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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 and Lee, Sally and Perkins, Sarah and Eisler, Ivan and Treasure, Janet and Beecham, Jennifer and Berelowitz, Mark and Dodge, Liz and Frost, Susie and Jenkins, Mari and Johnson-Sabine, Eric and Keville, Saskia and Murphy, Rebecca and Robinson, Paul and 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.
Subjects: R Medicine > RC Internal medicine
Sets: Research centres and groups > Personal Social Services Research Unit (PSSRU)
Date Deposited: 24 Feb 2009 10:18
Last Modified: 01 Oct 2010 09:21
URI: http://eprints.lse.ac.uk/id/eprint/22929

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