Roslyn B Binford1, Daniel le Grange. 1. Eating Disorders Program, Department of Psychiatry, Section of Child and Adolescent Psychiatry, The University of Chicago, Chicago, Illinois 60637, USA. rbinford@yoda.bsd.uchicago.edu
Abstract
OBJECTIVE: The purpose of the study was to better understand the phenomenology of bulimic symptomatology in an adolescent clinic sample. METHOD: Adolescents with bulimia nervosa (BN; n = 36) and eating disorders not otherwise specified-purging but no objective bulimic episodes (EDNOS-P; n = 20) were compared on the Eating Disorder Examination (EDE), the Beck Depression Inventory (BDI), the Rosenberg Self-Esteem Scale (RSES), and the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS). RESULTS: Subjects with EDNOS-P and BN were equivalent in terms of age and weight, but were less likely to have intact families. Nearly one half of EDNOS-P subjects purged exclusively outside of eating episodes in which they experienced a sense of loss of control. Although still at clinically significant levels, EDNOS-P subjects reported less concerns regarding weight, shape, and eating relative to BN. Groups were not significantly different on psychiatric comorbidity, but differed on self-esteem. DISCUSSION: Results prompt reappraisal of current criteria of BN to encompass those who purge without binge eating. 2005 by Wiley Periodicals, Inc.
OBJECTIVE: The purpose of the study was to better understand the phenomenology of bulimic symptomatology in an adolescent clinic sample. METHOD: Adolescents with bulimia nervosa (BN; n = 36) and eating disorders not otherwise specified-purging but no objective bulimic episodes (EDNOS-P; n = 20) were compared on the Eating Disorder Examination (EDE), the Beck Depression Inventory (BDI), the Rosenberg Self-Esteem Scale (RSES), and the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS). RESULTS: Subjects with EDNOS-P and BN were equivalent in terms of age and weight, but were less likely to have intact families. Nearly one half of EDNOS-P subjects purged exclusively outside of eating episodes in which they experienced a sense of loss of control. Although still at clinically significant levels, EDNOS-P subjects reported less concerns regarding weight, shape, and eating relative to BN. Groups were not significantly different on psychiatric comorbidity, but differed on self-esteem. DISCUSSION: Results prompt reappraisal of current criteria of BN to encompass those who purge without binge eating. 2005 by Wiley Periodicals, Inc.