Epidemiology of eating disorders: Creating opportunities to move the current classification paradigm forward

Use of extreme weight‐control behaviors in the absence of binge eating with and without subjective bulimic episodes: A community‐based study

“…[3][4][5] Hence, it is possible that the combination of SBEs and extreme weight-control behaviors, rather than the use of extreme weight-control behaviors per se, should be considered the defining feature of disorders of this kind. [3][4][5][6] Findings from at least one recent study were consistent with this hypothesis, in that the combination of SBEs and extreme weight-control behaviors was found to be associated with higher levels of eating disorder and psychopathology and impairment in role functioning than the use of extreme weight-control behaviors alone. 5 A limitation of this study, however, was that bulimic episodes were assessed using a self-report questionnaire.…”

Outcomes of Empirical Eating Disorder Phenotypes in a Clinical Female Sample: Results from a Latent Class Analysis

“…Although the current DSM criteria include an item on the lack of insight related to the distortion of the body image, we believe that item C 'intense fear of gaining weight or becoming fat' may hamper identification of patients difficult to manage and at high risk of dropout. Wade [39] confirmed that we might lack understanding of the full population affected by AN and the attendant personality traits and comorbidity that marks out subgroups with the AN syndrome. The mortality rates for AN patients were similar to those reported in other cohorts of inpatients from tertiary centers [41][42][43][44] and did not seem to be higher for patients with low weight and body concerns compared to the patients with more typical AN.…”

“…Wade [39] contended that AN is particularly associated with denial, which represents a response consistent with the egosyntonic nature of the disorder [40] : the more severe the anorexia, the more severe the denial. In addition to the issue concerning the higher risk of dropout, denial may raise an important problem concerning the identification of this population, especially because of the current DSM criteria for AN.…”

The changing profile of eating disorders at a tertiary psychiatric clinic in Hong Kong (1987–2007)

“…In contrast to the case of AN, the clinical features of BN described by Asian researchers resemble those of their Western counterparts and thus seem to ''breed true.'' 10 To our knowledge, BED, the most commonly reported form of eating disorder according to recent Western community surveys, 11 has not yet been reported in Chinese and most other Asian communities.…”