Where does purging disorder lie on the symptomatologic and personality continuum when compared to other eating disorder subtypes? : implications for the DSM
Krug, Isabel (University of Melbourne)
Giles, Sarah (University of Melbourne)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de Ciències de la Salut)
Agüera, Zaida (Universitat de Barcelona. Departament d'Infermeria de Salut Pública, Salut Mental i Maternoinfantil)
Sánchez, Isabel (Hospital Universitari de Bellvitge)
Sánchez-González, Jéssica (Hospital Universitari de Bellvitge)
Jiménez-Murcia, Susana (Hospital Universitari de Bellvitge)
Fernández-Aranda, Fernando (Hospital Universitari de Bellvitge)

Data:	2022
Descripció:	14 pàg.
Resum:	OBJECTIVES: To assess the clinical significance and distinctiveness of purging disorder (PD) from other eating disorder (ED) diagnoses. METHOD: Participants included 3127 women consecutively admitted to an ED treatment centre (246 PD, 465 anorexia nervosa restrictive [AN-R], 327 AN-binge purging [AN-BP], 1436 bulimia nervosa [BN], 360 binge eating disorder [BED], 177 atypical AN and 116 unspecified feeding or eating disorder [UFED]) who were diagnosed according to DSM-5 criteria. Additionally, 822 control participants were recruited from the community. All participants completed measures assessing ED symptoms (EDI-2), general psychopathology (SCL-90-R) and personality (TCI-R). RESULTS: Patients with PD, when compared to controls, scored significantly higher on the EDI-2 and SCL-90-R, and most TCI-R dimensions. Most of the significant differences between PD and the other ED diagnoses emerged between PD and AN-R, followed by Atypical-AN, UFED, AN-BP and BED, with patients with PD typically reporting higher scores on the EDI-2 and SCL-90-R subscales. Significant differences between PD and BN were also present, but to a lesser extent. The findings for personality varied amongst the different ED diagnoses. CONCLUSIONS: PD is a clinically significant disorder, which seems to be more similar to BN than it is to AN and the other ED subtypes.
Ajuts:	Ministerio de Economía y Competitividad PSI2015-68701-R Instituto de Salud Carlos III PI17/01167 Instituto de Salud Carlos III PI20/00132 Generalitat de Catalunya. Departament de Salut SLT006/17/00246
Nota:	Altres ajuts: Centres de Recerca de Catalunya (CERCA) Programme/Generalitat de Catalunya for institutional support and Delegación del Gobierno para el Plan Nacional sobre Drogas (2017I067). The FEDER funds/European Regional Development Fund (ERDF); a way to build Europe.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Anorexia Nervosa/diagnosis ; Atypical anorexia ; Binge-Eating Disorder/diagnosis ; Bulimia Nervosa/diagnosis ; Feeding and Eating Disorders/diagnosis ; Female ; Humans ; OSFED ; Personality ; Purging disorder ; Unspecified feeding or eating disorders
Publicat a:	European eating disorders review, Vol. 30 Núm. 1 (2022) , p. 36-49, ISSN 1099-0968

DOI: 10.1002/erv.2872
PMID: 34825434

14 p, 1.9 MB

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