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A preliminary examination of a nonpurging compensatory eating disorder
Author(s) -
Davis Heather A.,
Holland Lauren A.,
Keel Pamela K.
Publication year - 2014
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.22191
Subject(s) - perfectionism (psychology) , bulimia nervosa , psychopathology , psychology , binge eating disorder , eating disorders , overweight , disordered eating , anxiety , binge eating , optimal distinctiveness theory , clinical psychology , overeating , normal weight , psychiatry , obesity , medicine , psychotherapist
Objective To evaluate correlates of a compensatory eating disorder (CED) characterized by recurrent nonpurging compensatory behaviors in the absence of objectively large binge episodes among normal weight individuals who endorse undue influence of weight/shape on self‐evaluation as possible indicators of clinical significance and distinctiveness. Method Women with CED ( n = 20), women with bulimia nervosa (BN) ( n = 20), and controls ( n = 20) completed an interview and questionnaires assessing eating disorder and general psychopathology and weight history. Results Compared with controls, women with CED reported significantly greater body image disturbance and disordered eating, higher anxiety proneness, increased perfectionism, and greater weight suppression. Compared with BN, CED was associated with significantly less body image disturbance, disordered eating, weight suppression, and lower likelihood of being overweight in childhood. However, CED and BN did not differ on anxiety proneness or perfectionism. Discussion CED merits further examination to determine whether it is a clinically significant and distinct eating disorder. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:239–243)