Evidence map›Paper›PMID 35366014›Full record

ArticleThe International journal of eating disorders2022

Evaluating the predictive validity of purging disorder by comparison to bulimia nervosa at long-term follow-up.

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

Open access · greenAbstract read
In one paragraph

Article in The International journal of eating disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Defining Recovery and Relapse in Bulimia Nervosa: A Systematic Review of the Literature.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Pooled it
  2. Article
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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

5 authors at 5 institutions in 1 country.

Katherine Jean ForneyDepartment of Psychology, Ohio University, Athens, Ohio, USA.ORCID 0000-0002-8215-9335
Tiffany A BrownDepartment of Psychological Sciences, Auburn University, Auburn, Alabama, USA.ORCID 0000-0002-7349-7228
Ross D CrosbySanford Center for Biobehavioral Research, Fargo, North Dakota, USA.
Kelly M KleinVA Boston Healthcare System, Brockton Division, Brockton, Massachusetts, USA.
Pamela K KeelDepartment of Psychology, Florida State University, Tallahassee, Florida, USA.ORCID 0000-0001-6542-5147
Auburn University · USFlorida State University · USHarvard University · USOhio University · 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
Longitudinal Follow-up of Purging Syndromes: Outcome and PredictorsF31MH105082 · NIMH · FLORIDA STATE UNIVERSITY · PI FORNEY, KATHERINE JEAN · 2015 to 2017
$85k
DOES SIZE MATTER FOR BINGE EPISODES OF BULIMIA NERVOSA?R03MH061320 · NIMH · HARVARD UNIVERSITY · PI KEEL, PAMELA K. · 2000 to 2000
$39k
NIMH NIH HHS F31 MH105082NIMH NIH HHS R01 MH061836NIMH NIH HHS R01 MH111263NIMH NIH HHS R01-MH111263NIMH NIH HHS R01-MH61836NIMH NIH HHS R03-MH61320
6 · The paper itself

Abstract

objectiveThe current study sought to examine the predictive validity of the purging disorder diagnosis at long-term follow-up by comparing naturalistic outcomes with bulimia nervosa.

methodWomen with purging disorder (N = 84) or bulimia nervosa (N = 133) who had completed comprehensive baseline assessments as part of one of three studies between 2000 and 2012 were sought for follow-up assessment. Nearly all (94.5%) responded to recruitment materials and 150 (69% of sought sample; 83.3% non-Hispanic white; 33.40 [7.63] years old) participated at an average of 10.59 (3.71) years follow-up. Participants completed the Eating Disorder Examination, the Structured Clinical Interview for DSM-IV, and a questionnaire battery. Diagnostic groups were compared on eating disorder (illness status, recovery status, and eating pathology) and related outcomes. Group differences in predictors of outcome were explored.

resultsThere were no significant differences in eating disorder presence (p = .70), recovery status (p = .87), and level of eating pathology (p = .17) between diagnostic groups at follow-up. Post hoc equivalence tests indicated group differences were smaller than a medium effect size (p's ≤ .005). Groups differed in diagnosis at follow-up (p = .002); diagnostic stability was more likely than cross-over to bulimia nervosa for women with baseline purging disorder (p = .004). DISCUSSION: Although purging disorder and bulimia nervosa do not differ in long-term outcomes, the relative stability in clinical presentation suggests baseline group differences in clinical presentation may be useful in augmenting treatments for purging disorder. PUBLIC SIGNIFICANCE STATEMENT: While purging disorder is classified as an "other specified" eating disorder, individuals who experience this disorder have comparable negative long-term outcomes as those with bulimia nervosa. This highlights the importance of screening for and treating purging disorder as a full-threshold eating disorder.

Indexed as

Anorexia NervosaBulimia NervosaFeeding and Eating DisordersChildDiagnostic and Statistical Manual of Mental DisordersFemaleFollow-Up StudiesHumansSurveys and Questionnairesbulimia nervosafollow-upother specified feeding or eating disorderoutcomepurging disorder

Identifiers

PMID35366014
PMCPMC9167719
OpenAlexW4225571916

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.