Evidence map›Paper›PMID 29911514›Full record

ArticlePsychological medicine2019

Patterns of diagnostic transition in eating disorders: a longitudinal population study in Sweden.

Katherine Schaumberg, Andreas Jangmo, Laura M Thornton, Andreas Birgegård, Catarina Almqvist, Claes Norring, Henrik Larsson, Cynthia M Bulik

Abstract read
In one paragraph

Article in Psychological medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed.

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  10. Prospective 2-Year Course and Predictors of Outcome in Avoidant/Restrictive Food Intake Disorder.Journal of the American Academy of Child and Adolescent Psychiatry · 2025
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  15. 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 · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Katherine SchaumbergDepartment of Psychiatry,University of North Carolina at Chapel Hill,Chapel Hill, NC,USA.
Andreas JangmoDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,Stockholm,Sweden.
Laura M ThorntonDepartment of Psychiatry,University of North Carolina at Chapel Hill,Chapel Hill, NC,USA.
Andreas BirgegårdDepartment of Clinical Neuroscience,Centre for Psychiatry Research, Karolinska Institutet and Stockholm Health Care Services, Stockholm County Council,Stockholm,Sweden.
Catarina AlmqvistDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,Stockholm,Sweden.
Claes NorringDepartment of Clinical Neuroscience,Centre for Psychiatry Research, Karolinska Institutet and Stockholm Health Care Services, Stockholm County Council,Stockholm,Sweden.
Henrik LarssonDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,Stockholm,Sweden.
Cynthia M BulikDepartment of Psychiatry,University of North Carolina at Chapel Hill,Chapel Hill, NC,USA.ORCID 0000-0001-7772-3264

Funding

Postdoctoral Research Training in Eating DisordersT32MH076694 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M · 2007 to 2016
$1.8M
NIMH NIH HHS T32 MH076694
6 · The paper itself

Abstract

backgroundTransition across eating disorder diagnoses is common, reflecting instability of specific eating disorder presentations. Previous studies have examined temporal stability of diagnoses in adult treatment-seeking samples but have not uniformly captured initial presentation for treatment. The current study examines transitions across eating disorder diagnostic categories in a large, treatment-seeking sample of individuals born in Sweden and compares these transitions across two birth cohorts and from initial diagnosis.

methodsData from Swedish eating disorders quality registers were extracted in 2013, including 9622 individuals who were seen at least twice from 1999 to 2013. Patterns of remission were examined in the entire sample and subsequently compared across initial diagnoses. An older (born prior to 1990) and younger birth cohort were also identified, and analyses compared these cohorts on patterns of diagnostic transition.

resultsAlthough diagnostic instability was common, transition between threshold eating disorder diagnoses was infrequent. For all diagnoses, transition to remission was likely to occur following a diagnosis state that matched initial diagnosis, or through a subthreshold diagnostic state. Individuals in the younger cohort were more likely to transition to a state of remission than those in the older cohort.

conclusionsResults indicate more temporal continuity in eating disorder presentations than suggested by previous research and highlight the importance of early detection and intervention in achieving remission.

Indexed as

AdolescentAdultAnorexia NervosaBinge-Eating DisorderBulimia NervosaFeeding and Eating DisordersFemaleHumansLongitudinal StudiesMaleRegistriesSwedenYoung AdultAnorexia nervosabinge-eating disorderbulimia nervosaclassificationcrossoverdiagnosiseating disorders

Identifiers

PMID29911514
PMCPMC6788452

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.