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Do adolescents with eating disorders not otherwise specified or full-syndrome bulimia nervosa differ in clinical severity, comorbidity, risk factors, treatment outcome or cost?

Schmidt, Ulrike, Lee, Sally, Perkins, Sarah, Eisler, Ivan, Treasure, Janet, Beecham, Jennifer, Berelowitz, Mark, Dodge, Liz, Frost, Susie, Jenkins, Mari, and others. (2008) Do adolescents with eating disorders not otherwise specified or 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. (doi:10.1002/eat.20533) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:14655)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided.
Official URL:
http://dx.doi.org/10.1002/eat.20533

Abstract

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.

Item Type: Article
DOI/Identification number: 10.1002/eat.20533
Uncontrolled keywords: bulimia nervosa • adolescence • family therapy • EDNOS • guided selfcare
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Personal Social Services Research Unit
Depositing User: R. Bass
Date Deposited: 18 Apr 2009 09:37 UTC
Last Modified: 16 Nov 2021 09:53 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/14655 (The current URI for this page, for reference purposes)

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