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Do adolescents with eating disorder not otherwise specified or full‐syndrome bulimia nervosa differ in clinical severity, comorbidity, risk factors, treatment outcome or cost?
Author(s) -
Schmidt Ulrike,
Lee Sally,
Perkins Sarah,
Eisler Ivan,
Treasure Janet,
Beecham Jeny,
Berelowitz Mark,
Dodge Liz,
Frost Susie,
Jenkins Mari,
JohnsonSabine Eric,
Keville Saskia,
Murphy Rebecca,
Robinson Paul,
Winn Suzanne,
Yi Irene
Publication year - 2008
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.20533
Subject(s) - bulimia nervosa , comorbidity , eating disorders , psychiatry , psychology , anorexia nervosa , not otherwise specified , clinical psychology
Objective: We wanted to know whether adolescents with eating disorder not otherwise specified (EDNOS) differ from those with bulimia nervosa (BN) in clinical features, comorbidity, risk factors, treatment outcome or cost. Method: Adolescents with EDNOS ( n = 24) or BN ( n = 61) took part in a trial of family therapy versus guided self‐care. At baseline, eating disorder symptoms, risk factors, and costs were assessed by interview. Patients were reinterviewed at 6 and 12 months. Results: Compared with EDNOS, BN patients binged, vomited and purged significantly more, and were more preoccupied with food. Those with EDNOS had more depression and had more current and childhood obsessive‐compulsive disorder. 66.6% of EDNOS versus 27.8% of BN patients were abstinent from bingeing and vomiting at 1 year. Diagnosis did not moderate treatment outcome. Costs did not differ between groups. Conclusion: EDNOS in adolescents is not trival. It has milder eating disorder symptoms but more comorbidity than BN. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008