Changes in psychopathology and symptom severity in bulimia nervosa between 1993 and 2003

Vaught, Amanda; Agras, W. Stewart; Bryson, Susan W.; Crow, Scott J.; Halmi, Katherine A.; Mitchell, James E.

doi:10.1002/eat.20464

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…The EDE has good validity and inter-rater reliability (Cooper, Cooper & Fairburn, 1993; Vaught, Agras, Bryson, Crow, Halmi, Mitchell, 2008). The EDE was used for diagnosing EDs and assessing ED behaviors at baseline and follow-up.…”

Section: Methodsmentioning

confidence: 99%

“…The EDE 12th Edition Diagnostic Version (Fairburn & Cooper, 1993; Rizvi, Peterson, Crow, & Agras, 2000) is a semistructured interview that generates ED diagnoses based on DSM–IV–TR criteria. The EDE has good validity and interrater reliability (Cooper, Cooper, & Fairburn, 1989; Vaught et al, 2008). The EDE was used for diagnosing EDs and assessing ED behaviors at baseline and follow-up.…”

Section: Methodsmentioning

confidence: 99%

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Reducing eating disorder onset in a very high risk sample with significant comorbid depression: A randomized controlled trial.

Taylor¹,

Kass²,

Trockel³

et al. 2016

Journal of Consulting and Clinical Psychology

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Objective Eating disorders (EDs) are serious problems among college-age women and may be preventable. An indicated on-line eating disorder (ED) intervention, designed to reduce ED and comorbid pathology, was evaluated. Method 206 women (M age = 20 ± 1.8 years; 51% White/Caucasian, 11% African American, 10% Hispanic, 21% Asian/Asian American, 7% other) at very high risk for ED onset (i.e., with high weight/shape concerns plus a history of being teased, current or lifetime depression, and/or non-clinical levels of compensatory behaviors) were randomized to a 10-week, Internet-based, cognitive-behavioral intervention or wait-list control. Assessments included the Eating Disorder Examination (EDE to assess ED onset), EDE-Questionnaire, Structured Clinical Interview for DSM Disorders, and Beck Depression Inventory-II. Results ED attitudes and behaviors improved more in the intervention than control group (p = 0.02, d = 0.31); although ED onset rate was 27% lower, this difference was not significant (p = 0.28, NNT = 15). In the subgroup with highest shape concerns, ED onset rate was significantly lower in the intervention than control group (20% versus 42%, p = 0.025, NNT = 5). For the 27 individuals with depression at baseline, depressive symptomatology improved more in the intervention than control group (p = 0.016, d = 0.96); although ED onset rate was lower in the intervention than control group, this difference was not significant (25% versus 57%, NNT = 4). Conclusions An inexpensive, easily disseminated intervention might reduce ED onset among those at highest risk. Low adoption rates need to be addressed in future research.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Reducing eating disorder onset in a very high risk sample with significant comorbid depression: A randomized controlled trial.

Taylor¹,

Kass²,

Trockel³

et al. 2016

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

show abstract

“…These results agree with those from most of the clinical studies on the psychopathology of bulimia nervosa, which report increased levels of psychopathology in this clinical population. [42][43][44][45][46][47] When the data regarding the relationship between lymphocyte subset count and psychopathology were analyzed, we found only one significant correlation in the control group, in which impulsivity negatively correlated with the number of helper T-cells. Our results agree with those from Henning and associates, 48,49 who found a significant correlation between impulsivity and CD4 + lymphocytes in healthy subjects.…”

Section: Discussionmentioning

confidence: 99%

Psychopathology and lymphocyte subsets in patients with bulimia nervosa

Vaz-Leal

Rodríguez-Santos

Melero-Ruiz

et al. 2010

Nutritional Neuroscience

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The association between lymphocyte subsets and several psychopathological variables which had proved to be able to affect immune cell count in other conditions was investigated in bulimia nervosa patients. Sixty-seven female bulimia nervosa patients and 29 female healthy controls were assessed for nutritional status (weight, blood cells, lymphocyte subsets, biochemical parameters and hormones) and psychopathology (anxiety, depression, hostility, impulsivity and borderline personality traits). A negative correlation between impulsivity and helper T-cells (CD4(+)) was found in controls. In the bulimia nervosa group, the patients with higher anxiety had the lower lymphocyte count, and anxiety and hostility were negatively related to CD4(+) count. In addition, helper/cytotoxic T-cell ratio negatively correlated in this group with impulsivity, hostility and depression. In the light of these results, the potential influence of psychopathology on lymphocyte subset counts seems to be specific in bulimia nervosa patients, and more relevant than in healthy controls.

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Screening for binge eating disorders using the Patient Health Questionnaire in a community sample

Striegel‐Moore

Perrin

DeBar

et al. 2009

Intl J Eating Disorders

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Objective-To examine the operating characteristics of the Patient Health Questionnaire eating disorder module (PHQ-ED) for identifying bulimia nervosa/binge eating disorder (BN/BED) or recurrent binge eating (RBE) in a community sample, and to compare true positive (TP) versus false positive (FP) cases on clinical validators.Method-259 screen positive individuals and a random sample of 89 screen negative cases completed a diagnostic interview. Sensitivity, specificity, and Positive Predictive Value (PPV) were calculated. TP and FP cases were compared using t-tests and Chi-Square tests.Results-The PHQ-ED had high sensitivity (100%) and specificity (92%) for detecting BN/BED or RBE, but PPV was low (15% or 19%). TP and FP cases did not differ significantly on frequency of subjective bulimic episodes, objective overeating, restraint, on BMI, and on selfrated health.Conclusions-The PHQ-ED is recommended for use in large populations only in conjunction with follow-up questions to rule out cases without objective bulimic episodes.

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Changes in psychopathology and symptom severity in bulimia nervosa between 1993 and 2003

Abstract: Results suggest that the presentation of individuals with bulimia nervosa has changed between 1993 and 2003, in that participants were older and demonstrated less dietary restraint. Hence, comparisons between samples and treatment trials over time must be made with caution.

Cited by 4 publications

References 9 publications

Reducing eating disorder onset in a very high risk sample with significant comorbid depression: A randomized controlled trial.

Reducing eating disorder onset in a very high risk sample with significant comorbid depression: A randomized controlled trial.

Psychopathology and lymphocyte subsets in patients with bulimia nervosa

Screening for binge eating disorders using the Patient Health Questionnaire in a community sample

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