SynthesisEuropean eating disorders review : the journal of the Eating Disorders Association2026
Defining Recovery and Relapse in Bulimia Nervosa: A Systematic Review of the Literature.
Synthesis in European eating disorders review : the journal of the Eating Disorders Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled 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.
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.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Defining Recovery and Relapse in Bulimia Nervosa: A Systematic Review of the Literature.European eating disorders review : the journal of the Eating Disorders Association · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDespite advances in understanding bulimia nervosa (BN), standardized definitions of outcome stages remain lacking. This review aims to synthesise definitions of recovery and relapse in BN to improve its assessment and comparability across study outcomes.
methodsA systematic review was conducted using PRISMA guidelines. PubMed and PsycINFO were searched (October 2024) combining keywords 'recovery', 'remission' or 'relapse' with 'bulimia nervosa'.
resultsN = 76 studies were included. Recovery was most commonly defined using diagnostic (n = 30, 53%; For example, a Psychiatric Status Rating score ≤ 2 and absence of a DSM-based diagnosis) or behavioural criteria (n = 28, 49%; typically binge eating and compensatory behaviours assessed with the Eating Disorder Examination interview/questionnaire; EDE/EDE-Q). Fewer studies considered medical/physical (n = 17, 30%; That is, Body Mass Index ≥ 18.5) or psychological criteria (n = 10, 18%; For example, EDE/EDE-Q global or all subscales score within 1SD of community norms). N = 11 (14%) addressed partial recovery as a period of symptomatic improvement with residual symptoms. Relapse was defined using behavioural criteria (n = 18, 25%; That is, re-emergence of binge eating and compensatory behaviours) or meeting DSM-based diagnostic criteria after remission (n = 10, 14%).
conclusionsAdopting multidimensional definitions of recovery and relapse, incorporating the most endorsed behavioural, diagnostic, medical/physical, and psychological criteria, may increase diagnostic accuracy, facilitate assessment and outcomes comparability.
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Registered trials
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.