Schmidt, U. and Lee, S. and Perkins, S. and Eisler, I. and Treasure, J. and Beecham, J.K. and Berelowitz, M. and Dodge, E. and Frost, S. and Jenkins, M. and Johnson-Sabine, E. and Keville, S. and Murphy, R. and Robinson, P. and Winn, S. and Yi, I. (2008) Do adolescents with eating disorders not otherwise specified of full-syndrome bulimia nervosa differ in clinical severity, comorbidity, risk factors, treatment outcome or cost? International Journal of Eating Disorders, 41 (6). pp. 498-504. ISSN 0276-3478.
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Objective: We wanted to know whether adolescents with eating disorder not otherwise specified (EDNOS) differ from those with bulimia nervosa (BN) in clinical features, comorbidity, risk factors, treatment outcome or cost. Method: Adolescents with EDNOS (n 5 24) or BN (n 5 61) took part in a trial of family therapy versus guided self-care. At baseline, eating disorder symptoms, risk factors, and costs were assessed by interview. Patients were reinterviewed at 6 and 12 months. Results: Compared with EDNOS, BN patients binged, vomited and purged significantly more, and were more preoccupied with food. Those with EDNOS had more depression and had more current and childhood obsessive-compulsive disorder. 66.6% of EDNOS versus 27.8% of BN patients were abstinent from bingeing and vomiting at 1 year. Diagnosis did not moderate treatment outcome. Costs did not differ between groups. Conclusion: EDNOS in adolescents is not trival. It has milder eating disorder symptoms but more comorbidity than BN.
|Uncontrolled keywords:||bulimia nervosa • adolescence • family therapy • EDNOS • guided selfcare|
|Subjects:||B Philosophy. Psychology. Religion > BF Psychology|
|Divisions:||Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit|
|Depositing User:||Rosalyn Bass|
|Date Deposited:||18 Apr 2009 09:37|
|Last Modified:||03 Mar 2010 11:27|
|Resource URI:||http://kar.kent.ac.uk/id/eprint/14655 (The current URI for this page, for reference purposes)|
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