098-108x(199101)10:1<57::aid-eat2260100107>3.0.co;2-t
Subject(s) - bulimia nervosa , psychology , anorexia nervosa , psychopathology , eating disorders , eating disorder inventory , clinical psychology , psychiatry
Although recent studies on bulimia nervosa have yielded lower incidence rates for the disorder when using the DSM‐IIIR, rather than the DSM‐III criteria, none measured differences in emotional disturbances between those bulimics who meet the revised criteria and those who do not. Young women (50 ballet dancers and 56 nondancers) from a larger study on the complications of amenorrhea were grouped into three categories; nonbulimics, DSM‐III bulimics, and DSM‐IIIR (revised criteria) bulimics. Women were surveyed for eating disturbance, concurrent psychopathology, past histories of anorexia nervosa, and family history of emotional and eating disorders. Differences between bulimic groups were found for nondancers, as DSM‐IIIR bulimics scored significantly higher than nonbulimics on measures of bulimic thought and behaviors, depression, and emotional disturbance. In addition, a significantly higher proportion of DSM‐IIIR bulimics than nonbulimics reported that they had had anorexia nervosa in the past and that they had relatives with bulimia nervosa. For dancers, other than the measure of interpersonal distrust, no significant differences were found between the three groups. Results of the study indicate that bulimia nervosa as defined by the revised criteria (DSM‐IIIR) is associated with more emotional problems than is bulimia nervosa according to the DSM‐III.