Literature DB >> 16319411

Instability of eating disorder diagnoses: prospective study.

Gabriella Milos1, Anja Spindler, Ulrich Schnyder, Christopher G Fairburn.   

Abstract

BACKGROUND: The stability of eating disorder diagnoses has received little research attention. AIMS: To examine the course of the full range of clinical eating disorders.
METHOD: A sample of 192 women with a current DSM-IV eating disorder (55 with anorexia nervosa,108 with bulimia nervosa and 29 with eating disorder not otherwise specified) were assessed three times over 30 months using a standardised interview.
RESULTS: Although the overarching category of "eating disorder" was relatively stable, the stability of the three specific eating disorder diagnoses was low, with just a third of participants retaining their original diagnosis. This was due only in part to remission since the remission rate was low across all three diagnoses.
CONCLUSIONS: There is considerable diagnostic flux within the eating disorders but a low overall remission rate. This suggests that underpinning their psychopathology may be common biological and psychological causal and maintaining processes.

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Year:  2005        PMID: 16319411      PMCID: PMC2710504          DOI: 10.1192/bjp.187.6.573

Source DB:  PubMed          Journal:  Br J Psychiatry        ISSN: 0007-1250            Impact factor:   9.319


  18 in total

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Authors:  Christopher G Fairburn; Paul J Harrison
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9.  Outcome of anorexia nervosa: a case-control study.

Authors:  P F Sullivan; C M Bulik; J L Fear; A Pickering
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Review 10.  The outcome of anorexia nervosa in the 20th century.

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  53 in total

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5.  The cost-effectiveness of school-based eating disorder screening.

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6.  Stressful life events predict eating disorder relapse following remission: six-year prospective outcomes.

Authors:  Carlos M Grilo; Maria E Pagano; Robert L Stout; John C Markowitz; Emily B Ansell; Anthony Pinto; Mary C Zanarini; Shirley Yen; Andrew E Skodol
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7.  Risk factors for onset of eating disorders: evidence of multiple risk pathways from an 8-year prospective study.

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8.  An examination of the overlap between genetic and environmental risk factors for intentional weight loss and overeating.

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Journal:  Int J Eat Disord       Date:  2009-09       Impact factor: 4.861

9.  Maintenance factors for persistence of bulimic pathology: a prospective natural history study.

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Journal:  Int J Eat Disord       Date:  2009-03       Impact factor: 4.861

10.  The severity and status of eating disorder NOS: implications for DSM-V.

Authors:  Christopher G Fairburn; Zafra Cooper; Kristin Bohn; Marianne E O'Connor; Helen A Doll; Robert L Palmer
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