Evidence map›Paper›PMID 30193008›Full record

ArticleThe International journal of eating disorders2018

Gender differences in eating disorder psychopathology across DSM-5 severity categories of anorexia nervosa and bulimia nervosa.

Lazaro V Zayas, Shirley B Wang, Kathryn Coniglio, Kendra Becker, Helen B Murray, Eric Klosterman, Brian Kay, Pamela Bean, Theodore Weltzin, Debra L Franko and 2 more

Open access · greenAbstract read
In one paragraph

Article in The International journal of eating disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 14% of its field
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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
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  6. 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 · 2026
    Article
  7. Trajectories of Childhood Adversity and Eating Disorders in Adolescence.The International journal of eating disorders · 2025
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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

12 authors at 4 institutions in 1 country.

Lazaro V ZayasEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts.
Shirley B WangEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-8583-3014
Kathryn ConiglioEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts.
Kendra BeckerEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-8946-9977
Helen B MurrayEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0003-2059-3256
Eric KlostermanEating Disorder Center, Rogers Memorial Hospital, Oconomowoc, Wisconsin.
Brian KayEating Disorder Center, Rogers Memorial Hospital, Oconomowoc, Wisconsin.
Pamela BeanEating Disorder Center, Rogers Memorial Hospital, Oconomowoc, Wisconsin.
Theodore WeltzinEating Disorder Center, Rogers Memorial Hospital, Oconomowoc, Wisconsin.
Debra L FrankoEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts.
Kamryn T EddyEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts.
Jennifer J ThomasEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0003-2601-581X
Harvard University · USMemorial Hospital · USRutgers, The State University of New Jersey · USMassachusetts General Hospital · US

Funding

Reward Processing in Anorexia Nervosa and Avoidant/Restrictive Food Intake Disorder: Behavior, Hormonal Concentrations, and Brain Activation in Low-Weight Eating Disorders.F32MH111127 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BECKER, KENDRA R · 2016 to 2018
$185k
National Institute of Mental Health of the National Institutes of Health F32MH111127NIMH NIH HHS F32 MH111127
6 · The paper itself

Abstract

objectiveThis study examined whether patterns of eating-disorder (ED) psychopathology differed by gender across DSM-5 severity specifiers in anorexia nervosa (AN) and bulimia nervosa (BN).

methodWe tested whether ED psychopathology differed across DSM-5 severity specifiers among 532 adults (76% female) in a residential treatment center with AN or BN. We hypothesized that severity of ED psychopathology would increase in tandem with increasing severity classifications for both males and females with AN and BN.

resultsAmong females with BN, DSM-5 severity categories were significantly associated with increasing ED psychopathology, including Eating Disorder Examination-Questionnaire dietary restraint, eating concern, shape concern, and weight concern; and Eating Disorder Inventory drive for thinness and bulimia. ED psychopathology did not differ across DSM-5 severity levels for males with BN. For both males and females with AN, there were no differences in ED psychopathology across severity levels. DISCUSSION: Results demonstrate that DSM-5 severity specifiers may function differently for males versus females with BN. Taken together, data suggest DSM-5 severity specifiers may not adequately capture severity, as intended, for males with BN and all with AN. Future research should evaluate additional clinical validators of DSM-5 severity categories (e.g., chronicity, treatment non-response), and consider alternate classification schemes.

Indexed as

Diagnostic and Statistical Manual of Mental DisordersAdultAnorexia NervosaBulimia NervosaFeeding and Eating DisordersFemaleGender IdentityHumansMalePsychopathologyYoung Adultanorexia nervosabulimia nervosaDSM-5 severitygender differences

Identifiers

PMID30193008
PMCPMC7192048
OpenAlexW2889580316

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.