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Adolescents with bulimia nervosa and eating disorder not otherwise specified‐purging only
Author(s) -
Binford Roslyn B.,
le Grange Daniel
Publication year - 2005
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/eat.20167
Subject(s) - bulimia nervosa , schedule for affective disorders and schizophrenia , eating disorders , psychology , binge eating , psychiatry , comorbidity , clinical psychology , anxiety
Objective The purpose of the study was to better understand the phenomenology of bulimic symptomatology in an adolescent clinic sample. Method Adolescents with bulimia nervosa (BN; n = 36) and eating disorders not otherwise specified‐ purging but no objective bulimic episodes (EDNOS‐P; n = 20) were compared on the Eating Disorder Examination (EDE), the Beck Depression Inventory (BDI), the Rosenberg Self‐Esteem Scale (RSES), and the Schedule for Affective Disorders and Schizophrenia for School‐Age Children (K‐SADS). Results Subjects with EDNOS‐P and BN were equivalent in terms of age and weight, but were less likely to have intact families. Nearly one half of EDNOS‐P subjects purged exclusively outside of eating episodes in which they experienced a sense of loss of control. Although still at clinically significant levels, EDNOS‐P subjects reported less concerns regarding weight, shape, and eating relative to BN. Groups were not significantly different on psychiatric comorbidity, but differed on self‐esteem. Discussion Results prompt reappraisal of current criteria of BN to encompass those who purge without binge eating. © 2005 by Wiley Periodicals, Inc. &!ndash;