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Long-term course of binge eating disorder and bulimia nervosa: relevance for nosology and diagnostic criteria.
Int J Eat Disord. 2008 Nov; 41(7):577-86.IJ

Abstract

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.

Authors+Show Affiliations

Department of Psychiatry, University of Munich, Germany. mfichter@schoen-kliniken.deNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18473335

Citation

Fichter, Manfred M., et al. "Long-term Course of Binge Eating Disorder and Bulimia Nervosa: Relevance for Nosology and Diagnostic Criteria." The International Journal of Eating Disorders, vol. 41, no. 7, 2008, pp. 577-86.
Fichter MM, Quadflieg N, Hedlund S. Long-term course of binge eating disorder and bulimia nervosa: relevance for nosology and diagnostic criteria. Int J Eat Disord. 2008;41(7):577-86.
Fichter, M. M., Quadflieg, N., & Hedlund, S. (2008). Long-term course of binge eating disorder and bulimia nervosa: relevance for nosology and diagnostic criteria. The International Journal of Eating Disorders, 41(7), 577-86. https://doi.org/10.1002/eat.20539
Fichter MM, Quadflieg N, Hedlund S. Long-term Course of Binge Eating Disorder and Bulimia Nervosa: Relevance for Nosology and Diagnostic Criteria. Int J Eat Disord. 2008;41(7):577-86. PubMed PMID: 18473335.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term course of binge eating disorder and bulimia nervosa: relevance for nosology and diagnostic criteria. AU - Fichter,Manfred M, AU - Quadflieg,Norbert, AU - Hedlund,Susanne, PY - 2008/5/14/pubmed PY - 2009/2/20/medline PY - 2008/5/14/entrez SP - 577 EP - 86 JF - The International journal of eating disorders JO - Int J Eat Disord VL - 41 IS - 7 N2 - 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. SN - 1098-108X UR - https://www.unboundmedicine.com/medline/citation/18473335/Long_term_course_of_binge_eating_disorder_and_bulimia_nervosa:_relevance_for_nosology_and_diagnostic_criteria_ L2 - https://doi.org/10.1002/eat.20539 DB - PRIME DP - Unbound Medicine ER -