Adolescents with bulimia nervosa and eating disorder not otherwise specified-purging only
Article first published online: 30 AUG 2005
Copyright © 2005 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 38, Issue 2, pages 157–161, September 2005
How to Cite
Binford, R. B. and le Grange, D. (2005), Adolescents with bulimia nervosa and eating disorder not otherwise specified-purging only. Int. J. Eat. Disord., 38: 157–161. doi: 10.1002/eat.20167
- Issue published online: 30 AUG 2005
- Article first published online: 30 AUG 2005
- Manuscript Accepted: 14 OCT 2004
- eating disorder not otherwise specified
The purpose of the study was to better understand the phenomenology of bulimic symptomatology in an adolescent clinic sample.
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).
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.
Results prompt reappraisal of current criteria of BN to encompass those who purge without binge eating. © 2005 by Wiley Periodicals, Inc. &!ndash;