Purging disorder: An ominous variant of bulimia nervosa?

被引:118
作者
Keel, PK [1 ]
Haedt, A [1 ]
Edler, C [1 ]
机构
[1] Univ Iowa, Dept Psychol, Iowa City, IA 52242 USA
关键词
bulimia nervosa; purging; eating disorders not otherwise specified; follow-up;
D O I
10.1002/eat.20179
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: The current study evaluates the clinical significance and distinctiveness of purging disorder (PD), an eating disorder characterized by recurrent purging in the absence of objective binge episodes (OBE) among normal-weight individuals. Method: women with PD (n = 37), bulimia nervosa (BN; n = 39), or no eating disorder (n = 35) completed clinical assessments. women with PD (n = 23) and BN (n 25) completed 6-month follow-up assessments. Results: Compared with controls, both eating-disordered groups reported significantly higher eating, Axis I, and Axis II pathology. Compared with BN, PD was associated with significantly lower eating concerns, disinhibition, and hunger. At 6-month follow-up, rates of remission did not differ significantly between PD and BN, and crossover between disorders was rare. Conclusion: PD appears to be a clinically significant and potentially distinctive eating disorder. (c) 2005 by Wiley Periodicals, Inc.
引用
收藏
页码:191 / 199
页数:9
相关论文
共 34 条
[31]  
Tobin DL, 1997, INT J EAT DISORDER, V22, P179
[32]  
TOBIN DL, 1992, INT J EAT DISORDER, V11, P17, DOI 10.1002/1098-108X(199201)11:1<17::AID-EAT2260110104>3.0.CO
[33]  
2-6
[34]  
WILSON GT, 1989, INT J EAT DISORDER, V8, P173