The validity of the distinction of bulimia with and without anorexia nervosa

The American Journal of Psychiatry 06/1985; 142(5):581-587. DOI: 10.1176/ajp.142.5.581
Source: PubMed


The purpose of this study was to examine the relationship between bulimia in women with anorexia nervosa and bulimia of a similar severity in normal-weight women and to determine the support for the distinction between these two groups according to DSM-III criteria. Results indicated that bulimic women with anorexia nervosa (N = 59) and bulimic normal-weight women (N = 59) resembled each other on most variables and were more similar to each other than to women with anorexia nervosa who rigidly restricted food intake (N = 59). The results failed to support the diagnostic distinction between bulimia in anorexic women and bulimia of equal severity in normal-weight women.

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Available from: David M. Garner, Mar 09, 2014
    • "In particular , parents considered their families as cohesive and poorly conflicting, with satisfied by guest on August 8, 2015 Downloaded from relationships with their daughters (Garner et al., 1985). With regard to clinical girls, they perceived their families as flexible and cohesive, and they reported a good level of communication with their mothers (Vidovic et al., 2005). "
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    ABSTRACT: This study aims at examining whether adolescent girls diagnosed with anorexia nervosa and their parents differ in perceiving the different aspects of family functioning. Moreover, the discrepancy between adolescent girls and healthy controls on Family Adaptability and Cohesion Evaluation Scales dimensions, family communication, and family satisfaction is investigated. The study includes 36 female anorexia patients and their parents and 36 healthy controls. The results showed a different view between mothers and their daughters with regard to the dimension of rigidity. In addition, girls with anorexia nervosa were less satisfied about family environment and rated their families as less communicative, flexible, cohesive, and more disengaged, compared to controls. © The Author(s) 2015.
    No preview · Article · Jul 2015 · Journal of Health Psychology
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    • "Various aspects of the eating disorders have been the focus of subtyping. Diagnostic research [2] [4] [5] [6] has concentrated on differences in specific eating disorder symptoms; an effort that has contributed to a gradual (and highly debated) [7] increase of eating disorder diagnoses as reflected in the development of the 2 diagnostic systems, DSM and ICD [8] [9] [10] [11] [12] [13] [14]. Partly motivated by the importance of personality characteristics for treatment, this research has been supplemented by studies on personality and personality differences across eating disorder diagnoses. "
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    ABSTRACT: BACKGROUND: The aim of the study was to investigate whether patients with bulimia nervosa (BN) could be subdivided into clinically meaningful groups reflecting the complex patterns of eating disorder symptoms and personality characteristics that face the clinician. METHODS: Seventy patients diagnosed with BN using the Eating Disorder Examination were assessed with measures of negative affect, attachment patterns, and interpersonal problems. An exploratory hierarchical cluster analysis was performed. RESULTS: The study found two main subtypes differing primarily in terms of symptom severity and level of negative affect, but these subtypes were further subdivided into four clinically relevant subtypes: A dietary restraint/negative affect/high symptomatic group, an emotionally overcontrolled group, a low dietary restraint/emotionally underregulated group, and a high functioning/securely attached group. CONCLUSIONS: The study indicates that cluster-analytic studies, including a broad range of instruments measuring eating disorder symptoms as well as negative affect, relational patterns, and other personality characteristics, may contribute to an integration of previously suggested models of subtypes in BN.
    Full-text · Article · May 2012 · Comprehensive psychiatry
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    • "Results from previous studies using the SCL-90 with eating disordered patients are inconclusive concerning differences between AN/BN and their subclassifications. Using a short (58-item) version of the SCL-90, ED patients were found to score higher compared to controls, but there were no significant differences between subtypes of ED (BN, AN restrictors and AN bingers/purgers) (Garner et al., 1985). Also, Peñ as Lledó , Vaz Leal, and Waller (2002) found no significant main effects on the syndrome scales due to type of diagnosis. "
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    ABSTRACT: AimTo investigate general psychopathology among women with DSM-IV confirmed eating disorders (ED) and women from the general population with and without self-reported eating disorder problems.Method Ninety-six ED patients between 18 and 26 years (M = 21.59, SD = 2.01) were compared with 265 randomly chosen age-matched controls (M = 20.99, SD = 2.01) with the Symptom Check List-90 (SCL-90).ResultED patients scored significantly higher on all subscales compared with women without self-reported eating problems, and higher on several scales compared to women reporting previous eating problems. There were no differences between ED patients and controls with current eating problems. Women with self-reported eating disorder problems scored significantly higher than women without such problems on all scales except for ‘phobic anxiety’.DiscussionIncreased psychopathology in both ED patients and women with self-reported eating problems suggests that general psychopathology is related to eating disturbances per se, and not only to being a psychiatric patient. Copyright © 2004 John Wiley & Sons, Ltd and Eating Disorders Association.
    Full-text · Article · Jul 2004 · European Eating Disorders Review
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