Evidence map›Paper›PMID 31937379›Full record

ArticlePsychological medicine2021

A naturalistic, long-term follow-up of purging disorder.

K Jean Forney, Ross D Crosby, Tiffany A Brown, Kelly M Klein, Pamela K Keel

Open access · greenAbstract readComparative Study
In one paragraph

Article in Psychological medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-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

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Article
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

5 authors at 5 institutions in 1 country.

K Jean ForneyDepartment of Psychology, Ohio University, Athens, Ohio, USA.ORCID https://orcid.org/0000-0002-8215-9335
Ross D CrosbySanford Center for Biobehavioral Research, Fargo, North Dakota, USA.ORCID https://orcid.org/0000-0001-9131-1629
Tiffany A BrownDepartment of Psychiatry, University of California San Diego, San Diego, California, USA.ORCID https://orcid.org/0000-0002-7349-7228
Kelly M KleinVA Boston Healthcare System, Brockton Division, Brockton, MA, USA.
Pamela K KeelDepartment of Psychology, Florida State University, Tallahassee, Florida, USA.
Florida State University · USOhio University · USSignature Healthcare Brockton Hospital · USUniversity of California San Diego · USUniversity of North Dakota · US

Funding

Biobehavioral Prediction of Illness Trajectory in Bulimic SyndromesR01MH111263 · NIMH · FLORIDA STATE UNIVERSITY · PI KEEL, PAMELA K. · 2016 to 2020
$2.1M
Binge Eating: Clinical Patterns &Biological CorrelatesR01MH061836 · NIMH · UNIVERSITY OF IOWA · PI KEEL, PAMELA K. · 2001 to 2011
$1.8M
Bulimic Syndromes: Secular &Longitudinal TrendsR01MH063758 · NIMH · UNIVERSITY OF IOWA · PI KEEL, PAMELA K. · 2002 to 2005
$899k
Longitudinal Follow-up of Purging Syndromes: Outcome and PredictorsF31MH105082 · NIMH · FLORIDA STATE UNIVERSITY · PI FORNEY, KATHERINE JEAN · 2015 to 2017
$85k
NIMH NIH HHS F31 MH105082NIMH NIH HHS R01 MH061836NIMH NIH HHS R01 MH063758NIMH NIH HHS R01 MH111263
6 · The paper itself

Abstract

backgroundThe DSM-5 introduced purging disorder (PD) as an other specified feeding or eating disorder characterized by recurrent purging in the absence of binge eating. The current study sought to describe the long-term outcome of PD and to examine predictors of outcome.

methodsWomen (N = 84) who met research criteria for PD completed a comprehensive battery of baseline interview and questionnaire assessments. At an average of 10.24 (3.81) years follow-up, available records indicated all women were living, and over 95% were successfully located (n = 80) while over two-thirds (n = 58) completed follow-up assessments. Eating disorder status, full recovery status, and level of eating pathology were examined as outcomes. Severity and comorbidity indicators were tested as predictors of outcome.

resultsAlthough women experienced a clinically significant reduction in global eating pathology, 58% continued to meet criteria for a DSM-5 eating disorder at follow-up. Only 30% met established criteria for a full recovery. Women reported significant decreases in purging frequency, weight and shape concerns, and cognitive restraint, but did not report significant decreases in depressive and anxiety symptoms. Quality of life was impaired in the physical, psychological, and social domains. More severe weight and shape concerns at baseline predicted meeting criteria for an eating disorder at follow-up. Other baseline severity indicators and comorbidity did not predict the outcome.

conclusionsResults highlight the severity and chronicity of PD as a clinically significant eating disorder. Future work should examine maintenance factors to better adapt treatments for PD.

Indexed as

AdultBody ImageBulimia NervosaDiagnostic and Statistical Manual of Mental DisordersFemaleFollow-Up StudiesHumansMiddle AgedMood DisordersRecovery of FunctionSurveys and QuestionnairesUnited StatesVomitingYoung AdultEating disorderfollow-upother specified feeding or eating disorderoutcomepurging disorder

Identifiers

PMID31937379
PMCPMC7952006
OpenAlexW2998968719

What OpenQuestion holds

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Registered trials

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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.