OBJECTIVE: To present the twelve-year outcome of binge eating disorder (BED) in 68 female inpatients compared to bulimia nervosa, purging type (BN-P; N = 196). METHOD: Self and expert ratings focused on the beginning of therapy and the 12-year follow-up. RESULTS: 36% of BED and 28.2% of BN-P patients still received an eating disorder diagnosis at follow-up. Differences between groups were small (Eating Disorder Inventory, Structured Inventory for Anorexic and Bulimic Syndromes, Hopkins Symptom Checklist, Beck Depression Inventory). Similar predictors for BED and BN-P were identified. Psychiatric comorbidity was the predominant predictor of poor outcome in both diagnoses. Predictors for BED outcome were body dissatisfaction, sexual abuse, and impulsivity; self-injury predicted BN-P outcome. CONCLUSION: Course, outcome, and mortality were similar for BED and BN-P. Both disorders had psychiatric comorbidity as the main predictor of outcome, and there was a diagnostic shift between BED and BN-P over time, pointing to their nosological proximity. Data are relevant for the formulation of DSM-V and ICD-11 diagnostic criteria.
OBJECTIVE: To present the twelve-year outcome of binge eating disorder (BED) in 68 female inpatients compared to bulimia nervosa, purging type (BN-P; N = 196). METHOD: Self and expert ratings focused on the beginning of therapy and the 12-year follow-up. RESULTS: 36% of BED and 28.2% of BN-Ppatients still received an eating disorder diagnosis at follow-up. Differences between groups were small (Eating Disorder Inventory, Structured Inventory for Anorexic and Bulimic Syndromes, Hopkins Symptom Checklist, Beck Depression Inventory). Similar predictors for BED and BN-P were identified. Psychiatric comorbidity was the predominant predictor of poor outcome in both diagnoses. Predictors for BED outcome were body dissatisfaction, sexual abuse, and impulsivity; self-injury predicted BN-P outcome. CONCLUSION: Course, outcome, and mortality were similar for BED and BN-P. Both disorders had psychiatric comorbidity as the main predictor of outcome, and there was a diagnostic shift between BED and BN-P over time, pointing to their nosological proximity. Data are relevant for the formulation of DSM-V and ICD-11 diagnostic criteria.
Authors: R C Kessler; V Shahly; J I Hudson; D Supina; P A Berglund; W T Chiu; M Gruber; S Aguilar-Gaxiola; J Alonso; L H Andrade; C Benjet; R Bruffaerts; G de Girolamo; R de Graaf; S E Florescu; J M Haro; S D Murphy; J Posada-Villa; K Scott; M Xavier Journal: Epidemiol Psychiatr Sci Date: 2013-09-23 Impact factor: 6.892
Authors: Matislava Karačić; Jackie A Wales; Jon Arcelus; Robert L Palmer; Zafra Cooper; Christopher G Fairburn Journal: Behav Res Ther Date: 2011-06-13
Authors: S A Wonderlich; C B Peterson; R D Crosby; T L Smith; M H Klein; J E Mitchell; S J Crow Journal: Psychol Med Date: 2013-05-23 Impact factor: 7.723
Authors: Carrie J Nobles; Jennifer J Thomas; Sarah E Valentine; Monica W Gerber; Adin S Vaewsorn; Luana Marques Journal: Int J Eat Disord Date: 2016-05-20 Impact factor: 4.861