ArticleEating and weight disorders : EWD2017
Testing the DSM-5 severity indicator for bulimia nervosa in a treatment-seeking sample.
Article in Eating and weight disorders : EWD, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Cognitive flexibility and DSM-5 severity criteria for eating disorders: assessing drive for thinness and duration of illness as alternative severity variables.Journal of eating disorders · 2023Article
- Bulimia symptoms in Czech youth: prevalence and association with internalizing problems.Eating and weight disorders : EWD · 2020Article
- Electroencephalographic (EEG) alterations in young women with high subclinical eating pathology levels: a quantitative EEG study.Eating and weight disorders : EWD · 2020Article
- Prevention of eating disorders: current evidence-base for dissonance-based programmes and future directions.Eating and weight disorders : EWD · 2019Article
- Gender differences in eating disorder psychopathology across DSM-5 severity categories of anorexia nervosa and bulimia nervosa.The International journal of eating disorders · 2018Article
- Personality and eating and weight disorders: an open research challenge.Eating and weight disorders : EWD · 2018Article
- Evaluation of the DSM-5 Severity Specifier for Bulimia Nervosa in Treatment-Seeking Youth.Child psychiatry and human development · 2018Article
- Severity of bulimia nervosa and its impact on treatment outcome.Eating and weight disorders : EWD · 2017Article
- The nature of the association between binge-eating severity and metabolic syndrome.Eating and weight disorders : EWD · 2017Article
- Cognitive-behavioral or psychodynamic therapy for people with bulimia nervosa.Eating and weight disorders : EWD · 2017Article
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Authors and funding
4 authors.
Funding
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Abstract
purposeThis study tested the new DSM-5 severity criterion for bulimia nervosa (BN) based on the frequency of inappropriate weight compensatory behaviors in a treatment-seeking sample.
methodsParticipants were 345 adults with DSM-5 BN presenting for treatment. They were sub-grouped based on DSM-5 severity levels and compared on a range of variables of clinical interest and demographics.
resultsBased on DSM-5 severity definitions, 27.2 % of the sample was categorized with mild, 26.1 % with moderate, 24.9 % with severe, and 21.8 % with extreme severity of BN. Analyses revealed that the four (mild, moderate, severe, and extreme) severity groups of BN significantly differed from each other in eating disordered and body-related attitudes and behaviors, factors involved in the maintenance process of the disorder, comorbid psychiatric disorders, psychological distress, and psychosocial impairment (medium-to-large effect sizes). No significant between-group differences were observed in demographics, body mass index, or at the age when BN first occurred, lending some credence to recent suggestions that age-at-onset of BN may be more a disorder- than a severity-dependent variable.
conclusionsCollectively, our findings provide support for the severity indicator for BN introduced in the DSM-5 as a means of addressing heterogeneity and variability in the severity of the disorder.
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