Adolescents with bulimia nervosa and eating disorder not otherwise specified-purging only

Authors

  • Roslyn B. Binford PhD,

    Corresponding author
    1. Eating Disorders Program, Department of Psychiatry, Section of Child and Adolescent Psychiatry, The University of Chicago, Chicago, Illinois
    • Department of Psychiatry, The University of Chicago, 5841 South Maryland Avenue, MC 3077, Chicago, IL 60637
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  • Daniel le Grange PhD

    1. Eating Disorders Program, Department of Psychiatry, Section of Child and Adolescent Psychiatry, The University of Chicago, Chicago, Illinois
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Abstract

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;

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