ArticleThe International journal of eating disorders2017
Mild, moderate, meaningful? Examining the psychological and functioning correlates of DSM-5 eating disorder severity specifiers.
Article in The International journal of eating disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Olfaction is a Marker of Severity but Not Diagnosis in Anorexia Nervosa: a Systematic Review and Meta-Analysis.Neuropsychology review · 2020Pooled it
- Change in eating-disorder psychopathology network structure in patients with binge-eating disorder: Findings from treatment trial with 12-month follow-up.Journal of consulting and clinical psychology · 2022Trial
- Observational
- Do Weight Suppression and Body Mass Index Predict Daily Body Image and Eating Urges in Non-Clinical Adults?European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Psychometric characteristics of DSM-5 eating disorder diagnostic criteria: support for a transdiagnostic approach.Journal of eating disorders · 2026Article
- The mediating role of psychological factors in the relationship between body image dissatisfaction and eating disorders: a cross-sectional study in adults.Frontiers in nutrition · 2026Article
- Assessing Severity in Anorexia Nervosa Using Alternative Criteria to the DSM-5 in a Cross-Sectional Study.The International journal of eating disorders · 2025Article
- Anxiety about getting fat may increase the number of binge-eating disorder symptoms.Scientific reports · 2025Article
- Bulimia nervosa severity levels based on shape/weight overvaluation explain more variance in clinical characteristics than DSM-5 severity levels.Psychological medicine · 2025Article
- Empirically Determining Binge/Purge Frequency Thresholds for Differentiating Anorexia Nervosa-Restricting Subtype vs. Binge-Purge Subtype.The International journal of eating disorders · 2025Article
- Psychological factors associated with binge eating among women with infertility.Eating behaviors · 2025Observational
- Purging frequency and number of purging methods as indicators of severity in bulimia nervosa: Interactive effects with binge eating episodes.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- Severity levels of anorexia nervosa and atypical anorexia nervosa in a Korean cohort.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- Exploring eye-movement changes as digital biomarkers and endophenotypes in subclinical eating disorders: an eye tracking study.BMC psychiatry · 2025Article
- Data mining identifies meaningful severity specifiers for anorexia nervosa.Journal of psychopathology and clinical science · 2025Article
- The current clinical approach to feeding and eating disorders aimed to increase personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Integrating "Lumpers" versus "Splitters" Perspectives: Toward a Hierarchical Dimensional Taxonomy of Eating Disorders from Clinician Ratings.Clinical psychological science : a journal of the Association for Psychological Science · 2024Article
- Do risk factors differentiate DSM-5 and drive for thinness severity groups for anorexia nervosa?Journal of eating disorders · 2024Article
- Severe-Enduring Anorexia Nervosa (SE-AN): a case series.Journal of eating disorders · 2023Article
- 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
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveThis study evaluated the DSM-5 severity specifiers for treatment-seeking groups of participants with anorexia nervosa (AN), the purging form of bulimia nervosa (BN), and binge-eating disorder (BED).
methodHundred and sixty-two participants with AN, 93 participants with BN, and 343 participants with BED were diagnosed using semi-structured interviews, sub-categorized using DSM-5 severity specifiers and compared on demographic and cross-sectional clinical measures.
resultsIn AN, the number of previous hospitalizations and the duration of illness increased with severity, but there was no difference across severity groups on measures of eating pathology, depression, or measures of self-reported physical or emotional functioning. In BN, the level of eating concerns increased across the severity groups, but the groups did not differ on measures of depression, self-esteem, and most eating pathology variables. In BN, support was also found for an alternative severity classification scheme based upon number of methods of purging. In BED, levels of several measures of eating pathology and self-reported physical and emotional functioning increased across the severity groups. For BED, however, support was also found for an alternative severity classification scheme based upon overvaluation of shape and weight. Preliminary evidence was also found for a transdiagnostic severity index based upon overvaluation of shape and weight. DISCUSSION: Overall, these data show limited support for the DSM-5 severity specifiers for BN and modest support for the DSM-5 severity specifiers for AN and BED.
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