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Do adolescents with ‘eating disorder not otherwise specified’ (EDNOS) or full-syndrome bulimia nervosa differ in clinical severity, co-morbidity, 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, Johnson-Sabine, Eric, Keville, Saskia, Murphy, Rebecca, Robinson, Paul, Winn, Suzanne and Yi, Irene (2008) Do adolescents with ‘eating disorder not otherwise specified’ (EDNOS) or full-syndrome bulimia nervosa differ in clinical severity, co-morbidity, risk factors, treatment outcome or cost? International Journal of Eating Disorders, 41 (6). pp. 498-504. ISSN 0276-3478

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Identification Number: 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 = 24) or BN (n = 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
Official URL: http://eu.wiley.com/WileyCDA/WileyTitle/productCd-...
Additional Information: © 2008 John Wiley & Sons, Inc.
Divisions: Care Policy and Evaluation Centre
Subjects: R Medicine > RC Internal medicine
Date Deposited: 24 Feb 2009 10:18
Last Modified: 11 Dec 2024 23:19
URI: http://eprints.lse.ac.uk/id/eprint/22929

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