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
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.
|Additional Information:||© 2008 John Wiley & Sons, Inc.|
|Library of Congress subject classification:||R Medicine > RC Internal medicine|
|Sets:||Research centres and groups > Personal Social Services Research Unit (PSSRU)|
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