Eating disorder not otherwise specified (EDNOS): profiles of clients presenting at a community eating disorder service

Turner, Hannah; Bryant‐Waugh, Rachel

doi:10.1002/erv.552

Cited by 132 publications

(104 citation statements)

References 7 publications

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“…Fairburn and Bohn 17 have suggested that this is due to the misconceptions that EDNOS is rare and that EDNOS is mild. Contrary to these beliefs, recent findings have indicated that EDNOS represents 60% of all eating disorder cases that present to outpatient services [18][19][20] and 40% of patients that present to tertiary care services. 21 In addition, the duration and severity of EDNOS is similar to AN and BN.…”

Section: Introductionmentioning

confidence: 70%

“…21 In addition, the duration and severity of EDNOS is similar to AN and BN. [19][20][21][22] The transdiagnostic model and treatment of eating disorders conceptualizes AN, BN, and EDNOS as a single unitary diagnostic category. 23 This is based on the fact that there are important similarities between the three groups (e.g., weight-related self-evaluation, dietary restraint, bingeing, vomiting) and that migration between diagnostic categories is common.…”

Section: Introductionmentioning

confidence: 99%

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Timing and prediction of relapse in a transdiagnostic eating disorder sample

McFarlane

Olmsted

Trottier

2008

Intl J Eating Disorders

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Clinical recommendations based on these data include encouraging clients to adopt the recommended behavioral changes immediately at the beginning of treatment, and to make complete symptom control a priority. In addition, addressing weight-related self-evaluation and teaching clients to detach from this schema that connects weight/shape with self-esteem may be an effective and feasible step toward relapse prevention.

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Section: Introductionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Timing and prediction of relapse in a transdiagnostic eating disorder sample

McFarlane

Olmsted

Trottier

2008

Intl J Eating Disorders

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“…It is well-documented that subthreshold eating disorder diagnoses are prevalent among individuals presenting for outpatient eating disorders treatment and are associated with clinically significant levels of impairment (10,11). Thus, bipolar patients meeting the following empirically supported eating disorder not otherwise specified (EDNOS) criteria were included in the ED group: 1) All DSM-IV criteria for BN except the frequency of binge eating and purging is less than 2/week (12) (n = 1); or 2) Objective binge episodes occurring 1/week on average for at least 6 months in the absence of purging or other recurrent compensatory behaviors (13) (n = 8).…”

Section: Participantsmentioning

confidence: 99%

Eating disorders and illness burden in patients with bipolar spectrum disorders

Wildes

Marcus

Fagiolini

2007

Comprehensive Psychiatry

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Objectives-To evaluate the clinical significance of lifetime eating disorder co-morbidity in a welldefined sample of patients with bipolar spectrum disorders and to describe cognitive correlates of disordered eating in this group.Method-Twenty-six bipolar patients with a lifetime history of a DSM-IV defined eating disorder (n = 17) or a clinically significant subthreshold eating disorder (n = 9) (ED group) were compared to 46 bipolar patients with no history of an eating disorder (No ED group) on demographic and clinical characteristics at study presentation, history of bipolar illness, and other psychiatric co-morbidity. Measures included the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), the Clinical Global Impression-Severity Scale-Bipolar Version (CGI-S-BP), and the Eating Disorder Examination (EDE). Height and weight were recorded to calculate body mass index (BMI).Results-Patients in the ED group were heavier and were rated as more symptomatic on the CGI-S-BP than were patients in the No ED group. The ED group also had a higher number of lifetime depressive episodes and greater psychiatric co-morbidity, excluding eating and mood disorders. Finally, after controlling for BMI and CGI-S-BP rating, patients in the ED group had significantly higher EDE Restraint, Eating Concern, Shape Concern, Weight Concern, and Global scores than did patients in the No ED group.Conclusions-These findings highlight the need for a renewed emphasis on the evaluation and management of weight and eating in the mood disorders. In particular, this research suggests that eating disorder co-morbidity may be a marker for increased symptom load and illness burden in bipolar disorder.

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“…6 Perhaps secondary to these challenges in applying the current eating disorder diagnoses to younger patients, descriptive clinical studies indicate that EDNOS is the most common eating disorder in clinical settings. [7][8][9][10] This diagnosis is problematic due to its heterogeneity, rendering the amount of specific information conveyed by the EDNOS label to be minimal. This problem is not unique to youth -as EDNOS similarly predominates in adult clinical samples 11 -but the reasons younger patients are assigned this diagnosis may be distinct as suggested by the Workgroup.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

Eddy

Grange

Crosby

et al. 2010

Journal of the American Academy of Child & Adolescent Psych

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Objective-The purpose of this study was to empirically derive eating disorder phenotypes in a clinical sample of children and adolescents using latent profile analysis (LPA) and compare these latent profile (LP) groups to the DSM-IV-TR eating disorder categories.Method-Eating disorder symptom data collected from 401 youth (ages 7-19; mean 15.14 ± 2.35y) seeking eating disorder treatment were included in LPA; general linear models were used to compare LP groups to DSM-IV-TR eating disorder categories on pre-treatment and outcome indices.Results-Three LP groups were identified: LP1 (n=144), characterized binge eating and purging ("Binge/purge"); LP2 (n=126), characterized by excessive exercise and extreme eating disorder cognitions ("Exercise-extreme cognitions"); and LP3 (n=131), characterized by minimal eating disorder behaviors and cognitions ("Minimal behaviors/cognitions"). Identified LPs imperfectly resembled DSM-IV-TR eating disorders. LP1 resembled bulimia nervosa; LP2 and LP3 broadly resembled anorexia nervosa with a relaxed weight criterion, differentiated by excessive exercise and severity of eating disorder cognitions. LP groups were more differentiated than the DSM-IV-TR categories across pre-treatment eating disorder and general psychopathology indices, as well as weight change at follow-up. Neither LP nor DSM-IV-TR categories predicted change in binge/purge behaviors. Validation analyses suggest these empirically-derived groups improve upon the current DSM-IV-TR categories.Conclusions-In children and adolescents, revisions for DSM-V should consider recognition of patients with minimal cognitive eating disorder symptoms.

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Eating disorder not otherwise specified (EDNOS): profiles of clients presenting at a community eating disorder service

Cited by 132 publications

References 7 publications

Timing and prediction of relapse in a transdiagnostic eating disorder sample

Timing and prediction of relapse in a transdiagnostic eating disorder sample

Eating disorders and illness burden in patients with bipolar spectrum disorders

Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

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